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Review Question - QID 211003

Circle of Willis Introduction QID: 211003 (M1.OMB.18.4800)
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QID 211003 (Type "211003" in App Search)
A 67-year-old man with a past medical history of poorly-controlled type 2 diabetes mellitus (T2DM) is brought to the emergency department for acute onset nausea and vomiting. According to the patient, he suddenly experienced vertigo and began vomiting 3 hours ago while watching TV. He reports hiking in New Hampshire with his wife 2 days ago. Past medical history is significant for a myocardial infarction (MI) that was treated with cardiac stenting, T2DM, and hypertension. Medications include lisinopril, aspirin, atorvastatin, warfarin, and insulin. Physical examination demonstrates left-sided facial droop and decreased pinprick sensation at the right arm and leg. What is the most likely etiology of this patient’s symptoms?
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