Poorly Controlled Hypertension Develops in Medicine / Internal Medicine — 62yo Man | Neurology | SMLE Q#11960
SMLE Question #11960
Medicine / Internal Medicine
Neurology
Objective: OBJ-307
Last updated: February 2026
A 62-year-old man with poorly controlled hypertension develops sudden vertigo, unsteady gait, and slurred speech. Examination shows impaired extraocular movements with vertical nystagmus, reactive pinpoint pupils, dysarthria, and marked limb and truncal ataxia. Limb strength is preserved, and there are no higher cortical deficits on bedside assessment. Which of the following vessels is most likely affected?
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