This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Thromboembolism and Fat Embolism Syndrome, Subject name: Medicine
All of the following are seen in massive pulmonary embolism except: 
Select and explain. 
A. Inter-ventricular septum detion, B. Fall of SBP, C. Pulmonary plethora, D. Elevated JVP
C: Pulmonary plethora
Answer: C: Pulmonary plethora 
Explanation: Massive Pulmonary Embolism leads to :- - congestion in the right ventricle - Elevated JVP - Leads to the inter-ventricular septal detion (after worsening of RHF) - Reduction of SBP Pulmonary oligemia instead of pulonary plethora occurs in Massive Pulmonary Embolism