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Pathology · Embolism
Sample itemWhat is the most common source of pulmonary thromboemboli?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Deep veins of the lower limbs
Most pulmonary thromboemboli originate from deep venous thromboses in the lower extremities or pelvis and travel through the right heart into pulmonary arteries, where clot burden determines clinical severity.
Option by option
A. Portal venous system
Portal venous clots travel toward the liver rather than pulmonary arteries.
B. Deep veins of the lower limbs (correct)
Correct: lower-limb or pelvic deep veins are the usual embolic source.
C. Superficial scalp veins
Scalp veins are not a typical source of pulmonary emboli.
D. Left atrial appendage
Left atrial thrombi usually embolize to the systemic arterial circulation.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.