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A 63-year-old man complains of trouble swallowing and hoarseness...

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asked Feb 15, 2014 in Medicine by Rajesh Bahara

A 63-year-old man complains of trouble swallowing and hoarseness. On physical exam, he is noted to have ptosis   and   a  constricted   pupil  on  the   left,  and  a   diminished  gag  reflex.  Neurological examination  shows decreased  pain and  temperature  sensation on  the left  side  of his  face and  on the right side of his body. Which of the following vessels is most likely occluded?

 

A. Anterior inferior cerebellar artery (AICA)

B. Anterior spinal artery

C. Middle cerebral artery (MCA)

D. Posterior cerebral artery (PCA)

E. Posterior inferior cerebellar artery (PICA)

1 Answer

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Best answer
E. Posterior inferior cerebellar artery (PICA)
answered Feb 15, 2014 by Rajesh Bahara
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