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Pathology · Cardiovascular pathology
Sample itemWhat is a vulnerable atherosclerotic plaque?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Lipid-rich plaque with thin fibrous cap prone to rupture
Vulnerable plaques have large lipid cores and thin inflamed fibrous caps that can rupture, triggering acute thrombosis and myocardial infarction.
Option by option
A. Venous thrombus in deep leg
Deep venous thrombus is a separate lesion.
B. Normal arterial intima
Normal intima is not plaque.
C. Lipid-rich plaque with thin fibrous cap prone to rupture (correct)
Correct: thin cap and lipid core increase rupture risk.
D. Stable calcified plaque with thick cap
Thick stable caps are less rupture-prone.
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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