A 39-year-old male is rushed to the emergency department after he developed a sudden-onset severe headache with ensuing nausea, vomiting, vision changes, and loss of consciousness. Past medical history is unattainable. He reports that the headache is worse than any he has experienced before. Noncontrast CT of the head is significant for an intracranial hemorrhage. Follow-up cerebral angiography is performed and shows a ruptured anterior communicating artery aneurysm. Which of the following has the strongest association with this patient's current presentation?
AAbdominal CT suggestive of renal cell carcinoma
BKidney ultrasound showing numerous bilateral renal cysts
CBrain MRI showing a butterfly glioma with a central necrotic core
DHistory of renal transplantation at 8 years of age
EHistory of multiple hemangioblastomas of the retina and spine as well as pheochromocytoma
A 27-year-old man is brought to the emergency department after a motorcycle accident 30 minutes ago. He was found at the scene of the accident with a major injury to the anterior chest by a metallic object that was not removed during transport to the hospital. The medical history could not be obtained. His blood pressure is 80/50 mm Hg, pulse is 130/min, and respiratory rate is 40/min. Evaluation upon arrival to the emergency department reveals a sharp metal object penetrating through the anterior chest to the right of the sternum at the 4th intercostal space. The patient is taken to the operating room immediately, where it is shown the heart has sustained a major injury. Which of the following arteries supplies the part of the heart most likely injured in this patient?
ARight marginal artery
BLeft anterior descending artery
CLeft coronary artery
DPosterior descending artery
ELeft circumflex coronary artery
A 6-year-old girl is brought to the physician by her parents because of concern that she is the shortest in her class. She has always been short for her age, but she is upset now that her classmates have begun teasing her for her height. She has no history of serious illness and takes no medications. She is 109 cm (3 ft 7 in) tall (10th percentile) and weighs 20 kg (45 lb) (50th percentile). Her blood pressure is 140/80 mm Hg. Vital signs are otherwise within normal limits. Physical examination shows a low-set hairline and a high-arched palate. Breast development is Tanner stage 1 and the nipples are widely spaced. Extremities are well perfused with strong peripheral pulses. Her hands are moderately edematous. This patient is at increased risk of developing which of the following complications?
APrecocious puberty
BAcute lymphoblastic leukemia
CEctopia lentis
DRenal cell carcinoma
EAortic insufficiency
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