Hemodynamic disorders: chronic congestion: practice question

A Pathology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

Pathology · Hemodynamic disorders: chronic congestion

Sample item

Which histologic finding is expected in chronic passive congestion of the liver from right-sided heart failure?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Centrilobular congestion and necrosis

Right-sided heart failure causes chronic hepatic venous congestion, greatest around central veins, producing centrilobular hypoxia and necrosis. Grossly this can create a nutmeg appearance.

Option by option

  • A. Diffuse fatty replacement of all hepatocytes only

    Fatty change may occur but does not define congestive hepatopathy.

  • B. Amyloid in portal tracts

    Amyloid deposition is a separate protein-accumulation disorder.

  • C. Centrilobular congestion and necrosis (correct)

    Correct. Zone 3 is most vulnerable to venous congestion and hypoxia.

  • D. Caseating granulomas

    Caseation is typical of tuberculosis.

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.

More Pathology questions

Questions about this Pathology question

What is the answer to this Pathology question?

The best answer is C, Centrilobular congestion and necrosis. Right-sided heart failure causes chronic hepatic venous congestion, greatest around central veins, producing centrilobular hypoxia and necrosis.

Why is "Diffuse fatty replacement of all hepatocytes only" not the answer?

Fatty change may occur but does not define congestive hepatopathy.

Why is "Amyloid in portal tracts" not the answer?

Amyloid deposition is a separate protein-accumulation disorder.

Why is "Caseating granulomas" not the answer?

Caseation is typical of tuberculosis.

What concept does this question test?

It tests Hemodynamic disorders: chronic congestion in Pathology. Grossly this can create a nutmeg appearance.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Hemodynamic disorders: chronic congestion?

Learn each disease as a bundle: cause, key histology, markers, and the clinical hallmark. Then use the flashcards and the other Pathology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.