Author Question: Which of the following conditions predispose a patient to venous thromboembolic disease? 1. ... (Read 56 times)

gbarreiro · **on:** Jul 16, 2018

Which of the following conditions predispose a patient to venous thromboembolic disease? 1. Carcinoma 2. COPD 3. Trauma 4. Thrombocytosis

a. 1, 2, and 3 only
b. 1 and 4 only
c. 2 only
d. 1, 3, and 4 only

Question 2

Which of the following findings on a radiologic report would indicate the presence of a tension pneumothorax?

a. Bilateral inversion of diaphragm, long narrow heart, and flattened ribs
b. Blunting of costophrenic angles, marked interstitial infiltrates, and apical free air
c. Contralateral mediastinal shift, diaphrag-matic depression, and flattening of ribs
d. Ipsilateral mediastinal shift, sail-shape noted right hemithorax, and marked inter-stitial infiltrates right sided

sarah_brady415 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: D
Several conditions enhance the intravascular coagulability of the blood and predispose to venous thromboembolic disease (Box 28-1). The most frequent causes of an inherited hypercoagulable state are the factor V Leiden mutation and the prothrombin gene mutation, which together ac-count for 50 to 60 of cases. The major acquired risk factors for VTE include recent major surgery, trauma, immobilization, antiphospholipid antibody syndrome, malignancy, pregnancy, oral contraceptives, and myeloproliferative disorders. Vessel wall abnormalities are found most often in patients who have sustained trauma or have undergone major surgery.

Answer to Question 2

ANS: C
Tension pneumothorax occurs when air in the pleural space exceeds atmospheric pressure. The radiographic appearance includes mediastinal shift to the contralateral side, diaphragmatic de-pression, and expansion of the ribs.