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NBME 22 Answers

nbme22/Block 4/Question#12 (14.7 difficulty score)
A 73-year-old woman dies 7 years after the ...
Hydrocephalus ex vacuoπŸ”

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submitted by dr.xx(141),
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Teh frou ystpe fo ohahyecrsdplu ear m,cctgiuaimonn ,giacoumnoncinntm ex va,uoc dna lnmaor rrsesu.ep Doigssani si actilylpy maed yb acpshyil niiexnoatam nad idcmela a.ngigim

loeuhHsadcrpy ex oaucv sloa fsreer ot na lrmnaentgee of brelaerc istnlcreev nda hdcabuasiron sps,eac and si lluyusa due to narib aotpryh s(a ti crosuc ni tdiaen)ms,e uraittpamcts-o anirb nsjeiriu adn vnee in meos ityashcrcip rsord,dsei uhsc as hrino.icepzash sA eposopd to dhplhaeyusro,c itsh is a nmrypasotoec lneegreantm fo het cCes-FaspS ni rsposnee ot nraib maayeprcnh sols; ti si nto het surtle of cidnaeesr SCF su.eesrpr


submitted by madojo(154),

Think ex vauco for = fake IE: The ventricles appear to be big but in reality it just looks a lot bigger because its being compared against a atrophic brain from something like (Alzheimers, advanced HIV, Pick disease, Huntingtons).

Communicating hydrocephalus is due to decreased CSF absorption by arachnoid granulations which causes ICP --> papilledema and herniation.

Normal pressure hydrocephalus affects the elderly and causes "Wet, wobby, wacky"