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
2
Q
Question #2
Which of the following causes more clinically significant vascular disorders?
A. Arterial lesions
B. Venous lesions
A
A. Arterial lesions
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
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
5
Q
Question #5 Which percentage of the general population are hypertensive? A. 10% B. 25% C. 45% D. 70%
A
B. 25%
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
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
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
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%
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
11
Q
Question #1
The 2 key features of atheroma development are intimal thickening and lipid accumulation.
A. True
B. False
A
A. True
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
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
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
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
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
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
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
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%
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%
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%
A
C. 50%
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
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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
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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
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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
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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
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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
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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
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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
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Question #4
Congenital heart disease accounts for ______ of all birth defects.
A. 4%
B. 30%
C. 75%
D. 90%
```
B. 30%
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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
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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%
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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%
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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
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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
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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
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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
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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
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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
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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
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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