28. Hemodynamic Disorder II

Question 1

A 62 year old man has chronic pulmonary congestion. Which of the following describes a hallmark finding in this condition

A. 
B. Giant Cells 
C. Hemosiderin Laden Macrophages
D.
E. Engorged Alveolar capillaries 

RFA

Answer 1

ANS. C Hemosiderin Laden Macrophage- Also know as heart failure cells, along with thickened fibrous septa are a sign of Chronic pulmonary congestion.

A.

B, Form in Response to infection

D.

E. Engorged Alveolar capillaries- is representative of acute pulm. congestion along with Alveolar septal edema

Question 2

Acute congestion of the lungs can be caused by ________, and in the liver it can be caused by ______. (MG)

A. Right side heart failure; left side heart failure
B. Left side heart failure; right side heart failure
C. Both are right side heart failure
D. Both are left side heart failure

Answer 2

B. Left side heart failure; right side heart failure

Left for Lung

Question 3

What cytokines do you expect to see elevated in DIC? Choose all that apply (MG)

A. IL12
B. IL17
C. IL1
D. TNFalpha
E. IFNgamma

Answer 3

C. IL1
D. TNFalpha

due to activated monocytes releasing them

monocytes become activated by endotoxins released in types of DIC