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Pathology · Haemodynamic disorders
Sample itemWhen can an intravascular thrombus be classified as an embolus?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. After it detaches and travels to a distant vessel
A thrombus becomes an embolus only after part or all of it detaches, travels through the circulation, and lodges in a downstream vessel.
Option by option
A. After it detaches and travels to a distant vessel (correct)
Correct: detachment and travel convert thrombus into thromboembolus.
B. When it is organized into a fibrous scar in situ
Organisation occurs at the original site and does not imply embolization.
C. When it causes chronic venous valve reflux locally
Valve reflux is a local venous consequence, not embolic migration.
D. While it remains attached at its original site
An attached clot is a thrombus, not an embolus.
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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