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L3_Atherosclerosis and aneurysm , Patho

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Part1_Atherosclerosis



Part2_Vascular aneurysm and dissection


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Questions

1- Which of the following is an important risk factor for atherosclerosis:

a) Females above the age of 40 years

b) Congenital heart disease 

c) Elevation of the high density lipoproteins

d) None of the above  


2- The most important risk factor for atherosclerosis in patients under 45 years is: 

a) Smoking 

b) Male sex 

c) No physical exercise 

d) Hyperlipidemia  


3- A 60 years old man who was a heavy smoker and not practicing exercise presented with ischemic heart disease. The most possible cause of this disease:

a) Valvular lesion 

b) Coronary embolism 

c) Atherosclerosis 

d) Aortic aneurysm



4- The most important complication of atherosclerosis is:

a) Thrombus formation 

b) Ulceration 

c) Dystrophic calcification

d) Aneurysmal dilatation  

e) Hemorrhage


5- Intimal thickening of atherosclerosis is due to:

a) Accumulation of lipids 

b) SM proliferation 

c) Fibrous tissue formation 

d) All of the above

 

6- Atherosclerosis affects:

a) Arteries b) Veins c) Cardiac champers 

d) All of the above e) none of the above


7- Atherosclerosis is a:

 a) Inflammatory disease b) Degenerative disease 

 c) Autoimmune disease d) None of the above 



8- Atherosclerosis is characterized by all except:

a) A very common disease 

b) Hypertension is a major risk factor

c) Lipid accumulation in the vessel wall 

d) Thrombosis id the most important complication 

e) Affects arteries and veins


9- The following does not predispose to atherosclerosis:

a) Hypertension b) Diabetes mellitus

c) Rheumatic heart disease d) High fat diet

e) Smoking 


10- Pathological features of atherosclerosis include all except:

a) Fatty streaks b) Atheromatous plaque

c) Hyaline thickening of the arterial wall 

d) Thrombus formation e) Calcification


11- The presence of foamy macrophages in the arterial wall is characteristic of

a) Syphilitic arteritis b) Atherosclerosis 

c) Hypertension d) All of the above 


12- A 60 years old man suffered from attacks of severe chest pain. Laboratory investigation revealed increased serum level of LDL. ECG shows signs of inadequate coronary blood flow. The most possible diagnosis is:

a) Hypertension 

b) Coronary embolism 

c) Aortic stenosis 

d) Coronary atherosclerosis 

e) Coarctation of aorta


13- Which of the following is an important risk factor for atherosclerosis:

a) Females above the age of 40 years

b) Congenital heart disease 

c) Elevation of the low density lipoproteins

d) None of the above  


 14-Berry aneurysm occurs due to:

A_Trauma

B_Syphilitic

C_Congenital

D_Immune injury


15- syphilitic aneurysm occurs in … stage.

A_Primary 

B_Secondary

C_Tertiary

D_All of the above


16-Syphilitic aneurysm is most serious when it affects:

A_Arch of aorta

B_Renal artery

C_Common iliac artery

D_Vasa vasorum of aorta


17-Aneurysm found at point of bifurcation of the cerebral arteries is usually:

A_Congenital

B_Mycotic

C_Syphilitic

D_Atherosclerotic


18- All of the following are complication of aneurysm except:

A_Compression of ureter

B_Stenosis of mitral valve

C_Presentation as abdominal mass

D_Rupture causing fatal hemorrhage


19-Major risk factor of arterial dissection above 40 is:

A_Hypertension

B_Mitral stenosis

C_Heart failure

D_Atherosclerosis


20-Site of arterial dissection may be:

A_Arch of aorta

B_2.2 cm above aortic arch

C_Distal to left subclavian vein

D_All of the above


21-Caput medusa result from varicose in:

A_Renal veins

B_Rectal veins

C_Periumbilical veins

D_Esophageal veins

22-The most common cause of esophageal varices is:

A_Liver cirrhosis

B_Heart failure

C_Glomerulonephritis

D_Portal vein obstruction


23-Which of the following can cause death in arterial dissection:a

A_Rupture into body cavities

B_Extension into arteries of neck

C_Retrograde dissection into aortic route

D_All of the above


Answers: 

1_d

2_d

3_c

4_a

5_d

6_a

7_b

8_e

9_c

10_c

11_b

12_d

13_c

C_14

15_C

16_D

17_A

18_B

19_A

20_D

21_C

22_A

23_d










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