1. A 74-year-old man has the sudden onset of weakness in the left upper and lower extremities. His tongue is weak and deviates to the right when protruded. The plantar reflex is ext the left. Which of the following is the most likely site of a lesion? A) Genu of the internal capsule B) Medulla C) Midbrain D) Pons E) Posterior limb of the internal capsule
1. A 74-year-old man has the sudden onset of weakness in the left upper and lower extremities. His tongue is weak and deviates to the right when protruded. The plantar reflex is ext the left. Which of the following is the most likely site of a lesion? A) Genu of the internal capsule B) Medulla C) Midbrain D) Pons E) Posterior limb of the internal capsule
Chapter11: Cpt Surgery I
Section: Chapter Questions
Problem 8MC
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Transcribed Image Text:**Neurology Assessment Question**
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**Case Study:**
A 74-year-old man has the sudden onset of weakness in the left upper and lower extremities. His tongue is weak and deviates to the right when protruded. The plantar reflex is extensor on the left. Which of the following is the most likely site of a lesion?
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**Options:**
A) Genu of the internal capsule
B) Medulla
C) Midbrain
D) Pons
E) Posterior limb of the internal capsule
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**Note:** Understanding the clinical signs presented in this case is crucial for localizing the lesion within the central nervous system. Symptoms such as weakness in specific extremities, tongue deviation, and plantar reflex responses can provide important clues to the specific area of the brain or brainstem affected.
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