Cerebrovascular Disease USMLE Step 1 Practice Question
A 55-year-old man with poorly controlled hypertension presents with sudden severe occipital headache, confusion, and vision loss. Vital signs show BP 210/130 mmHg, HR 92/min, RR 18/min, temperature 37.2°C. Examination reveals papilledema and retinal hemorrhages; fundoscopy shows no focal deficits. Serum creatinine is 2.1 mg/dL. Brain MRI demonstrates multifocal areas of cerebral edema without acute infarction. Which of the following is the most likely diagnosis?
Answer choices
- APosterior reversible encephalopathy syndrome (PRES)Correct answer
- BAcute angle-closure glaucoma
- CHemorrhagic stroke with secondary edema
- DAcute coronary syndrome with cardiogenic shock
- EBacterial meningitis with sepsis
- FHypertensive intracerebral hemorrhage in basal ganglia
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