Neurology: Case of the Month

Test Yourself — Patient 42

Hypertensive Encephalopathy

  1. Which type of edema is characteristically associated with hypertensive encephalopathy?
    • [ A ] Cytotoxic
    • [ B ] Osmotic
    • [ C ] Vasogenic
  2. Which area of the brain is most commonly affected in hypertensive encephalopathy?
    • [ A ] Posterior fossa
    • [ B ] Anterior cortex
    • [ C ] Posterior cerebral white matter
    • [ D ] Anterior cerebral white matter
  3. Which of the following is LEAST characteristic of a patient's symptoms in cases of hypertensive encephalopathy?
    • [ A ] Headache
    • [ B ] Transient focal weakness
    • [ C ] Decreased alertness
    • [ D ] Seizures
    • [ E ] Transient blindness
  4. What type of neuroimaging is most helpful in detecting hypertensive encephalopathy?
    • [ A ] T2-weighted MRI
    • [ B ] Non-contrast CT
    • [ C ] T1-weighted MRI
    • [ D ] Diffusion-weighted MRI
    • [ E ] CT with contrast
  5. Which of the following clinical findings is INCONSISTENT with a clinical diagnosis of hypertensive encephalopathy in a child?
    • [ A ] Blood pressure of 195/135 mmHg
    • [ B ] Blood pressure of 140/95 mmHg
    • [ C ] Normal retinal and disc examination
    • [ D ] Absence of schistocytes on blood smear
    • [ E ] None of the above

 

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