Clinical Pathoanatomy Test - Cardiovascular Diseases- 3rd Year- PMU

Descripción

Clinical Pathoanatomy Test - Cardiovascular Diseases- 3rd Year- PMU
Med Student
Test por Med Student , actualizado hace más de 1 año
Med Student
Creado por Med Student hace más de 6 años
461
5

Resumen del Recurso

Pregunta 1

Pregunta
Can xanthoma cells be found in the tunica intima of the atherosclerotic plaque
Respuesta
  • True
  • False

Pregunta 2

Pregunta
Is the dissecting aneurysm a type of the true aneurysm?
Respuesta
  • True
  • False

Pregunta 3

Pregunta
Is aneurysm a complication of myocardial infarction?
Respuesta
  • True
  • False

Pregunta 4

Pregunta
The myocardial infarction is from hemorrhagic type
Respuesta
  • True
  • False

Pregunta 5

Pregunta
Is amyloidosis a complication of rheumatoid arthritis?
Respuesta
  • True
  • False

Pregunta 6

Pregunta
Are the morphological changes in course of the polyarteritis nodosa identical?
Respuesta
  • True
  • False

Pregunta 7

Pregunta
Can the arteries of the kidney be affected due to atherosclerosis?
Respuesta
  • True
  • False

Pregunta 8

Pregunta
Can obliterating endarteritis lead to the anaemic infarction of the kidney?
Respuesta
  • True
  • False

Pregunta 9

Pregunta
Right ventricular infarction is more common than left ventricular.
Respuesta
  • True
  • False

Pregunta 10

Pregunta
Can be seen a development of the aneurysm in the vessel wall due to atherosclerosis
Respuesta
  • True
  • False

Pregunta 11

Pregunta
Which is the origin of the embolus that may cause anemic infarction in the brain?
Respuesta
  • thrombus
  • lipid droplets
  • tumor cells
  • debris from atherosclerotic plaque

Pregunta 12

Pregunta
Atherosclerotic plaque consists:
Respuesta
  • xanthoma cells
  • connective tissue
  • debris
  • amyloid

Pregunta 13

Pregunta
In which structures could be found initial changes due to hypertension
Respuesta
  • aorta
  • vessels of the muscular type
  • arterioles
  • veins

Pregunta 14

Pregunta
Which complications could be observed in course of chronic heart aneurysm?
Respuesta
  • Rupture
  • Thrombosis
  • Degeneration of muscular layer
  • Adhesive pericarditis

Pregunta 15

Pregunta
Which are the possible complications of the artheroslcerosis of the femoral artery?
Respuesta
  • Thrombophlebitis
  • Atrophy of the limb
  • Gangrene
  • Thrombosis

Pregunta 16

Pregunta
What could be seen the most commonly acute aneurysm of the heart
Respuesta
  • Acute stage of the myocardial infarction
  • In viral myocarditis
  • In rheumatismal myocarditis
  • In CIHD

Pregunta 17

Pregunta
Which of the following diseases are associated with diapedesis hemorrhages?
Respuesta
  • Hypertension
  • Encephalitis
  • Infections
  • Artherosclerosis

Pregunta 18

Pregunta
Polyarteritis nodosa is characterized by:
Respuesta
  • Calcification of the vessel’s wall
  • Endartertic changes
  • Fibrinoid necrosis in vessels
  • Amyloidosis

Pregunta 19

Pregunta
Which changes could be seen in proliferative stage of the rheumatism?
Respuesta
  • mucoid swelling
  • fibrinoid degeneration
  • connective tissue development
  • appearance of the granulomas

Pregunta 20

Pregunta
In which diseases could be seen dissecting aneurysm?
Respuesta
  • atherosclerosis
  • hypertension
  • rheumatism
  • myocarditis

Pregunta 21

Pregunta
Which complications could lead to death in patients with hypertension?
Respuesta
  • hemorrhage in brain
  • myocardial infarction
  • brain infarction
  • kidney infarction

Pregunta 22

Pregunta
Indicate the characteristic due to morphological changes in subacute endocarditis
Respuesta
  • valvular ulcerations
  • thrombus with calcification
  • infiltration of leukocytes
  • presence of microorganism

Pregunta 23

Pregunta
Which are the typical features of hypertension?
Respuesta
  • hypertrophy of left ventricle
  • hypertrophy of the right ventricle
  • mitral stenosis
  • atrophy of the myocardium

Pregunta 24

Pregunta
Which of the following diseases lead to a symptomatic hypertension?
Respuesta
  • chronic pyelonephritis
  • arteriosclerotic nephrosclerosis
  • epilepsy
  • pheochromocytoma

Pregunta 25

Pregunta
In which brain arteries could be seen atherosclerotic changes the most frequently?
Respuesta
  • a. basilaris
  • a. communicans
  • a. cerebri post
  • a. cerebri media

Pregunta 26

Pregunta
What structure of the embolus may cause anaemic infarction in the brain?
Respuesta
  • lipid droplets
  • lipids from atherosclerotic plaque
  • thrombus
  • tumour cells

Pregunta 27

Pregunta
Which morphological alteration of the arterioles is typical for hypertension
Respuesta
  • inflammation
  • proliferation
  • plasmorhagia
  • hyalinosis

Pregunta 28

Pregunta
The patient was a 20 year old woman who's medical history of rheumatoid arthritis. The mobility of some joints was significantly limited. She came with symptoms of chronic renal failure. The autopsy revealed increased in size kidneys, pale. Indicate the correct diagnosis
Respuesta
  • amyloidosis
  • hyalinosis
  • chronic pyelonephritis
  • acute pyelonephritis

Pregunta 29

Pregunta
59 years old man suffered from long term (20 years) hypertension. 5 years ago he was treated for myocardial infarction. He died with clinical symptoms of left-sided hemiplegia. The autopsy revealed that the heart weighs 580gr. The apical part of the left heart ventricle is dilated, filled with large mural mixed thrombus. The wall in this area is pale, dense, 8mm. The thickness of the left ventricle wall is 25mm. Set the correct diagnosis?
Respuesta
  • syphilitic aneurysm with thrombosis
  • acute aneurysm with mural thrombus
  • rheumatismal heart vice
  • chronic aneurysm (post infarction) of the left ventricle with mural thrombus

Pregunta 30

Pregunta
The autopsy of a 42-year old female , with medical history of rheumatism revealed ulcerated leaflet of the aortic valve and some thrombi attached to them. The spleen was enlarged with ischemic infarction. The same lesion was found in one of the kidneys. Set the diagnosis:
Respuesta
  • endocarditis of Libman - Sacks
  • rheumatic endocarditis
  • infective endocarditis
  • subacute endocarditis

Pregunta 31

Pregunta
Is atherosclerosis an acute disease?
Respuesta
  • True
  • False

Pregunta 32

Pregunta
Could inflammatory changes in vessel walls lead to aneurysm?
Respuesta
  • True
  • False

Pregunta 33

Pregunta
Can we find cholesterol esters in atherosclerotic plaques?
Respuesta
  • True
  • False

Pregunta 34

Pregunta
Is there an exacerbation of the atherosclerotic process
Respuesta
  • True
  • False

Pregunta 35

Pregunta
Is pericardium affected in rheumatism?
Respuesta
  • True
  • False

Pregunta 36

Pregunta
Is fibrinoid necrosis in the vessel’s wall characteristic sign for benign arterial hypertension?
Respuesta
  • True
  • False

Pregunta 37

Pregunta
Is it possible to diagnose grossly myocardial infarction 15 minutes after complete occlusion of a particular blood vessel?
Respuesta
  • True
  • False

Pregunta 38

Pregunta
Are blood vessels affected in rheumatoid arthritis?
Respuesta
  • True
  • False

Pregunta 39

Pregunta
Is there chronic arteritiis?
Respuesta
  • True
  • False

Pregunta 40

Pregunta
Is there nephrosclerosis in atherosclerosis of the renal arteries?
Respuesta
  • True
  • False

Pregunta 41

Pregunta
What substance is accumulated in the intima of the aorta in atherosclerosis?
Respuesta
  • lipofuscin
  • lipids
  • amyloid
  • bilirubin

Pregunta 42

Pregunta
Which type of metabolism is damaged is atherosclerosis?
Respuesta
  • lipid metabolism
  • protein metabolism
  • pigmental metabolism
  • mineral metabolism

Pregunta 43

Pregunta
When is possible to occur the so called "round thrombus" in the left atrium?
Respuesta
  • stenosis of mitral valve
  • insufficiency of mitral valve
  • hypertension
  • atherosclerosis

Pregunta 44

Pregunta
The changes in blood vessels in rheumatoid arthritis resemble:
Respuesta
  • polyarteriitis nodosa
  • rheumatism
  • lupus erythematodes
  • tuberculosis vasculitis

Pregunta 45

Pregunta
What is seen in the latest stages of hypertension in the vessel's wall?
Respuesta
  • obliteration of lumen
  • hyalinosis
  • thrombarteritis
  • sclerosis

Pregunta 46

Pregunta
Which parts of the skin could be affected by sclerodomia?
Respuesta
  • epidermis
  • skin abscesses
  • hypoderma
  • all of answers are correct

Pregunta 47

Pregunta
Which heart valve is the most commonly affected in rheumatism?
Respuesta
  • tricuspid
  • pulmonary
  • aortic
  • mitral

Pregunta 48

Pregunta
Hypertrophy of the left heart ventricle occurs in stenosis of:
Respuesta
  • pulmonary
  • tricuspid
  • aortic
  • mitral

Pregunta 49

Pregunta
Which of the following changes in the brain are connected with atherosclerotic of the blood vessels?
Respuesta
  • massive hemorrhage
  • atrophy
  • hemorrhages per diapedesis
  • internal hydrocephaly

Pregunta 50

Pregunta
Endocarditis of Libman-Sacks is specific for:
Respuesta
  • rheumatism
  • lupus erythematodes
  • rheumatoid arthritis
  • polyarteritis nodosa

Pregunta 51

Pregunta
The complications of mitral stenosis are:
Respuesta
  • hypertrophy and dilation of the left atrium
  • chronic venous congestion of lungs
  • hypertrophy of the left ventricle
  • all the answers are correct

Pregunta 52

Pregunta
The characteristic appearance of kidney in the III stage of hypertension are:
Respuesta
  • decreased size and weight
  • affects one of the kidneys
  • diffuse granular surface
  • whitish-grey colour

Pregunta 53

Pregunta
False aneurysm is connected with:
Respuesta
  • inflammation
  • hemorrhages
  • trauma
  • all the answers are correct

Pregunta 54

Pregunta
Explain what can bring to heart failure in rheumatism?
Respuesta
  • heart vices
  • acute rheumatic myocarditis
  • aneurysm of left chamber
  • severe adhesive pericarditis

Pregunta 55

Pregunta
Which of the following diseases leads to a symptomatic hypertension?
Respuesta
  • pheochromocytoma
  • chronic pyelonephritis
  • acute pyelonephritis
  • polyarteriitis nodosa

Pregunta 56

Pregunta
A 69 year old man, smoker 20-30 cigarettes per day. During the last 15 years he was treated for angina pectoris. The patient was admitted to the hospital because of severe and prolonged chest pain. He died on the 4th day with symptoms of acute heart failure. The autopsy revealed transmural myocardial infarction of the left ventricle. Indicate the most possible cause for the myocardial infarction
Respuesta
  • thrombosis of the right coronary artery
  • thrombosis of the left coronary artery
  • thrombosis of the pulmonary artery
  • severe atherosclerotic plaque of the left coronary artery

Pregunta 57

Pregunta
The autopsy of a 42-year old female, with medical history of rheumatism revealed ulcerated leaflet of the aortic valve and some thrombi attached to them. The spleen was enlarged with ischemic infarction. The same lesion was found in one of the kidneys. Set the diagnosis?
Respuesta
  • endocarditis of Libman - Sacks
  • infective endocarditis
  • rheumatic endocarditis
  • subacute endocarditis

Pregunta 58

Pregunta
Right ventricular Infarction is more common than left ventricular
Respuesta
  • True
  • False

Pregunta 59

Pregunta
Is amyloidosis a complication of rheumatoid arthritis?
Respuesta
  • True
  • False

Pregunta 60

Pregunta
Is it possible to diagnose grossly myocardial infarction 15 minutes after complete occlusion of a particular blood vessel?
Respuesta
  • True
  • False

Pregunta 61

Pregunta
Are there any genetic factors in artherosclerosis
Respuesta
  • True
  • False

Pregunta 62

Pregunta
Is aneurysm a complication of myocardial infarction
Respuesta
  • True
  • False

Pregunta 63

Pregunta
When it is possible to develop an acute aneurysm in the heart
Respuesta
  • in the acute phase of myocardial infarction
  • in rheumatic myocarditis

Pregunta 64

Pregunta
Stenosis of which valve will cause hypertrophy of the left ventricle?
Respuesta
  • aortic valve
  • mitral valve

Pregunta 65

Pregunta
Myocardial infarction may complicate with:
Respuesta
  • fibrinous pericarditis
  • stenosis of the mitral valve

Pregunta 66

Pregunta
Rheumatic granuloma in the myocardium:
Respuesta
  • contains caseous necrosis
  • is with perivascular location

Pregunta 67

Pregunta
What substance is accumulated in the intima of the aorta in atherosclerosis?
Respuesta
  • lipofuscin
  • lipids

Pregunta 68

Pregunta
Polyarteritis nodosa is characterized with :
Respuesta
  • inflammatory changes
  • calcification of the vessel wall
  • fibrinoid necrosis of vessel walls
  • amyloidosis

Pregunta 69

Pregunta
What is specific in the gross appearance of the kidneys in hypertension
Respuesta
  • reduced size and weight
  • one-side alteration
  • granular surface of both kidneys
  • firm consistence

Pregunta 70

Pregunta
Which are the risk factors of atherosclerosis
Respuesta
  • diabetes
  • narcotic substances
  • alcohol abuse
  • drugs

Pregunta 71

Pregunta
Which are the complications of atherosclerosis in the aorta:
Respuesta
  • cholesterol embolus
  • inflammation
  • thrombosis
  • aneurysm

Pregunta 72

Pregunta
Where are the first and most specific changes in atherosclerosis
Respuesta
  • aorta
  • arteries
  • arterioles
  • veins

Pregunta 73

Pregunta
What is the structure of embulus that may cause anemic infarction in brain?
Respuesta
  • lipid droplets
  • lipids from atherosclerotic plaques
  • tumor cells
  • thrombus

Pregunta 74

Pregunta
Acute dissection of the aorta is complication of which disease?
Respuesta
  • atherosclerosis
  • hypertension
  • rheumatism
  • myocarditis

Pregunta 75

Pregunta
The Aschoff granuloma is typical for which disease:
Respuesta
  • rheumatism
  • lupus
  • rheumatoid arthritis
  • all of these

Pregunta 76

Pregunta
Which of the followings are forms of rheumatic endocarditis?
Respuesta
  • valvulitis recipiens
  • valvulitis verrucosa
  • valvulitis fibrinosa
  • valvulitis recurrens

Pregunta 77

Pregunta
Which is the main disease, if the patient died from myocardial infarction?
Respuesta
  • particular form of IHD
  • hypertension
  • atherosclerosis
  • atherosclerosis and hypertension

Pregunta 78

Pregunta
There is a patient with chronic heart disease (for example ischemic myocardiosclerosis) and he developed another disease (for example fracture of the femoral bone). Which is the main disease. If the patient died of heart failure
Respuesta
  • ischemic myocardiosclerosis is the main disease
  • ischemic myocardioslerosis is a background disease
  • fracture of the femoral bone is a main disease
  • ischemic myocardiosclerosis and bone fracture are competing main diseases
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