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NBME 22 Answers

nbme22/Block 4/Question#22

A 37-year-old man comes to the physician for a ...

Hyperplastic arteriolosclerosis

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submitted by mattnatomy(21),

Severe hypertension often leads to hyperplastic arteriolosclerosis (onion-skin appearance). Also see proliferation of smooth muscle cells.

meningitis  and explains the flame hemorrhages (Goljan) caused by malignant HTN +1