Aaa Flashcards

1
Q

Aaa location

A

below the renal arteries

age >50

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2
Q

mc renovascular disease

A

renal artery stenosis

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3
Q

CI in renal artery stenosis

A

ace inhib

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4
Q

Mycotic aneurysm causes

A

fungi: aspergillus candida and mucor
Bacteria: Bacteroides, p.auruginosa, salmonella

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5
Q

complications of Mycotic aneurism

A

thrombosis
infarction
rupture

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6
Q

defect

junction of communicating branches with main cerebral arteries

internal elastic lamina

A

Berry aneurysm

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7
Q

mc site of berry aneyrysm

A

A. comm in the Basilar or Junctions

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8
Q

sudden occipital headache

thunderclap

sentinel bleed

A

Berry Aneurysm

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9
Q

MC risk factor for berry aneurysm

A

HPN

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10
Q

patho of syphillitic Aneurysm

A

invasion of VASA vasorum(obliterative endoarteritis

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11
Q

Tree bark appearance

A

Syphilitic Aneurysm

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12
Q

MC location of aortic dissection

A

within 10 cm of the aortic valve between laminar parts of the tunica media

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13
Q

MC location of aortic dissection

A

within 10 cm of the aortic valve between laminar parts of the tunica media

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14
Q

what are the steps in atherosclerosis

A

insert diagram from robbins

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15
Q

tunica media problem

A

aortic dissection

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16
Q

aortic dissection is common among

A

men 40s to 50s
Marfans syndrome
Ehlers danlos

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17
Q

Type A dissecting aortic aneurysm

A

Proximal

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18
Q

type b Ao dissection

A

Distal to subclavian artery

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19
Q

What type of Ao dissection is benign

A

Type B(distal)

20
Q

Pathogenesis of Aortic dissection

A

Cystic medial necrosis/degeneration

21
Q

AD meaning?

A

no generatio is skipped

AR skip generation

22
Q

AD
Fibrillin 1
missense mutation

A

Marfan syndrome

23
Q

valine and glutamic acid missence

A

sickle cell

24
Q
MVP
hypermobile proportion
lens dislocation
arachnodactyly
eunocoid proportion
A

Marfan

25
Q

MC COD in Marfans

A

Ao dissection

26
Q

Stasis
Hypercoag
BV wall injury

A

Virchows triad

27
Q

pain on dorsiflection of the foot

A

Homans sign

phlebothrombosis

28
Q

Migratory thrombophlebitis is assoc with

A

Pancreatic cancer usually in the head

29
Q

SVC compression is usually due to

A

Primary luny CA

mediastinal lymphoma

30
Q

Ptosis
Anhydrosis
Myosis

A

Horner’s syndrome

Apical or Superior sulcus tumor

31
Q

Smoker
puffiness
cyanosis of the head neck and arm

A

SVC syndrome

32
Q

flushed face with hypertensive drug

A

CCB nifedipine

33
Q

flushing with 5HIAA

A

Carcinoid tumor from enterocromaffin cells

34
Q

interstitial cells of cajal

A

GIST

35
Q

Elevate arms with facial congestion and cyanosis

A

Pemberton sign in SVC syndrome

36
Q

IVC presnets with

A

Edema of the legs
proteinuria
superficial colateral vein dilatation

37
Q

Connects the upper and lower veins if IVC is occluded

A

Thoraco Epigastric vein

38
Q

scrotal plexus

A

pampiniform

39
Q

left sided varicocele

A

left renal cell CA

40
Q

post sinusoidal obstruction

A

Bud chiari syndrome

41
Q

Pre sinusoidal obstruction

A

Schiztosomiasis

42
Q

Hepatic vein thrombosis

A

Bud Chiari

43
Q

Compression of the neurovascular bundle (brachial plexus) causes

A
Cervical Rib (C7)
Spastic anterolior scalene muscle
44
Q

Disapperance of the pulse when the arm is outstreched and patient looks to the side of that that arm

A

Adsons test

45
Q

Inflammation of the lymphatic vessels due to GABS

painful subcu streaks or LN

A

lymphangitis

46
Q

MC GABHS in lymphangitis

A

s. pyogenes