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L 1pathology , hypertension and effect on CVS

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MCQ




1- Hypertension affects:
a) Large arteries
b) Medium sized arteries
c) Small arteries and arterioles
d) All of the above
e) None of the above

2- The commonest cause of 2ry hypertension:
a) Renal diseases
b) Cerebral diseases
c) Liver diseases
d) Cardiac diseases
e) Blood diseases

3- Arteriolosclerosis occurs in:

a) Benign essential hypertension
b) Malignant essential hypertension
c) Atherosclerosis
d) All of the above
e) None of the above

4- The most common cause of death in malignant hypertension:

a) Respiratory failure
b) Cerebral hemorrhage
c) Renal failure
d) Congestive heart failure
e) Coronary insufficiency

5- A young man suffers from severe headache and blurring vision. His blood pressure is 250/160 mmHg. Urine examination shows proteinuria. Renal biopsy will show:

a) Hyalinization of the glomeruli
b) Hyalinization of arterioles’ walls
c) Fibrinoid necrosis of arterioles’ walls
d) Renal infarction
e) Necrosis of the renal papillae

6- In benign hypertension, the arterial wall shows the following pathological changes except:

a) Fibrosis                 b) Elastosis
c) Thickening            d) hyalinosis
e) Necrosis

7- The most common cause of death in benign hypertension:

a) Respiratory failure
b) Cerebral hemorrhage
c) Renal failure
d) Congestive heart failure
e) Coronary insufficiency

8- In malignant hypertension, the arterioles don’t shows:

a) Fibrinoid necrosis
b) Endotheliosis
c) Elastosis
d) Thickening of the wall
e) Narrowing of lumen

9- An old man suffers from high blood pressure since 20 years ago. Recently his urine examination shows proteinuria. If renal biopsy is taken, it will show all except:

a) Hyalinization of the glomeruli
b) Hyalinization of arterioles’ walls
c) Fibrinoid necrosis of arterioles’ walls
d) Atrophied tubules
e) Cortex can’t be differentiated from medulla

10- which of the following occurs in hyperplastic arteriolosclerosis:

a) Hyperplastic smooth muscle cells
b) Thickened basement membrane
c) Fibrinoid necrosis
d) Both A and C
e) All of the above

11- All of the following are characters of malignant nephrosclerosis except:
a) Focal glomerulonecrosis
b) Flea bitten kidney
c) Normal perinephric fat
d) Smooth surface
e) Shrinked kidney

12- Which of the following is true about benign hypertension:

a) The condition usually develops with few weeks from the onset of hypertension
b) The kidneys are enlarged and show numerous hemorrhagic spots
c) The condition may be complicated by chronic renal failure
d) All of the above

MCQ answers



1- D                         9- C

2- A                         10- E

3- A                         11- E

4- C                        12- C

5- C

6- E

7- D

8- C

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