USMLE-Rx Step 1 Qmax Challenge #1412

Check out today’s Step 1 Qmax Question Challenge.

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A 54-year-old African-American man dies in a motor vehicle crash and an autopsy is requested. His family states that he avoided routine care until recently. He was diagnosed with diabetes several months ago but did not adhere to his medication regimen. They add that a skin-lesion biopsy several weeks ago was positive for melanoma and was subsequently removed by Mohs surgery. During autopsy, the man’s heart is examined and noted to be abnormal.

What process would likely cause the findings seen in the gross transverse section shown in this image?

A. Aortic valve insufficiency
B. Atrial septal defect
C. Myocardial infarction
D. Pulmonary hypertension
E. Systemic hypertension

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