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Pathology · Oedema
Sample itemWhat is the primary mechanism of pulmonary oedema in left-sided heart failure?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Raised pulmonary capillary hydrostatic pressure
Left ventricular failure elevates left atrial and pulmonary venous pressure, increasing pulmonary capillary hydrostatic pressure and driving fluid from vessels into interstitial and alveolar spaces.
Option by option
A. Increased melanin synthesis
Melanin synthesis concerns skin pigmentation.
B. Raised pulmonary capillary hydrostatic pressure (correct)
Correct: elevated hydrostatic pressure causes cardiogenic pulmonary oedema.
C. Loss of gastric acid
Gastric acid loss is unrelated to pulmonary oedema.
D. Reduced lymphocyte production
Lymphocyte production does not determine pulmonary capillary fluid pressure.
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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