quiz questions exam 1 Flashcards

(51 cards)

1
Q
Question #1
The tunica media is separated from the tunica adventitia by the \_\_\_\_\_\_\_\_\_\_\_\_.
A. Endothelium
B. Tunica intima
C. Internal elastic lamina
D. External elastic lamina
A

D. External elastic lamina

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2
Q

Question #2
Which of the following causes more clinically significant vascular disorders?
A. Arterial lesions
B. Venous lesions

A

A. Arterial lesions

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3
Q
Question #3
Atherosclerosis is most likely to involve which of the following?
A. Small arteries (arterioles)
B. Large elastic arteries
C. Postcapillary venules
D. Collecting venules
A

B. Large elastic arteries

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4
Q
Question #4
Which layer of the vessel wall contains endothelial cells?
A. Tunica intima
B. Tunica media
C. Tunica adventitia
D. External elastic lamina
A

A. Tunica intima

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5
Q
Question #5
Which percentage of the general population are hypertensive?
A. 10%
B. 25%
C. 45%
D. 70%
A

B. 25%

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6
Q
Question #6
Which of the following is a standard response following vascular injury?
A. Medial thickening
B. Intimal thickening
C. Intimal narrowing
D. Adventitial narrowing
A

B. Intimal thickening

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7
Q
Question #7
Which of the following is not a category of arteriosclerosis?
A. Arteriolosclerosis
B. Mönckenbergmedial sclerosis
C. Endotheliosclerosis
D. Atherosclerosis
A

C. Endotheliosclerosis

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8
Q
Question #1
Which of the following is not considered to be major clinical consequences of atherosclerosis?
A. Myocardial infarction
B. Neovascularization 
C. Peripheral vascular disease
D. Aortic aneurysm
A

B. Neovascularization

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9
Q
Question #2
Without appropriate treatment, \_\_\_\_\_\_ of hypertensive individuals will die from a stroke?
A. 10%
B. 30%
C. 50%
D. 70%
A

B. 30%

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10
Q
Question #3
Following vascular injury, extracellular matric and \_\_\_\_\_\_\_\_\_ accumulate within the tunica intima.
A. Edema
B. Smooth muscle cells
C. Transudate
D. Skeletal muscle cells
A

B. Smooth muscle cells

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11
Q

Question #1
The 2 key features of atheroma development are intimal thickening and lipid accumulation.
A. True
B. False

A

A. True

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12
Q
Question #2
Which of the following are not considered to be a component of a foam cell?
A. T cells
B. Necrotic debris
C. Macrophages
D. B cells
A

D. B cells

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13
Q
Question #1
Virtually everyone older than \_\_\_\_\_\_ years will demonstrate the presence of fatty streaks on the luminal surface of their arteries.
A. 10
B. 25
C. 35
D. 45
A

A. 10

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14
Q
Question #2
Metabolic syndrome is not associated with which of the following?
A. Insulin resistance
B. Dyslipidemia
C. Foam cells
D. Central obesity
A

C. Foam cells

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15
Q
Question#3
Less than 5% of abdominal aortic aneurysms occur in males older than \_\_\_\_\_\_\_\_\_.
A. 20-years-old
B. 30-years-old
C. 40-years-old
D. 60-years-old
A

D. 60-years-old

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16
Q
Question #4
When blood plays apart the laminar planes of the media to form a blood-filled channel within the aortic wall, it is termed a \_\_\_\_\_\_\_\_\_\_\_.
A. True aneurysm
B. False aneurysm
C. Saccular aneurysm
D. Vascular dissection
A

D. Vascular dissection

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17
Q
Question #1
The 2 most common pathogenic mechanisms of vasculitis are immune-mediated inflammation and \_\_\_\_\_\_\_\_\_\_\_\_\_.
A. Physical trauma
B. Exposure to toxins
C. Irradiation 
D. Direct vascular infection
A

D. Direct vascular infection

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18
Q
Question #2
Which type of aortic dissection may be managed without surgery?
A. DeBakey I
B. DeBakey II
C. DeBakey III
D. DeBakey IV
A

C. DeBakey III

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19
Q
Question #3
An abdominal aortic measuring 5.7 cm in diameter is at a(n) \_\_\_\_\_ risk of rupture each year.
A. 1%
B. 11%
C. 22%
D. 25%
A

B. 11%

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20
Q
Question #4
The mortality rate for elective AAA surgery is \_\_\_\_, while the rate for emergency surgery is 50%.
A. 1%
B. 5%
C. 15%
D. 25%
A

B. 5%

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21
Q
Question #1
The abrupt onset of ocular symptoms is 
involved with \_\_\_\_\_\_ of patients with giant cell 
arteritis. 
A. 2%
B. 33%
C. 50%
D. 98%
22
Q
Question #2
Buerger disease is thought to involve hypersensitivity to \_\_\_\_\_.
A. Alcohol
B. Polyvinyl chloride
C. Tobacco smoke
D. Asbestos
A

C. Tobacco smoke

23
Q
Question #3
The development of hepatic angiosarcomas is commonly associated with exposure to which of the following?
A. Carbon monoxide
B. Halogens 
C. Lead
D. Polyvinyl chloride
A

D. Polyvinyl chloride

24
Q
Question #3
The development of hepatic angiosarcomas is commonly associated with exposure to which of the following?
A. Carbon monoxide
B. Halogens 
C. Lead
D. Polyvinyl chloride
A

D. Polyvinyl chloride

25
``` Question #4 Fibrinoid necrosis is most likely to be associated with ________. A. Polyarteritis nodosa B. Giant cell arteritis C. Takayasu arteritis D. Aortic dissection ```
A. Polyarteritis nodosa
26
``` Question #1 Kaposi sarcoma is a lymphatic neoplasm associated with which microbial agent? A. Escherichia coli B. Cytomegalovirus C. Human herpesvirus D. Epstein-Barr Virus ```
C. Human herpesvirus
27
``` Question #2 Which of the following is a common end point for various cardiac pathologies? A. Congestive heart failure B. Myocardial infarction C. Ventral septal defect D. Neurohumoral activation ```
A. Congestive heart failure
28
``` Question #3 Which mechanism will result in increased ventricular pressure? A. Conduction disorders B. Obstructions to flow C. Regurgitant flow D. Rupture of a great vessel ```
B. Obstructions to flow
29
``` Question #4 Increased cardiac output produces as result of overstretching cardiac myofibersis termed ___________. A. Congenital heart failure B. Neurohumoral activation C. Frank-Starling mechanism D. Purkinje neurocontraction ```
C. Frank-Starling mechanism
30
``` What is the most common cause of left-sided cardiac failure? A. Aortic valve stenosis B. Physiologic hypertrophy C. Weight lifting D. Ischemic heart disease ```
D. Ischemic heart disease
31
``` Question #2 Right-sided heart failure resulting from pulmonary hypertension is termed __________. A. Angina B. Congestive heart failure C. Cor pulmonale D. Tachycardia ```
C. Cor pulmonale
32
Question #3 Shunting of blood from the __________ is most likely to manifest as cyanosis. A. Left-to-right ventricle B. Right-to-left ventricle
B. Right-to-left ventricle
33
``` Question #4 Congenital heart disease accounts for ______ of all birth defects. A. 4% B. 30% C. 75% D. 90% ```
B. 30%
34
``` Question #5 Which condition is most likely to interfere with the embryogenesis of cardiac tissue? A. Pertussis B. Teratogens C. Mumps D. Rubella ```
D. Rubella
35
Question #1 Which pattern of aortic coarctation is most likely to have a patent ductus arteriosus? A. Infantile (preductal) B. Adult (postductal)
A. Infantile (preductal)
36
``` Question #2 What percentage of all cases of ischemic heart disease are secondary to coronary artery atherosclerosis? A. 10% B. 25% C. 75% D. 90% ```
D. 90%
37
``` Question #3 Anginal symptoms typically begin when there is obstruction of greater than _____ of a coronary artery. A. 5% B. 50% C. 70% D. 90% ```
C. 70%
38
``` Question #1 Which of the following is used as a laboratory marker to evaluate patients with possible myocardial infarction? A. Inflammasome B. Vasopressin C. Cardiac specific lysosomes D. Creatine kinase ```
D. Creatine kinase
39
Question #2 The symptoms associated with myocardial infarction are commonly relieved by nitroglycerin and rest. A. True B. False
B. False
40
Question #3 Patients experiencing an acute myocardial infarction will commonly demonstrate a rapid and scarcely palpable (thready) pulse. A. True B. False
A. True
41
Question #4 Systemic hypertensive heart disease causes _________ thickening of the left ventricular wall with reduced lumen size. A. Concentric B. Eccentric
A. Concentric
42
``` Question #1 Failure of a cardiac valve to open completely is termed ______. A. Cor pulmonale B. Insufficiency C. Stenosis D. Thrills ```
C. Stenosis
43
Question #2 It is common for calcific aortic stenosis to result in eccentric cardiac hypertrophy. A. True B. False
B. False
44
Question #3 Acute endocarditis involves a _______ heart valve. A. Previously normal B. Previously abnormal
A. Previously normal
45
``` Question #4 When acute rheumatic fever develops within adults, _________ is the predominant clinical feature. A. Arthritis B. Carditis C. Weakness D. Dyspnea ```
A. Arthritis
46
``` Question #5 Which of the following is a clinical concern associated with the development of a friable vegetation on a patient’s mitral valve? A. Deep vein thrombosis B. Increased stroke volume C. Embolus D. Right ventricular hypertrophy ```
C. Embolus
47
Question #1 Dilated cardiomyopoathy commonly involves an increase in ____ of 2-3 times. A. Filling pressure B. Mural thickness C. Weight D. Diameter of the left ventricular lumen
C. Weight
48
``` Question #2 What is the fundamental cardiac defect in patients with dilated cardiomyopathy? A. Amyloid deposition B. Diastolic dysfunction C. Ineffective contraction D. Arrhythmia ```
C. Ineffective contraction
49
``` Question #3 Which of the following is most likely to cause acute cor pulmonale? A. Deep vein thrombosis B. Kawasaki disease C. Mitral valve stenosis D. Pulmonary embolism ```
D. Pulmonary embolism
50
``` Question #4 Which of the following is the most clinically significant long-term complication of cadiac transplantation? A. Deep vein thrombosis B. Allograft arteriopathy C. Extracellular matrix breakdown D. Pulmonary emobolism ```
B. Allograft arteriopathy
51
``` Quiz #1 Which of the following is the most common primary tumor of adult cardiac tissue? A. Leiomyoma B. Myxoma C. Angiosarcoma D. Lipoma ```
B. Myxoma