Aneurysm

Question 1

What is an Aneurysm?

Answer 1

Dilation of blood vessel

abnormal and focal

Question 2

What is an Aneurysm?

Answer 2

Dilation of blood vessel

abnormal and focal

Question 3

What are the 2 types of True Aneurysms?

Answer 3

Saccular

Fusiform

Question 4

Saccular true aneurysms

Answer 4

Dilation of one side of the vessel

Question 5

Fusiform true aneurysms

Answer 5

Bilateral and symmetric dilation of the vessel

Question 6

True aneurysms have an ____ wall at site of dilation

Answer 6

INTACT

Question 7

False aneurysm

Answer 7

Wall defect that allows blood communication into a space covered with connective tissue
= Extravascular hematoma

Question 8

Wall defect that allows blood communication into a space covered with connective tissue

Answer 8

Extravascular Hematoma

= False aneurysm

Question 9

Aneurysms/dissections are common in what 2 connective tissue disorders?

Answer 9

Marfan Syndrome

Ehlers-Danlos Syndrome

Question 10

Ehlers Danlos Syndrome has a mutation in?

Answer 10

COL3A1 (collagen) mutation

Question 11

What are the findings with Ehlers Danlos Syndrome?

Answer 11

• Joint hyperextensibility
• Fragile and elastic skin
• Bruising and abnormal healing

Question 12

Joint hyper-extensibility, fragile/elastic skin and bruising with abnormal healing

Answer 12

Ehlers Danlos Syndrome

Question 13

What is the most important risk factor for developing an Abdominal Aortic Aneurysm?

Answer 13

Atherosclerosis

Question 14

What is the most important risk factor for developing an Abdominal Aortic Aneurysm?

Answer 14

Atherosclerosis

Question 15

In who and where are Abdominal Aortic Aneurysms common?

Answer 15

Older males who smoke

= Below Renal arteries and Above the bifurcation

Question 16

Asymptomatic AAA

Answer 16

Pulsatile abdominal mass or incidental finding

Question 17

Symptomatic but not ruptured AAA

Answer 17

Abdomen/back pain with pulsatile abdominal mass

Question 18

Symptomatic and ruptured AAA

Answer 18

Abdomen/back pain
Pulsatile abdominal mass
HYPOtension

Question 19

The risk of a AAA rupturing increases when its diameter is greater than?

Answer 19

5 cm

Question 20

What is the most important risk factor for developing a Thoracic Aortic Aneurysm?

Answer 20

Hypertension

Question 21

What is the most important risk factor for developing a Thoracic Aortic Aneurysm?

Answer 21

Hypertension

Question 22

The symptoms of a Thoracic Aortic Aneurysm are due to?

Answer 22

Compression of adjacent structures

Question 23

What are possible compressions/symptoms associated with a Thoracic Aortic Aneurysm?

Answer 23

• Respiratory tree = trouble breathing
• Esophagus = dysphagia
• Recurrent Laryngeal N. = coughing

Question 24

What is another condition in which a Thoracic Aortic Aneurysm can occur?

Answer 24

Tertiary Syphilis (treponema pallidum)

Question 25

How does a Thoracic Aortic Aneurysm develop with Tertiary Syphilis?

Answer 25

Obliterative endarteritis of vasa vasorum | = Thoracic Aortic Aneurysm

Question 26

Besides a Thoracic Aortic Aneurysm, what other aortic manifestation can be seen with Treponema pallidum?

Answer 26

Aortic valve regurgitation

Question 27

What is an Aortic Dissection?

Answer 27

Intimal layer tear allows blood to fill a channel between the intima and media layers

Question 28

What is an Aortic Dissection?

Answer 28

Intimal layer tear allows blood to fill a channel between the intima and media layers of the vessel

Question 29

What are some causes of Aortic Dissections?

Answer 29

Hypertension | Marfan syndrome/Ehlers Danlos Syndrome

Question 30

What is the triad seen with Aortic Dissections?

Answer 30

Thoracic pain Pulse abnormalities Widened mediastinum

Question 31

What is the triad seen with an Aortic Dissection?

Answer 31

Thoracic pain Pulse abnormalities Widened mediastinum

Question 32

What is the most common location for an Aortic Dissection?

Answer 32

Proximal to the Left common carotid artery

Question 33

What is the most common location for an Aortic Dissection?

Answer 33

Proximal to the Left common carotid artery

Question 34

What is the most common type of Aortic Dissection and describe it

Answer 34

DeBakey 1 | - Proximal tear and blood fills channel that extends down the aorta on both sides

Question 35

What is the most common type of Aortic Dissection and describe it

Answer 35

DeBakey 1 | - Proximal tear and blood fills channel that extends down aorta on both sides

Question 36

Granulomatosis with Polyangiitis has what (+) marker?

Answer 36

PR-3 ANCA

Question 37

Eosinophilic Granulomatosis with Polyangiitis has what (+) marker?

Answer 37

MPO-ANCA