A 72-Year-Old Man Comes to the Emergency Department Due to Severe

question 206

Multiple Choice

A 72-year-old man comes to the emergency department due to severe chest tightness and dyspnea that started 20 minutes ago at a family dinner.  He has never experienced similar symptoms before.  The patient's medical conditions include hypertension, hyperlipidemia, type 2 diabetes mellitus, and prostate cancer.  He takes multiple medications and has no drug allergies.  The patient smoked a pack of cigarettes daily for 30 years and stopped smoking 10 years ago.  Chest CT scan with contrast is shown in the image below. Which of the following factors most likely contributed to this patient's current condition?

• A)Atherosclerosis
• B)Fluid overload
• C)Hypercoagulability
• D)Intimal tear
• E)Noninfectious vasculitis
• F)Pulmonary bleb rupture
• G)Pulmonary metastasis

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Definitions:

Glucosamine

A natural compound found in cartilage, often used in dietary supplements to support joint health and alleviate the symptoms of arthritis.

Cytosine

A pyrimidine base found in DNA and RNA that pairs with guanine during the nucleic acid synthesis.

Base Pairs

The pairs of nucleotides (adenine with thymine, and cytosine with guanine) in DNA that form the rungs of the double helix structure, fundamental for DNA replication and genetic information.

Catastrophism

The idea that Earth’s geological features are the result of sudden, short-lived, violent events, contrary to gradualism.