USMLE® Step 1 style questions USMLE
A 50-year-old man comes to the office because of a 1-month history of progressive vision loss and chronic headaches. His medical history is relevant to high blood pressure and coronary artery disease. Upon medical interrogation, the patient also reports having a loss of sexual drive and alternating mood swings. The physical exam is noncontributory. His temperature is 36.4°C (97.5°F), pulse is 70/min, respirations are 15/min, blood pressure is 130/70 mmHg. A head CT scan with contrast reveals a large suprachiasmatic cyst with calcifications.
Which of the following visual pathway defects is most likely to be seen in this patient?