← Back to Topics

embolization

Practice targeted AMC-style multiple-choice questions on embolization.

Related Topics

angiogramblurred visionelderly patientemergency medicinegastroenterologygastrointestinal bleedingheadacheneurology

A patient with severe lower GI bleeding refractory to colonoscopy requires further management. Which intervention is most appropriate if the bleeding source is suspected in the small bowel or inaccessible colon?

A. Repeat colonoscopy
B. Increased dose of proton pump inhibitor
C. Angiography with potential embolization
D. Capsule endoscopy
E. Surgical resection
Mark this as a high-quality question
Mark this as a poor-quality or problematic question
Post-embolization arteriogram showing coiled aneurysm (indicated by yellow arrows) of the posteriorcerebral artery with a residual aneurysmal sac.
Image by Promod Pillai, Aftab Karim, Anil Nanda — CC BY 2.0 · Source

A 68-year-old male presents with worsening headaches and blurred vision 3 months post-embolization. The attached image was obtained. Which of the following is the MOST appropriate next step in management?

A. Order an MRI of the brain to rule out other causes of headache
B. Initiate a course of high-dose corticosteroids
C. Refer for surgical clipping of the aneurysm
D. Repeat angiography to assess for recanalization
E. Prescribe analgesics and schedule a follow-up appointment in 6 months
Mark this as a high-quality question
Mark this as a poor-quality or problematic question