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USMLE · Question #453

USMLE Question #453: Real Exam Question with Answer & Explanation

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Question

A 68-year-old man sustains a myocardial infarct resulting from thrombotic occlusion at the origin of the left circumflex artery. Cardiac catheterization demonstrates that the patient has a left dominant coronary circulation. In which of the following areas of the heart has ischemic necrosis most likely occurred?

Options

  • AApex of left ventricle and anterior portion of septum
  • BLateral left ventricular wall and posterior portion of the septum
  • CLateral wall of the left ventricle only
  • DPosterior portion of the septum only
  • ERight ventricular wall

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