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Week 14

 

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Quiz 14 Context:

A 68-year-old female presents for routine follow-up of her hypertension and hyperlipidemia. During the history, she reports the recent experience of visual changes described as the sudden loss of vision in her right eye. The episode is described as "having a curtain pulled down over my eye." There was no associated pain. Vision returned after about 6 minutes.

Physical examination is most signficant for normal vision (with corrective lenses in place) by Snellen chart. Examination of the fundi suggests the presence of Hollenhorst plaques on the right side. Cardiovascular examination reveals a regular rate and rhythm, no cardiac murmurs, and the presence of a right cervical bruit.

An arterial angiogram is performed and is shown above.

This finding is most consistent with which of the following?

  1. Carotid artery dissection
  2. Carotid artery plaque
  3. Temporal arteritis
  4. Vertebrobasilar occlusion
  5. Subclavian steal syndrome

 

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Center for Continuing Education | 9500 Euclid Avenue, KK31, Cleveland, OH 44195