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131251 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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131253 Pediatrics

A 7 year old girl presented with three episodes of massive hematemesis and melena. There is no history of jaundice. On examination, she had a large spleen, non-palpable liver and mild ascites. Poal vein was not visualized on ultrasonography. Liver function tests were normal and endoscopy revealed esophageal varices. The most likely diagnosis is:

AKala azar with poal hypeension
BPoal hypeension of unknown etiology
CChronic liver disease with poal hypeension
DPoal hypeension due to extrahepatic obstruction
Pediatrics
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