Blood Vessels Dz Sx

Question 1

• facial pain
• headache
• older patients
• fever, fatigue, weight loss
• enlarged and tender temporal arteries
• double vision

Answer 1

giant cell (temporal) arteritis
(noninfectious vasculitis)

Question 2

• homogenous pink (hyaline) thickening of vessel wall
• narrow lumen
• plasma protein leakage across damaged epithelium

Answer 2

hyaline arteriosclerosis

Question 3

• string of beads on angiography
• focal irregular thickening
• may develop into aneurysm
• young woman

Answer 3

fibromuscular dysplasia

Question 4

• persistent pneumonitis and sinusitis
• renal dz
• nasopharyngeal ulceration
• rashes
• myalgias

Answer 4

granulomatosis with polyangiitis

noninfectious vasculitis

Question 5

• pulsating mass in the abdomen with bruit

Answer 5

AAA

Question 6

• calcification of muscular arteries
• involves internal elastic membrane
• no narrowing of lumen
• no clinical significance

Answer 6

Monckeberg medial sclerosis

Question 7

• severe HTN
• concentric lamellations (onion skinning)
• luminal narrowing

Answer 7

hyperplastic arteriosclerosis

Question 8

• vascular insufficiency in extremities
• smokers
• less than 35 y/o
• hypersensitivity to tobacco products

Answer 8

thomboangiitis obliterans (buerger dz)
(noninfectious vasculitis)

Question 9

• rapid accelerating HTN due to renal a. involvement
• abd pain and bloody stools
• diffuse myalgias
• peripheral neuritis affecting motor nerves

Answer 9

polyarteritis nodosa (PAN)
(noninfectious vasculitis)

Question 10

• hemoptysis
• hematuria
• proteinuria
• bowel pain or bleeding
• muscle pain or weakness
• palpable cutaneous purpura

Answer 10

microscopic polyangiitis

noninfectious vasculitis

Question 11

• infant and small children
• conjunctival and oral erythema and blistering
• edema of hands and feet
• erythema of palms and soles
• desquamative rash
• cervical LN enlargement

Answer 11

Kawasaki dz

noninfectious vasculitis

Question 12

• idiopathic HTN
• older age
• african american increased risk

Answer 12

essential HTN

Question 13

• starts with fever, fatigue, weight loss
• ocular disturbances
• marked weakening of pulses in UE (pulseless dz)
• Japanese patients

Answer 13

Takayasu arteritis

noninfectious vasculitis

Question 14

• chest pain radiating to the back between the scapulae and moving downward
• hypertensive males 40-60
• young patients with marfans

Answer 14

aortic dissection

Question 15

• worst headache i’ve ever had

Answer 15

berry aneurysm

Question 16

• pre-existing benign HTN
• retinal hemorrhage and exudate
• papilledema
• renal failure
• BP 200/120

Answer 16

malignant HTN

Question 17

HTN with underlying renal or adrenal dz (like primary aldosteronism, cushing, pheochromacytoma)

Answer 17

secondary HTN

Question 18

• “broken heart syndrome”

- sudden cardiac death from epinephrine, cocaine, or emotional stress

Answer 18

myocardial vessel vasospasm (takotsubo cardiomyopathy)

Question 19

• obliterative endarteritis of vasa vasorum

- ischemia of outer media in the thoracic aorta

Answer 19

tertiary syphilus

Question 20

• palpable purpura
• GI tract bleeding
• renal dz
• eosinophils and granulomas
• cardiomyopathy

Answer 20

Churg-Strauss syndrome

noninfectious vasculitis

Question 21

• aphthous ulcers of oral cavity
• genital ulcers
• uveitis

Answer 21

Behcet dz

noninfectious vasculitis

Question 22

• deposits of antigen-antibody complexes in vascular walls
• seen in SLE or drug hypersensitivity
• skin lesions
• seen in Hep B patients (polyarteritis nodosa)

Answer 22

immune complex vasculitis

non-infectious vasculitis

Question 23

• difficulty breathing
• possible speech problems
• high TGF-B levels
• due to HTN or Marfan

Answer 23

thoracic aortic aneurysm (TAA)