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Sec on: USMLE
Study Store 38) A 2-year-old boy has a CT scan of the head
performed a er a pediatrician no ces a
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dispropor onate growth in his head
Other Exams circumference compared with the rest of
the body. The scan demonstrates a large
choroid plexus papilloma involving the
body of the right lateral ventricle. Which
Follow Our Site of the following brain structures might be
aected by direct extension of this tumor?

Caudate nucleus
Pons
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Cerebellum
Hippocampus
Hypothalamus
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Explana on
Tumors of the ventricular system of the brain can aect the brain ssue either directly,
via pressure on or invasion into a physically close structure, or indirectly, by
obstruc ng CSF ow and causing hydrocephalus. Choroid plexus papillomas are highly
dieren ated, benign tumors that can involve any ventricle but have a predilec on for
involving the lateral ventricles of small children, par cularly boys. The caudate nucleus
is a C-shaped structure that comprises part of the wall of the lateral ventricle
throughout its extent. The only structure listed that is adjacent to the body of the
lateral ventricle, and would therefore be directly aected by the large tumor described
in the ques on, is the caudate nucleus.

The cerebellum overlies the fourth ventricle.

The hippocampus is adjacent to the inferior (temporal) horn of the lateral ventricle.

The hypothalamus abuts the third ventricle.

The pons forms part of the oor of the fourth ventricle.

This ques on is provided by Kaplan Test Prep


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