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 Answer BOF 30

 

   

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BOF: 30

A 67 year old male presents with a history of transient loss of vision in one eye .

Which of the following blood vessels is likely to be involved in the pathogenesis of this condition?

a)   External carotid artery

b)   Internal carotid artery

c)    Middle meningeal artery

d)   Posterior communicating artery

e)   Vertebral artery

Answer: b)

The ophthalmic artery is a branch of the internal carotid artery. Within the orbit it supplies the extraocular muscles, the lacrimal gland and the eye through the central retinal artery and the posterior ciliary arteries

Amaurosis fugax

ü  Transient and painless loss of vision in one eye

ü  Indicates   transient retinal ischaemia

ü  Associated with stenosis of the ipsilateral carotid artery or emboli (cardiac and aortic)

Revision Tip

Revise transient ischaemic attack KEYS to SUCCESS in Medicine page 432-435

 

 

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