A patient is diagnosed with an intracerebral hemorrhage. What is the most common cause of this disorder?
1. Hypertension
2. Atrial fibrillation
3. Atherosclerosis
4. Hyperinsulinemia
1
Rationale 1: The most common causes of intracerebral hemorrhage are hypertension, trauma, illicit drug use (particularly amphetamines and cocaine), vascular malformations, and bleeding diathesis. Intracerebral hemorrhage results from hypertension when the arteries in the brain become brittle and susceptible to cracking, and rupture.
Rationale 2: Atrial fibrillation increases the risk of the development of an ischemic cerebrovascular accident.
Rationale 3: Atherosclerosis is the cause of hypertension, which can lead to intracranial hemorrhage.
Rationale 4: Hyperinsulinemia is a risk factor for the development of atherosclerosis and hypertension, which may eventually lead to an intracranial hemorrhage. However, this is not a primary cause.
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