Answer

 

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BOF: 65

 A 45-year-old female is admitted with a subarachnoid haemorrhage. She initially, makes satisfactory progress but 5 days later her level of consciousness begins to deteriorate. The most likely cause of the deterioration is:

a)      Bacterial meningitis complicating lumbar puncture

b)      Cerebral abscess

c)      Coning of the medulla

d)      Acute hydrocephalus

e)      Dural sinus thrombosis

Answer:

d)

Organised blood in the subarachnoid space may cause obstruction to the flow of cerebrospinal fluid and result in hydrocephalus.

 

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