48 A 56-year-old woman gradually loses vision in the temporal parts of the visual fields of both eyes, beginning with the upper quadrants. An MRI of the head is most likely to show a neoplasm in which of the following? A) Anterior perforated substance B) Hypothalamus C) Lateral geniculate body D) Pituitary gland E) Splenium of the corpus callosum
48 A 56-year-old woman gradually loses vision in the temporal parts of the visual fields of both eyes, beginning with the upper quadrants. An MRI of the head is most likely to show a neoplasm in which of the following? A) Anterior perforated substance B) Hypothalamus C) Lateral geniculate body D) Pituitary gland E) Splenium of the corpus callosum
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Transcribed Image Text:**Question 48: Neoplasm Affecting Vision**
A 56-year-old woman gradually loses vision in the temporal parts of the visual fields of both eyes, beginning with the upper quadrants. An MRI of the head is most likely to show a neoplasm in which of the following?
- A) Anterior perforated substance
- B) Hypothalamus
- C) Lateral geniculate body
- D) Pituitary gland
- E) Splenium of the corpus callosum
**Correct Answer: D) Pituitary gland**
**Explanation:**
This question requires knowledge of visual field defects and their neurological causes. The gradual loss of vision in the temporal fields of both eyes, starting with the upper quadrants, is indicative of a pattern known as bitemporal hemianopia. This type of visual field defect is often caused by a lesion affecting the optic chiasm, where the nasal fibers of the retina cross.
A common cause of this pattern is a pituitary adenoma, which can compress the optic chiasm as it enlarges. An MRI scan would typically reveal a neoplasm in the region of the pituitary gland, confirming the diagnosis.
Understanding these neuroanatomical relationships is crucial for proper diagnosis and treatment planning.
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