31. Hypertension Flashcards
A 39 year old smoker comes to his doctor complaining of painful sensitivity to cold and progressive severe pain found at rest or exercise. A histological examination of this patients vessels would likely yield?
A. Inflammation tissue being replaced by fibrous thickening
B. Severe destruction of all constituents of the wall by segmental necrotizing process
C. Mononuclear inflammation of media accompanied by granulomatous change leading to pachy necrosis of the media
D. Thrombus containing microabscesses with central focus of neutrophils surrounded by granulomatous inflammation
E. Obliteration of the origins of the great vessels
RFA
Ans. D. Patient has Buerger’s
A. Late stage PAN
B. Kawasaki
C. Takayasu
E. Takayasu
A 29 year old man come to his doctor complaining of hematuria. Examination is performed and i is found that he lesions in his Kidney, Heart and Liver. But not lung involvement. If a serum analysis if performed what would you except to found?
A.c-anca B. p-anca C.HBV D. Elevated ESR E. M-Protein
RFA
ANs. C HBV is associated with PAN
A. c-anca- Pathogenesis of microscopic polyangiitis/ Wegener
B.- p-anca- Churg-Strauss
D. Elevated ESR- GCA
E. M-Protein- Strep infection
