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Anatomy · Neuroanatomy
Sample itemA man has right-sided face and arm weakness with loss of speech, though comprehension is preserved. Which artery is most likely occluded?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Left middle cerebral artery
The middle cerebral artery supplies the lateral surface of the hemisphere, including the face and arm motor areas and Broca area in the dominant hemisphere. Right-sided signs with aphasia indicate a left-sided lesion.
Option by option
A. Left posterior cerebral artery
PCA occlusion causes visual field loss.
B. Right middle cerebral artery
Right MCA occlusion causes left face and arm weakness with neglect.
C. Left anterior cerebral artery
ACA occlusion causes leg weakness more than arm.
D. Left middle cerebral artery (correct)
Correct. Left MCA occlusion causes right face and arm weakness with expressive aphasia.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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