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Question 398
Pathology → General
Classification
Question
SSBAQuestion Header
A patient is found to have a berry aneurysm arising from the circle of Willis. Which underlying disorder has a recognised association with this vascular lesion?
Question Stem
Select the single best answer.
Options
A
Ulcerative colitis
B
Polycystic renal disease
C
Sarcoidosis
D
Rheumatic fever
E
Chronic pancreatitis
Explanation
Berry aneurysms occur around the circle of Willis and are related to an abnormality of the arterial media rather than atheroma. They have a recognised association with polycystic renal disease.
Option Validity
A) Ulcerative colitis is not identified as an association of berry aneurysm.
C) Sarcoidosis is associated with granulomatous inflammation rather than berry aneurysm.
D) Rheumatic fever is associated with erythema marginatum but is not the specified association with berry aneurysm.
E) Chronic pancreatitis is not listed as an association with berry aneurysm.
Further Reading
Saxena R. Textbook for MRCOG-1. Chapter 5: Pathology. General Pathology, pp.161–175.