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AMBOSS 200 High Yield (HY) Concepts For Step 2 Practice Test

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A known complication of right-sided infective endocarditis is which of the following?
Correct Answer:
Septic pulmonary emboli
Explanation:
Right-sided infective endocarditis sends vegetations into the venous circulation, so fragments embolize to the lungs via the pulmonary arteries. This makes septic pulmonary emboli the classic and most likely complication. Emboli to the brain, spleen, or kidneys come from left-sided endocarditis, since those emboli travel through the arterial system to systemic organs. In practice, right-sided disease (often involving the tricuspid valve) is classically associated with pulmonary findings, whereas systemic emboli point to left-sided involvement.

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