Your Name: Siu Pan Cho

Theme: Cerebrovascular

 

OPTION LIST

 

A

Amyloidosis

I

Posterior cerebral artery

B

Anterior cerebral artery

J

Stroke

C

Bacterial Meningitis

K

Subarachnoid haemorrhage

D

Berry’s aneurysm

L

Transient ischaemic attack (TIA)

E

Extradural haemorrhage

M

Vertebrobasilar circulation

F

Hydrocephalus

N

Viral Meningitis

G

Lacunar Infarcts

O

 

H

Middle cerebral artery

P

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1. Occlusion of this cerebral vessel can cause weakness and numbness in the contralateral lower limb and similar but milder symptoms in the contralateral upper limb.

 

2. A 35-year old patient presented to A&E complaining of severe headache and vomiting. He indicated that his headache feels like he had “been kicked in the back of his head”. On examination, there are signs of nick stiffness and retinal haemorrhage. The most likely differential diagnosis is…

 

3. This group of ischaemic brain lesions typically affect the basal ganglia, internal capsule, thalamus and pons and are smaller than 1cm.

 

4. This structural abnormality of cerebral vessels usually affects the branching points of the circle or Willis and is a risk of regional infarcts in young patients.

 

5. Transtentorial herniations can potentially compromise the sufficiency this particular part of the cerebral circulation and cause occipital lobe infarction.

 

 

ANSWERS

1. B

2. K

3. G

4. D

5. I