This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pathology
A 40-year-old hypeensive male was admitted to the hospital with sudden onset of headache and altered sensorium. On Examinatiion his Blood Pressure was observed to be 220/110 mm Hg and the patient died four later. What is likely pathological finding in his kidneys - 
Select and explain. 
A. Small kidney with granular surface, B. Small kidney with peticheal haemorrhages, C. Large kideny with waxy appearance, D. Large kidney with granular surface
B: Small kidney with peticheal haemorrhages
Answer: B: Small kidney with peticheal haemorrhages 
Explanation: Ans. is 'b' i.e., Small kidney with peticheal haemorrhageso Sudden onset of headache and altered sensorium in a hypeensive patient with a blood pressure of 220/110 suggests a diagosis of malignant hypeension (Malignant Nephrosclerosis).o Malignant hypeension (Malignant Nephrosclerosis) is typically associated with multiple peticheal haemorrhages on the coical surface of the kidney (flea bitten) from rupture of aerioles or glomerular capillaries