USMLE-Rx Step 2 Qmax Challenge #23775
Check out today’s Step 2 Qmax Question Challenge.
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A 65-year-old man with a long history of hypertension and cocaine abuse presents to the emergency department unconscious and unresponsive. His companion reports that just after taking a dose of cocaine, the patient complained of an excruciating headache, vomited, and a few seconds later became unconscious. The patient is pronounced dead soon after arrival. An axial section of the patient’s brain at autopsy is shown in the image.
Which of the following describes the most likely pathogenesis of this patient’s death?
A. Ischemic stroke with subsequent reperfusion and hemorrhage
B. Rupture of massive saccular aneurysm
C. Subdural hemorrhage leading to increased intracranial pressure, herniation, and death
D. Epidural hemorrhage leading to increased intracranial pressure, herniation, and death
E. Massive intraparenchymal hemorrhage in the area of the thalamus
F. Massive intraparenchymal hemorrhage in the area of the cortical grey matter
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