KROK 1 2016 – Question 32 · KROK (Medicine) · Pathomorphology
A 60-year-old patient with a long history of atherosclerosis and a previous myocardial infarction developed an attack of retrosternal pain. 3 days later the patient was hospitalized and then died of progressive cardiovascular insufficiency. During autopsy a white fibrous depressed area about 3 cm in diameter with clear margins was found within the area of posterior wall of the left ventricle and interventricular septum. The dissector considered these changes to be:
- A. Focal cardiosclerosis
- B. Myocardial infarction
- C. Myocardial degeneration
- D. Myocardial ischemia
- E. Myocarditis
Hint
A white, depressed, sharply demarcated focus in a patient who had an earlier infarction reflects the final stage of a process; ask what replaces dead myocardium and how long that takes.
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