MRCP UK EXAMINATIONS

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NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
* Small vessel disease deep in cerebral white matter* Branches off of MCA* Symptoms are not as severe* Cause:hypertensive hemorrhage or diabetic microvascular disease* Can be pure motor or pure sensory* Ataxia / dysarthria are possible symptoms* diabetic nephropathy-chronic loss of kidney function, neuropathy, and retinopathy* Early symptoms include floaters, blurriness, dark areas of vision, and difficulty perceiving colors. Blindness can occur*Deficits in consciousness, language or visual not seen bc higher cortical centers are preserved
A
Lacunar Stroke
B
Ischemic Stroke
C
Hemorrhagic Stroke
D
Vertebrobasilar Stroke
Explanation: 

Detailed explanation-1: -Cerebral small vessel disease (CSVD) is the most common, chronic and progressive vascular disease. The changes affect arterioles, capillaries and small veins supplying the white matter and deep structures of the brain. It is the most common incidental finding on brain scans, especially in people over 80 years of age.

Detailed explanation-2: -Untreated microvascular ischemic disease can lead to serious, life-threatening complications. These include stroke and severe cognitive decline. If you follow your personalized treatment plan, you may be able to slow the progression of the condition and lead a healthy, independent life.

Detailed explanation-3: -Medications for small vessel disease may include: Nitroglycerin (Nitrostat, Nitro-Dur). Nitroglycerin tablets, sprays and patches can ease chest pain by relaxing the coronary arteries and improving blood flow. Beta blockers.

Detailed explanation-4: -Chest pain, squeezing or discomfort (angina), which may get worse with activity or emotional stress. Discomfort in the left arm, jaw, neck, back or abdomen along with chest pain. Shortness of breath. Tiredness and lack of energy. 09-Nov-2021

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