A 65-Year-Old Man Comes to the Emergency Department Due to Acute-Onset

question 610

Multiple Choice

A 65-year-old man comes to the emergency department due to acute-onset, severe right flank pain; nausea; and vomiting for the past hour.  His medical conditions include prostate cancer and membranous nephropathy.  Blood pressure is 148/60 mm Hg and pulse is 95/min.  On physical examination, the patient appears to be in moderate distress due to pain and is diaphoretic.  There is right costovertebral angle tenderness.  Urinalysis shows hematuria.  Contrast-enhanced CT scan reveals a wedge-shaped perfusion defect in the right kidney.  The affected renal tissue is most likely to develop which of the following histologic changes over the next several days?

• A)Caseous necrosis
• B)Coagulative necrosis
• C)Fat necrosis
• D)Fibrinoid necrosis
• E)Liquefactive necrosis
• F)Tissue calcification

---

Definitions:

Client-Visits

The act of meeting clients in person for business purposes, such as providing services, building relationships, or making sales.

Flexible Budget

A budget that adjusts or flexes with changes in the level of activity or volume of production.

Manufacturing Overhead

All indirect costs associated with the production process, such as utilities, maintenance, and salaries of production supervisors, not directly tied to the production of an individual product.

Spending Variance

The difference between the budgeted or standard cost of something and its actual cost, often analyzed in budgeting and cost control.