IV - Hemodynamic Disorders, Thrombosis and Shock Flashcards Preview

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Flashcards in IV - Hemodynamic Disorders, Thrombosis and Shock Deck (153)
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151

A Stage IV breast cancer patient on prolonged bed rest suddenly develops difficulty of breathing and dies. At autopsy, a blood clot in the main pulmonary artery is found. Which of the following supports a thromboembolic origin, rather than a postmortem clot? (A) pale platelet and fibrin layers alternating with darker erythrocyte-rich layers (B) gelatinous consistency, with a dark dependent portion and a yellow supernatant (C) chicken fat appearance (D) lines of Kahn

pale platelet and fibrin layers alternating with darker erythrocyte-rich layers (lines of Zahn) (TOPNOTCH) Robbins Basic Pathology 8th ed, p96

152

A pregnant patient in her third trimester is hit by a car and sustains a femoral fracture. She subsequently goes into labor and delivers a preterm baby via vaginal delivery. A few minutes later, she has sudden dyspnea, cyanosis, and dies. At autopsy, there was pulmonary edema, a ventricular septal defect, and squamous cells in the microcirculation. What is the immediate cause of death? (A) amniotic fluid embolism (B) fat embolism (C) paradoxical embolism (D) air embolism

Amniotic fluid embolism(TOPNOTCH)Robbins Basic Pathology, 8th ed. p.100

153

In pure hypovolemic shock, which of the following organs will manifest the least cellular changes? (A) brain (B) adrenals (C) kidneys (D) lungs

Lungs (TOPNOTCH) Robbins Basic Pathology 8th ed. P 105.