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    SubjectsPathologyTricuspid Endocarditis - IV Drug Use Vegetations
    Para-clinicalPathology

    Tricuspid Endocarditis - IV Drug Use Vegetations

    1 MCQs in Pathology for NEET PG

    1 Medium
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    Sample Questions

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    A 28-year-old man with a 5-year history of intravenous heroin use presents with high fever, rigors, and dyspnea. Examination reveals a holosystolic murmur at the lower left sternal border that increases with inspiration, elevated JVP with prominent CV waves, and splinter hemorrhages. Chest X-ray shows multiple bilateral cavitating nodules. Blood cultures grow methicillin-resistant Staphylococcus aureus. The structure marked **A** in the diagram shows large, friable, red-brown vegetations partially destroying the leaflets. Which of the following best explains why septic pulmonary emboli, rather than systemic emboli, are the predominant embolic manifestation in this patient?

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