During the autopsy of a patient noted to have xanthochromia

During the autopsy of a patient noted to have xanthochromia, the pathologist removes the calvarium and the attached dura. On the surface of the brain there is frank blood that cannot be removed by rubbing or scraping the surface. Which of the following most likely caused this finding?

  • (A) Ruptured aneurysm
  • (B) Intraparenchymal hemorrhage
  • © Intradural hemorrhage
  • (D) Tearing of bridging veins
  • (E) Temporoparietal bone fracture

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A14-year-old, severely physically disabled individual is now on a respirator. His first 4 years of life were medically uneventful. Over the last 10 years, he has suffered from increasing symmetric muscle weakness that first affected the pelvic girdle and now involves almost all muscle groups. Several years ago, the calf portion of his legs appeared enlarged and on biopsy demonstrated fatty pseudohypertrophy with random alternating muscle fiber atrophy and hypertrophy. Which of the following is the most likely diagnosis?

  • (A) cerebral palsy
  • (B) muscular dystrophy
  • © myositis ossificans
  • (D) poliomyelitis
  • (E) trichinosis

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