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

Descrição

Clinical Pathoanatomy Test - Cardiovascular Diseases- 3rd Year- PMU
Med Student
Quiz por Med Student , atualizado more than 1 year ago
Med Student
Criado por Med Student aproximadamente 6 anos atrás
461
5

Resumo de Recurso

Questão 1

Questão
Can xanthoma cells be found in the tunica intima of the atherosclerotic plaque
Responda
  • True
  • False

Questão 2

Questão
Is the dissecting aneurysm a type of the true aneurysm?
Responda
  • True
  • False

Questão 3

Questão
Is aneurysm a complication of myocardial infarction?
Responda
  • True
  • False

Questão 4

Questão
The myocardial infarction is from hemorrhagic type
Responda
  • True
  • False

Questão 5

Questão
Is amyloidosis a complication of rheumatoid arthritis?
Responda
  • True
  • False

Questão 6

Questão
Are the morphological changes in course of the polyarteritis nodosa identical?
Responda
  • True
  • False

Questão 7

Questão
Can the arteries of the kidney be affected due to atherosclerosis?
Responda
  • True
  • False

Questão 8

Questão
Can obliterating endarteritis lead to the anaemic infarction of the kidney?
Responda
  • True
  • False

Questão 9

Questão
Right ventricular infarction is more common than left ventricular.
Responda
  • True
  • False

Questão 10

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

Questão 11

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

Questão 12

Questão
Atherosclerotic plaque consists:
Responda
  • xanthoma cells
  • connective tissue
  • debris
  • amyloid

Questão 13

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

Questão 14

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

Questão 15

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

Questão 16

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

Questão 17

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

Questão 18

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

Questão 19

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

Questão 20

Questão
In which diseases could be seen dissecting aneurysm?
Responda
  • atherosclerosis
  • hypertension
  • rheumatism
  • myocarditis

Questão 21

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

Questão 22

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

Questão 23

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

Questão 24

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

Questão 25

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

Questão 26

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

Questão 27

Questão
Which morphological alteration of the arterioles is typical for hypertension
Responda
  • inflammation
  • proliferation
  • plasmorhagia
  • hyalinosis

Questão 28

Questão
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
Responda
  • amyloidosis
  • hyalinosis
  • chronic pyelonephritis
  • acute pyelonephritis

Questão 29

Questão
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?
Responda
  • syphilitic aneurysm with thrombosis
  • acute aneurysm with mural thrombus
  • rheumatismal heart vice
  • chronic aneurysm (post infarction) of the left ventricle with mural thrombus

Questão 30

Questão
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:
Responda
  • endocarditis of Libman - Sacks
  • rheumatic endocarditis
  • infective endocarditis
  • subacute endocarditis

Questão 31

Questão
Is atherosclerosis an acute disease?
Responda
  • True
  • False

Questão 32

Questão
Could inflammatory changes in vessel walls lead to aneurysm?
Responda
  • True
  • False

Questão 33

Questão
Can we find cholesterol esters in atherosclerotic plaques?
Responda
  • True
  • False

Questão 34

Questão
Is there an exacerbation of the atherosclerotic process
Responda
  • True
  • False

Questão 35

Questão
Is pericardium affected in rheumatism?
Responda
  • True
  • False

Questão 36

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

Questão 37

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

Questão 38

Questão
Are blood vessels affected in rheumatoid arthritis?
Responda
  • True
  • False

Questão 39

Questão
Is there chronic arteritiis?
Responda
  • True
  • False

Questão 40

Questão
Is there nephrosclerosis in atherosclerosis of the renal arteries?
Responda
  • True
  • False

Questão 41

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

Questão 42

Questão
Which type of metabolism is damaged is atherosclerosis?
Responda
  • lipid metabolism
  • protein metabolism
  • pigmental metabolism
  • mineral metabolism

Questão 43

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

Questão 44

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

Questão 45

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

Questão 46

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

Questão 47

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

Questão 48

Questão
Hypertrophy of the left heart ventricle occurs in stenosis of:
Responda
  • pulmonary
  • tricuspid
  • aortic
  • mitral

Questão 49

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

Questão 50

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

Questão 51

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

Questão 52

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

Questão 53

Questão
False aneurysm is connected with:
Responda
  • inflammation
  • hemorrhages
  • trauma
  • all the answers are correct

Questão 54

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

Questão 55

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

Questão 56

Questão
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
Responda
  • 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

Questão 57

Questão
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?
Responda
  • endocarditis of Libman - Sacks
  • infective endocarditis
  • rheumatic endocarditis
  • subacute endocarditis

Questão 58

Questão
Right ventricular Infarction is more common than left ventricular
Responda
  • True
  • False

Questão 59

Questão
Is amyloidosis a complication of rheumatoid arthritis?
Responda
  • True
  • False

Questão 60

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

Questão 61

Questão
Are there any genetic factors in artherosclerosis
Responda
  • True
  • False

Questão 62

Questão
Is aneurysm a complication of myocardial infarction
Responda
  • True
  • False

Questão 63

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

Questão 64

Questão
Stenosis of which valve will cause hypertrophy of the left ventricle?
Responda
  • aortic valve
  • mitral valve

Questão 65

Questão
Myocardial infarction may complicate with:
Responda
  • fibrinous pericarditis
  • stenosis of the mitral valve

Questão 66

Questão
Rheumatic granuloma in the myocardium:
Responda
  • contains caseous necrosis
  • is with perivascular location

Questão 67

Questão
What substance is accumulated in the intima of the aorta in atherosclerosis?
Responda
  • lipofuscin
  • lipids

Questão 68

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

Questão 69

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

Questão 70

Questão
Which are the risk factors of atherosclerosis
Responda
  • diabetes
  • narcotic substances
  • alcohol abuse
  • drugs

Questão 71

Questão
Which are the complications of atherosclerosis in the aorta:
Responda
  • cholesterol embolus
  • inflammation
  • thrombosis
  • aneurysm

Questão 72

Questão
Where are the first and most specific changes in atherosclerosis
Responda
  • aorta
  • arteries
  • arterioles
  • veins

Questão 73

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

Questão 74

Questão
Acute dissection of the aorta is complication of which disease?
Responda
  • atherosclerosis
  • hypertension
  • rheumatism
  • myocarditis

Questão 75

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

Questão 76

Questão
Which of the followings are forms of rheumatic endocarditis?
Responda
  • valvulitis recipiens
  • valvulitis verrucosa
  • valvulitis fibrinosa
  • valvulitis recurrens

Questão 77

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

Questão 78

Questão
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
Responda
  • 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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