title:
<h2 align=center>Disturbed Hemodynamics</h2>
<p>Practice your knowledge of the concepts raised in the small group discussions and lectures dealing wth <b>hemodynamics</b> in these clinical scenarios.  
<br>In the multiple choice answers click on whichever answer you feel is the best or most appropriate answer.  This quiz has been set up to provide you with a series of questions pertaining to a clinical scenario. Each clinical scenario has one to three questions and in most cases images of the normal tissue or organ has been included for comparison to the pathological sample.  Complete the questions for each scenario before proceeding on to the next.

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header:
<h3 align="center">Edema</h3>
footer:
[ <a href="http://www.uwo.ca/pathol/MedsI/indexq1.html">Back to the Meds I - Q1 Index</a> ] 
<p><address>Please e-mail feedback to <a href="mailto:bgarcia@uwo.ca">The Meds I Pathology Course Coordinator</a></address>

delivery:
simultaneous



question:
A 37-year-old male presents with testicular enlargement. On examination, he had a hard, irregular, non-tender 2-cm mass in the right testicle. This lesion was diagnosed to be a seminoma (testicular carcinoma). His regional lymph nodes were enlarged. He has developed swelling of both his lower limbs subsequently.<br>
 What could be the best explanation for the edema in this patient?
ans:
Increased intravascular hydrostatic pressure.
fbk:
Incorrect, indicates impaired venous drainage, e.g. in congestive cardiac failure.
ans:
Hypoproteinemia.
fbk:
Incorrect, indicates protein loss e.g. nephrotic syndrome.
ans:
Lymphedema.
fbk:
Correct, dissemination of carcinoma to the regional lymph nodes can lead to lymphatic obstruction as seen in this patient.
ans:
Reduced renal perfusion.
fbk:
Incorrect, the symptoms do not suggest reduced renal perfusion.
ans:
Acute Inflammation.
fbk:
Incorrect, acute inflammation presents with its cardinal signs and symptoms i.e. calor, rubor, dolor, tumor and functio laesa.
correct_answer:
3

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