NBME1 CNS ques!!! tricky - drmajor

[ArchivalUser]

16. A 67-year-old man is brought to the emergency department because of a 3-day history of fever and headache. Five years ago, he underwent placement of a mechanical aortic valve for treatment of sequelae of rheumatic fever. He appears ill. His temperature is 40 C (104 F), blood pressure is 110/65 mm Hg, pulse is 110/min, and respirations are 22/min. A grade 3/6, systolic ejection murmur is heard. Neurologic examination shows mild left hemiparesis. Babinski's sign is present on the left. There is no nuchal rigidity. This patient is at greatest risk for which of the following complications?
A) Brain abscess

B) Carotid artery occlusion

C) Encephalitis

D) Hydrocephalus

E) Venous sinus thrombosis

ans pls

[ArchivalUser]

aAAAA the prostehtic valve is a risk for develping endocarditits and subsequents septic emboli to brain

[ArchivalUser]

@Shigatox I also choose this but answer key( not sure how much they r correct) tells B. Did u correct it online bro? Thanks for reply.

[ArchivalUser]

no its A for sure....answer key is wrong

[ArchivalUser]

i will go with A

[ArchivalUser]

It's A for sure.

[ArchivalUser]

A, septic embolus as a result of infective endocarditis has lead to brain abscess (focal neurologic sign).

[ArchivalUser]

AA