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10571 Pathology

A 72-year-old man has had poorly controlled hypertension for the past 20 years. Over the past day he has had a severe headache with nausea, followed by confusion, then convulsions. On examination he is afebrile, but his blood pressure is now 260/150 mm Hg. There is bilateral papilledema. Which of the following pathologic lesions is most likely to have developed in his brain during the past day?

AArteriolar fibrinoid necrosis
BCortical telangiectasia
CLacunar infarction
DPutaminal hematoma
Pathology
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