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Pathology · Thrombosis: embolism
Sample itemMost pulmonary emboli originate from thrombi in which location?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Deep veins of the lower limb
Most pulmonary emboli arise from deep venous thrombosis in the lower extremities or pelvis and travel through the right heart to the pulmonary arteries. Risk assessment and prophylaxis are important in high-risk settings.
Option by option
A. Left atrial appendage only
Left atrial thrombi embolize to the systemic arterial circulation.
B. Portal vein
Portal venous thrombi embolize differently and do not usually reach lungs.
C. Deep veins of the lower limb (correct)
Correct. Lower-limb and pelvic DVT is the usual source.
D. Coronary arteries
Coronary thrombi cause myocardial ischemia locally.
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.
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