8/27- Review 3 Flashcards Preview

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Flashcards in 8/27- Review 3 Deck (22):
1

All of the following are complications that may be associated with MI, except:

A. Cardiac arrhythmias B. Rupture of the free wall of the LV

C. Mural thrombus

D. Primary pulmonary HTN

E. Aneurysm of the LV

All of the following are complications that may be associated with MI, except: 

A. Cardiac arrhythmias B. Rupture of the free wall of the LV 

C. Mural thrombus 

D. Primary pulmonary HTN

E. Aneurysm of the LV

2

The most common histologic alteration of the aorta in Marfan's syndrome is

A. Atherosclerosis

B. Chronic aortitis

C. Medial degeneration (cystic medial necrosis)

D. Acute dissection with polymoprhonuclear leukocytes

E. Adventitial fibrosis

The most common histologic alteration of the aorta in Marfan's syndrome is

A. Atherosclerosis

B. Chronic aortitis

C. Medial degeneration (cystic medial necrosis)

D. Acute dissection with polymoprhonuclear leukocytes

E. Adventitial fibrosis

- Medial degeneration (cystic medial necrosis) - Loss of elastin

3

The heart valve most commonly involved in chronic rheumatic heart disease is:

A. Mitral

B. Aortic

C. Pulmonic

D. Tricuspid

E. All of the above

The heart valve most commonly involved in chronic rheumatic heart disease is: 

A. Mitral

B. Aortic

C. Pulmonic

D. Tricuspid 

E. All of the above

4

If on autopsy you see hooding with prolapse of the posterior mitral valve leaflet in the L atrium, you would expect microscopically to find

A. Infective endocarditis

B. Myxomatous degeneration of the mitral valve

C. Nonbacterial thrombotic endocarditis

D. Rheumatic fever

E. Dilated cardiomyopathy

If on autopsy you see hooding with prolapse of the posterior mitral valve leaflet in the L atrium, you would expect microscopically to find 

A. Infective endocarditis 

B. Myxomatous degeneration of the mitral valve 

C. Nonbacterial thrombotic endocarditis

D. Rheumatic fever 

E. Dilated cardiomyopathy

5

Congenital R to L shunts generally present with:

A. Pulmonary HTN

B. Congestive heart failure

C. Cyanosis

D. Valvular stenosis or atresia

E. None of the above

Congenital R to L shunts generally present with: 

A. Pulmonary HTN 

B. Congestive heart failure

C. Cyanosis 

D. Valvular stenosis or atresia

E. None of the above

6

The most common location of the origin of an aortic dissection is:

A. Just distal to the take off of the L subclavian artery

B. The infrarenal portion of the abdominal aorta

C. Less than 10cm above the aortic valve

D. Mid thoracic aorta

E. Bifurcation of the aorta to the iliac arteries

The most common location of the origin of an aortic dissection is: 

A. Just distal to the take off of the L subclavian artery 

B. The infrarenal portion of the abdominal aorta 

C. Less than 10cm above the aortic valve 

D. Mid thoracic aorta 

E. Bifurcation of the aorta to the iliac arteries

7

The most common location of the origin of an aortic aneurysm is:

A. Just distal to the take off of the L subclavian artery

B. The infrarenal portion of the abdominal aorta

C. Less than 10cm above the aortic valve

D. Mid thoracic aorta

E. Bifurcation of the aorta to the iliac arteries

The most common location of the origin of an aortic aneurysm is: 

A. Just distal to the take off of the L subclavian artery 

B. The infrarenal portion of the abdominal aorta 

C. Less than 10cm above the aortic valve 

D. Mid thoracic aorta

E. Bifurcation of the aorta to the iliac arteries

8

The difference between an aortic dissection and an aortic aneurysm is

A. Dissections involve a separation of the layers of the vessel, usually the intima from the media, and aneurysms involve a separation off the media from the adventitia

B. Dissections involve separation of the layers of the vessel, usually within the media, and aneurysms involve dilation of the entire weakened vessel wall

C. Dissections involve dilation of the entire weakened vessel wall and the aneurysms involved separation of the layers of the vessel, usually within the media

D. Dissections and aneurysms are the same

The difference between an aortic dissection and an aortic aneurysm is 

A. Dissections involve a separation of the layers of the vessel, usually the intima from the media, and aneurysms involve a separation off the media from the adventitia

B. Dissections involve separation of the layers of the vessel, usually within the media, and aneurysms involve dilation of the entire weakened vessel wall 

C. Dissections involve dilation of the entire weakened vessel wall and the aneurysms involved separation of the layers of the vessel, usually within the media 

D. Dissections and aneurysms are the same

9

Which form of vasculitis is seen classically in young male smokers with gangreene of the extremities?

A. Polyarteritis nodosa

B. Buerger's disease

C. Wegener's granulomatosis

D. Takayasu's arteritis

E. Kawasaki's disease

Which form of vasculitis is seen classically in young male smokers with gangreene of the extremities?

A. Polyarteritis nodosa 

B. Buerger's disease 

C. Wegener's granulomatosis

D. Takayasu's arteritis 

E. Kawasaki's disease

- Aka thromboangiitis obliterans

10

Which form of vasculitis is seen in young women with dizziness and decreased upper extremity pulses?

A. Polyarteritis nodosa

B. Beurger's disease

C. Wegener's granulomatosis

D. Takayasu's arteritis

E. Kawasaki's disease

Which form of vasculitis is seen in young women with dizziness and decreased upper extremity pulses? 

A. Polyarteritis nodosa 

B. Beurger's disease

C. Wegener's granulomatosis 

D. Takayasu's arteritis 

E. Kawasaki's disease

11

Which form of vasculitis is associated with arteritis an aneurysm of the coronary arteries?

A. Polyaarteritis nodosa

B. Beurger's disease

C. Wegener's granulomatosis

D. Takayasu's arteritis

E. Kawasaki's disease

Which form of vasculitis is associated with arteritis an aneurysm of the coronary arteries? 

A. Polyaarteritis nodosa 

B. Beurger's disease 

C. Wegener's granulomatosis 

D. Takayasu's arteritis 

E. Kawasaki's disease

12

Which form of vasculitis is characterized by necrotizing granulomatous inflammation of the nasopharynx and the lungs?

A. Polyarteritis nodosa

B. Beurger's disease

C. Wegener's granulomatosis

D. Takayasu's arteritis

E. Kawasaki's disease

Which form of vasculitis is characterized by necrotizing granulomatous inflammation of the nasopharynx and the lungs?

A. Polyarteritis nodosa

B. Beurger's disease

C. Wegener's granulomatosis

D. Takayasu's arteritis

E. Kawasaki's disease

13

Which form of vasculitis is associated with Hepatitis B?

A. Polyarteritis nodosa

B. Beurger's disease

C. Wegener's granulomatosis

D. Takayasu's arteritis

E. Kawasaki's disease

Which form of vasculitis is associated with Hepatitis B?

A. Polyarteritis nodosa

B. Beurger's disease

C. Wegener's granulomatosis

D. Takayasu's arteritis

E. Kawasaki's disease

14

On an intestinal biopsy, you note small arteries with fibrinoid necrosis and severe acute inflammation, some with transmural scarring and focal necrosis, and even others with marked fibrosis and loss of the internal elastic lamina. Which form of vasculitis do you immediately suspect?

A. Wegener's granulomatosis

B. Takayasu's arteritis

C. Kawasaki's disease

D. Temporal arteritis

E. Polyarteritis nodosa

??

On an intestinal biopsy, you note small arteries with fibrinoid necrosis and severe acute inflammation, some with transmural scarring and focal necrosis, and even others with marked fibrosis and loss of the internal elastic lamina. Which form of vasculitis do you immediately suspect?

A. Wegener's granulomatosis

B. Takayasu's arteritis

C. Kawasaki's disease

D. Temporal arteritis

E. Polyarteritis nodosa

15

On an arterial biopsy, you note granulomatous inflammation within the inner half of the media, focally destroying the internal elastic lamina. Which form of vasculitis do you immediately suspect?

A. Wegener's granulomatosis

B. Takayasu's arteritis

C. Kawasaki's disease

D. Temporal arteritis

E. Polyarteritis nodosa

On an arterial biopsy, you note granulomatous inflammation within the inner half of the media, focally destroying the internal elastic lamina. Which form of vasculitis do you immediately suspect?

A. Wegener's granulomatosis

B. Takayasu's arteritis

C. Kawasaki's disease

D. Temporal arteritis

E. Polyarteritis nodosa

- Takayasu's has similar histology but involves the outer half of the media

16

Types of true aneurysms include

A. Atherosclerotic aneurysm

B. Syphilitic aneurysm

C. Congenital vascular aneurysm

D. Post-myocardial infaraction aneurysm of the LV

E. All of the above

Types of true aneurysms include

A. Atherosclerotic aneurysm

B. Syphilitic aneurysm

C. Congenital vascular aneurysm

D. Post-myocardial infaraction aneurysm of the LV

E. All of the above

17

Atherosclerotic aneurysms occur most commonly in the

A. Common iliac arteries

B. Mesenteric arteries

C. Aortic arch

D. Descending thoracic aorta

E. None of the above

Atherosclerotic aneurysms occur most commonly in the

A. Common iliac arteries

B. Mesenteric arteries

C. Aortic arch

D. Descending thoracic aorta

E. None of the above

The common site for these is the infrarenal aorta above the iliac bifurcation

- The abdomen is where atherosclerotic deposition is most significant

18

While C-ANCA can be detecte din occasional cases, P-ANCA is typically associated with the following vasculitides

A. Polyarteritis nodosa

B. Churg-Strauss syndrome

C. Microscopic polyangiitis (leukocytoclastic vascultiis)

D. B and C

While C-ANCA can be detecte din occasional cases, P-ANCA is typically associated with the following vasculitides

A. Polyarteritis nodosa

B. Churg-Strauss syndrome

C. Microscopic polyangiitis (leukocytoclastic vascultiis)

D. B and C

19

The systmeic vasculititides are classified by size and anatomic site of the affected vessels. Vasculitides that typically affect large vessels include

A. Microscopic polyangiitis

B. Giant cell (temporal) arteritis

C. Takayasu's arteritis

The systmeic vasculititides are classified by size and anatomic site of the affected vessels. Vasculitides that typically affect large vessels include

A. Microscopic polyangiitis

B. Giant cell (temporal) arteritis

C. Takayasu's arteritis

20

Which of the following is NOT a right to left shunt?

A. Teralogy of Fallot

B. Totally anomalous pulmonary venous return (TAPVR)

C. Patent ductus arteriosus

D. Transposition of the great vessels

E. Truncus arteriosus

Which of the following is NOT a right to left shunt?

A. Teralogy of Fallot

B. Totally anomalous pulmonary venous return (TAPVR)

C. Patent ductus arteriosus

D. Transposition of the great vessels

E. Truncus arteriosus

21

This malignant vascular neoplasm is associated with arsenic, Thorotrast, and polyvinylchloride (PVC)

A. Hemangioma

B. Lymphangioma

C. Kaposi's sarcoma

D. Angiosarcoma

E. Hemangioendothelioma

This malignant vascular neoplasm is associated with arsenic, Thorotrast, and polyvinylchloride (PVC)

A. Hemangioma

B. Lymphangioma

C. Kaposi's sarcoma

D. Angiosarcoma

E. Hemangioendothelioma

22

An increased pulmonary flow is classically seen in:

A. R to L shunts

B. L to R shunts

C. A and B

D. None of the above

An increased pulmonary flow is classically seen in:

A. R to L shunts

B. L to R shunts

C. A and B

D. None of the above