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

question 79

Multiple Choice

A 72-year-old man comes to the emergency department due to sudden-onset, severe abdominal pain accompanied by nausea.  He has a history of coronary artery disease and recently underwent cardiac angiography.  The patient is a current smoker with a 30-pack-year history.  After initial evaluation, he undergoes emergency laparotomy.  A segment of small intestine is resected.  On microscopic examination, there are several large-caliber vessels with needle-shaped cholesterol clefts in their lumens, as shown in the image below. Given these findings, the patient is at highest risk for which of the following complications?

• A)Kidney injury
• B)Myelosuppression
• C)Nephrolithiasis
• D)Pulmonary infarction
• E)Septic arthritis

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Definitions:

Investment Centers

Sections of a company treated as separate business units, responsible for their profit and investment.

Controllable Margin

The portion of profit or margin that can be directly influenced by management's actions by controlling certain costs or revenues.

Average Operating Assets

The average value of the assets used in the core operations of a business over a period, important for evaluating investment efficiency.

Controllable Fixed Costs

Fixed costs that management has the ability to influence or change over the short term, such as advertising expenses.