A 69-year-old woman presents with crushing substernal chest pain and nausea. Laboratory studies show elevated serum levels of cardiac proteins (CK-MB = 8.5 ng/mL; troponin-I = 3.2 ng/mL). A diagnosis of myocardial infarction is confirmed by ECG. Despite treatment, the patient becomes hypotensive and resuscitation attempts are unsuccessful. A cross section of the patient's right coronary artery at autopsy is shown in the image. Which of the following pathologic changes are evident in this autopsy specimen?

A 69-year-old woman presents with crushing substernal chest pain and nausea. Laboratory studies show elevated serum levels of cardiac proteins (CK-MB = 8.5 ng/mL; troponin-I = 3.2 ng/mL). A diagnosis of myocardial infarction is confirmed by ECG. Despite treatment, the patient becomes hypotensive and resuscitation attempts are unsuccessful. A cross section of the patient's right coronary artery at autopsy is shown in the image. Which of the following pathologic changes are evident in this autopsy specimen?

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6th Edition

ISBN:9781337660549

Author:GREEN

Publisher:GREEN

Chapter10: Cpt Anesthesia

Section: Chapter Questions

Problem 13MC

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A 69-year-old woman presents with crushing substernal chest pain and nausea. Laboratory studies show elevated serum levels of cardiac proteins (CK-MB = 8.5 ng/mL; troponin-I = 3.2 ng/mL). A diagnosis of myocardial infarction is confirmed by ECG. Despite treatment, the patient becomes hypotensive and resuscitation attempts are unsuccessful. A cross section of the patient's right coronary artery at autopsy is shown in the image. Which of the following pathologic changes are evident in this autopsy specimen? (A) Arteritis and atherosclerosis (B) Atherosclerosis and thrombosis (C) Microaneurysm and canalization (D) Thrombosis and calcification (E) Vasodilation and arteritis
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