Author Question: An autopsy is being performed on a 44-year-old female who died unexpectedly of heart failure. Which ... (Read 45 times)

ts19998 · **on:** Jun 25, 2018

An autopsy is being performed on a 44-year-old female who died unexpectedly of heart failure. Which of the following components of the pathologist's report is most suggestive of a possible history of poorly controlled blood pressure?

A)
Scarring of the urethra suggestive of recurrent urinary tract infections is evident.
B)
Bilateral renal hypertrophy is noted.
C)
Vessel wall changes suggestive of venous stasis are evident.
D)
Arterial sclerosis of subcortical brain regions is noted.

Question 2

When a 55-year-old patient's routine blood work returns, the nurse notes that his C-reactive protein (CRP) is elevated. The patient asks what that means. The nurse responds,

A)
You must eat a lot of red meat since this means you have a lot of fat floating in your vessels.
B)
You are consuming high levels of folate, which works with the B vitamins and riboflavin to metabolize animal protein.
C)
This means you have high levels of HDL to balance the LDL found in animal proteins.
D)
This means you have elevated serum markers for systemic inflammation that has been associated with vascular disease.

sailorcrescent · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
D

Feedback:

Neurological consequences of hypertension include narrowing and sclerosis of subcortical regions. Urethral scarring and impaired venous return would be less likely to derive from hypertension, and while nephrosclerosis and glomerular damage are associated with hypertension, hypertrophy of the kidneys themselves is not noted as an indicator.

Answer to Question 2

Ans:
D

Feedback:

CRP is a serum marker for systemic inflammation. Elevated levels are associated with vascular disease. The normal metabolism of homocysteine requires adequate levels of folate, vitamin B6, vitamin B12, and riboflavin. CRP is not associated with red meat consumption. LDL is an independent risk factor for the development of premature coronary heart disease.