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Pathology · Hemodynamic disorders: hyperemia
Sample itemWhat distinguishes active hyperemia from passive congestion?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Hyperemia results from arteriolar dilation, whereas congestion is impaired venous outflow
Hyperemia is an active process of arteriolar dilation that increases tissue blood flow, while congestion is passive accumulation from impaired venous drainage. Chronic congestion can cause hypoxia and edema.
Option by option
A. Both are caused only by thrombosis
Thrombosis can cause congestion but is not the only cause.
B. Hyperemia is always pathologic and congestion is always physiologic
Both may be physiologic or pathologic depending on context.
C. Congestion increases arterial inflow
Congestion reflects reduced venous drainage rather than increased arterial inflow.
D. Hyperemia results from arteriolar dilation, whereas congestion is impaired venous outflow (correct)
Correct. The arterial-versus-venous distinction is fundamental.
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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