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

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Clinical Pathoanatomy Test - Cardiovascular Diseases- 3rd Year- PMU
Med Student
Quiz by Med Student , updated more than 1 year ago
Med Student
Created by Med Student about 6 years ago
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Question 1

Question
Can xanthoma cells be found in the tunica intima of the atherosclerotic plaque
Answer
  • True
  • False

Question 2

Question
Is the dissecting aneurysm a type of the true aneurysm?
Answer
  • True
  • False

Question 3

Question
Is aneurysm a complication of myocardial infarction?
Answer
  • True
  • False

Question 4

Question
The myocardial infarction is from hemorrhagic type
Answer
  • True
  • False

Question 5

Question
Is amyloidosis a complication of rheumatoid arthritis?
Answer
  • True
  • False

Question 6

Question
Are the morphological changes in course of the polyarteritis nodosa identical?
Answer
  • True
  • False

Question 7

Question
Can the arteries of the kidney be affected due to atherosclerosis?
Answer
  • True
  • False

Question 8

Question
Can obliterating endarteritis lead to the anaemic infarction of the kidney?
Answer
  • True
  • False

Question 9

Question
Right ventricular infarction is more common than left ventricular.
Answer
  • True
  • False

Question 10

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

Question 11

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

Question 12

Question
Atherosclerotic plaque consists:
Answer
  • xanthoma cells
  • connective tissue
  • debris
  • amyloid

Question 13

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

Question 14

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

Question 15

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

Question 16

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

Question 17

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

Question 18

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

Question 19

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

Question 20

Question
In which diseases could be seen dissecting aneurysm?
Answer
  • atherosclerosis
  • hypertension
  • rheumatism
  • myocarditis

Question 21

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

Question 22

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

Question 23

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

Question 24

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

Question 25

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

Question 26

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

Question 27

Question
Which morphological alteration of the arterioles is typical for hypertension
Answer
  • inflammation
  • proliferation
  • plasmorhagia
  • hyalinosis

Question 28

Question
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
Answer
  • amyloidosis
  • hyalinosis
  • chronic pyelonephritis
  • acute pyelonephritis

Question 29

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

Question 30

Question
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:
Answer
  • endocarditis of Libman - Sacks
  • rheumatic endocarditis
  • infective endocarditis
  • subacute endocarditis

Question 31

Question
Is atherosclerosis an acute disease?
Answer
  • True
  • False

Question 32

Question
Could inflammatory changes in vessel walls lead to aneurysm?
Answer
  • True
  • False

Question 33

Question
Can we find cholesterol esters in atherosclerotic plaques?
Answer
  • True
  • False

Question 34

Question
Is there an exacerbation of the atherosclerotic process
Answer
  • True
  • False

Question 35

Question
Is pericardium affected in rheumatism?
Answer
  • True
  • False

Question 36

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

Question 37

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

Question 38

Question
Are blood vessels affected in rheumatoid arthritis?
Answer
  • True
  • False

Question 39

Question
Is there chronic arteritiis?
Answer
  • True
  • False

Question 40

Question
Is there nephrosclerosis in atherosclerosis of the renal arteries?
Answer
  • True
  • False

Question 41

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

Question 42

Question
Which type of metabolism is damaged is atherosclerosis?
Answer
  • lipid metabolism
  • protein metabolism
  • pigmental metabolism
  • mineral metabolism

Question 43

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

Question 44

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

Question 45

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

Question 46

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

Question 47

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

Question 48

Question
Hypertrophy of the left heart ventricle occurs in stenosis of:
Answer
  • pulmonary
  • tricuspid
  • aortic
  • mitral

Question 49

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

Question 50

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

Question 51

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

Question 52

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

Question 53

Question
False aneurysm is connected with:
Answer
  • inflammation
  • hemorrhages
  • trauma
  • all the answers are correct

Question 54

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

Question 55

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

Question 56

Question
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
Answer
  • 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

Question 57

Question
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?
Answer
  • endocarditis of Libman - Sacks
  • infective endocarditis
  • rheumatic endocarditis
  • subacute endocarditis

Question 58

Question
Right ventricular Infarction is more common than left ventricular
Answer
  • True
  • False

Question 59

Question
Is amyloidosis a complication of rheumatoid arthritis?
Answer
  • True
  • False

Question 60

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

Question 61

Question
Are there any genetic factors in artherosclerosis
Answer
  • True
  • False

Question 62

Question
Is aneurysm a complication of myocardial infarction
Answer
  • True
  • False

Question 63

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

Question 64

Question
Stenosis of which valve will cause hypertrophy of the left ventricle?
Answer
  • aortic valve
  • mitral valve

Question 65

Question
Myocardial infarction may complicate with:
Answer
  • fibrinous pericarditis
  • stenosis of the mitral valve

Question 66

Question
Rheumatic granuloma in the myocardium:
Answer
  • contains caseous necrosis
  • is with perivascular location

Question 67

Question
What substance is accumulated in the intima of the aorta in atherosclerosis?
Answer
  • lipofuscin
  • lipids

Question 68

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

Question 69

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

Question 70

Question
Which are the risk factors of atherosclerosis
Answer
  • diabetes
  • narcotic substances
  • alcohol abuse
  • drugs

Question 71

Question
Which are the complications of atherosclerosis in the aorta:
Answer
  • cholesterol embolus
  • inflammation
  • thrombosis
  • aneurysm

Question 72

Question
Where are the first and most specific changes in atherosclerosis
Answer
  • aorta
  • arteries
  • arterioles
  • veins

Question 73

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

Question 74

Question
Acute dissection of the aorta is complication of which disease?
Answer
  • atherosclerosis
  • hypertension
  • rheumatism
  • myocarditis

Question 75

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

Question 76

Question
Which of the followings are forms of rheumatic endocarditis?
Answer
  • valvulitis recipiens
  • valvulitis verrucosa
  • valvulitis fibrinosa
  • valvulitis recurrens

Question 77

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

Question 78

Question
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
Answer
  • 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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