A 66-Year-Old Man Comes to the Office for a Routine

question 83

Multiple Choice

A 66-year-old man comes to the office for a routine visit.  He has a history of hypertension and osteoarthritis.  The patient has smoked a pack of cigarettes daily for 40 years and occasionally drinks 1 or 2 glasses of wine but does not use illicit drugs.  Blood pressure is 142/82 mm Hg and pulse is 80/min.  Cardiopulmonary examination is normal.  There is a pulsating, central abdominal mass on physical examination.  Which of the following pathologic conditions is the most likely underlying cause of this patient's abnormal findings?

• A)Chronic transmural inflammation
• B)Cystic medial necrosis
• C)Focal intimal tear
• D)Malignant endothelial proliferation
• E)Microbial infection of aortic wall
• F)Vasa vasorum endarteritis

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Definitions:

Ambiguity

The quality of being open to more than one interpretation; lack of clearness or definiteness in meaning or intention.

Face-To-Face

Direct interaction between people in the same physical location, promoting more personal communication and connection.

Videoconferencing

A technology that allows people in different locations to hold face-to-face meetings without having to move to a single location together.

Uncertainty

refers to the state of being unsure or having doubts, often because of a lack of information or predictability about future events.