Hypertension in Medicine / Internal Medicine — 64yo Man | Neurology | SMLE Q#11385
SMLE Question #11385
Medicine / Internal Medicine
Neurology
Objective: OBJ-307
Last updated: February 2026
A 64-year-old man with hypertension and type 2 diabetes mellitus develops sudden weakness of the right arm and leg that began 45 minutes ago. Examination shows flaccid right hemiparesis with hyperreflexia and an upgoing right plantar response. He also has weakness of the left facial muscles involving the forehead and inability to close the left eye tightly. Sensation to pinprick and light touch is intact in the face and body. Which of the following is the most likely localization of his lesion?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.