Chapter 11: Blood Vessels Flashcards

1
Q

The main immunologic mechanisms underlying noninfectious vasculitis are the following, except:

a. Immune complex deposition
b. Anti-neutrophil cytoplasmic antibodies
c. Anti-EC antibodies
d. Autoreactive T cells
e. Autoantibody production

A

E

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2
Q

Small vessel vasculitis include the following except:

a. microscopic polyangiitis
b. granulomatosis with polyangiitis
c. Churg-Strauss syndrome
d. Takayasu arteritis

A

D

Large vessel vasculitis:
1. granulomatous disease - giant cell arteritis, Takayasu arteritis
Medium vessel
1. Immune-complex mediated - polyarteritis nodosa
2. Anti-endothyelial cell antibodies - Kawasaki disease

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3
Q

Chronic, classically granulomatous inflammation of large-to small-sized arteries that principally affects arteries in the head

a. Temporal arteriris
b. Kawasaki disease
c. Churg-Strauss syndrome
d. Takayasu arteritis
e. Polyarteritis Nodosa

A

A also called Giant Cell arteritis, T-cell mediated

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4
Q

Characterized principally by ocular disturbances and marked by weakening of the pulses in the upper extremities which classically involves the aortic arch

a. Temporal arteriris
b. Kawasaki disease
c. Churg-Strauss syndrome
d. Takayasu arteritis

A

D

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5
Q

Systemic vasculitis of small- or medium-sized muscular arteries that typically affects renal and visceral vessels with segmental transmural necrotizing inflammation, often with superimposed aneurysms and/or thrombosis

a. Polyarteritis Nodosa
b. Kawasaki diseae
c. Granulomatosis wit Polyangiitis
d. Thromboangitis Obliterans

A

A

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6
Q

Acute, febrile, usually self-limited illness of infancy and childhood associated with large-to medium-sized vessel arteries

a. Temporal arteriris
b. Kawasaki disease
c. Churg-Strauss syndrome
d. Takayasu arteritis

A

B

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7
Q

Necrotizing or granulomatous vasculitis affecting small- to medium-sized vessels; focal necrotizing, often crescentic glomerulonephritis, was also previously called Wegener granulomatosis

a. Polyarteritis Nodosa
b. Kawasaki diseae
c. Granulomatosis wit Polyangiitis
d. Thromboangitis Obliterans

A

C

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8
Q

Segmental, thrombosing, acute and chronic inflammation of medium- and small-sized arteries leading to vascular insufficiency, thrmobus contain microabscesses

a. Polyarteritis Nodosa
b. Kawasaki diseae
c. Granulomatosis wit Polyangiitis
d. Thromboangitis Obliterans

A

D also called Buerger disease

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9
Q

Exaggerated vasoconstriction of arteries and arterioles in response to cold or emotions

a. Raynaud Phenomenon
b. Varicose veins
c. Thrombophlebitis
d. Phlebothrombosis

A

A

Primary - symmetrically affects extremities
Secondary - vascular insufficiency due to arterial disease caused by other entities

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10
Q

Spectrum of borderline vascular neoplasms

a. Glomus Tumor or Glomangioma
b. Bacillary Angiomtosis
c. Kaposi Sarcoma
d. Hemangioendothelioma

A

D

EPITHELIOD HEMANGIOENDOTHELIOMA - tumor of adults, medium- and large-sized veins

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11
Q

Acute inflammation caused by spread of bacterial infection into lympahtics; group A beta-hemolytic step (most common)

a. superior and inferior vena caval syndrome
b. lymphangitis
c. primary lymphedema
d. secondary lymphedema

A

B

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12
Q

Blockage of previously normal lymphatics

a. superior and inferior vena caval syndrome
b. lymphangitis
c. primary lymphedema
d. secondary lymphedema

A

D

PRIMARY - ISOLATED CONGENITAL DEFECT

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13
Q

Most common “birthmark”; light pink to deep purple flat lesion

a. Nevus flammeus
b. Port-wine stain
c. Spider telangiectasia
d. Hereditary hemorrhagic telangiectasia

A

A

ectasia - common term for any local dilation of a structure
telangiectasia - permanent dilation of preexisting small vessels

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14
Q

Vascular neoplasm caused by human herpsvirus 8 (HHV8) that is most common in px with AIDS, classically represented by patches, red plaques, nodules

a. Glomus Tumor or Glomangioma
b. Bacillary Angiomtosis
c. Kaposi Sarcoma
d. Hemangioendothelioma

A

C

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15
Q

Autosomal dominant disorder - dilated capillaries and veins present at birth

a. Nevus flammeus
b. Port-wine stain
c. Spider telangiectasia
d. Hereditary hemorrhagic telangiectasia

A

D

SPIDER TELANGIECTASIA - NONNEOPLASTIC VASCULAR MALFORMATION RESEMBLING A SPIDER

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16
Q

Most common type of hemangioma that seen in skin, subcutaneous tissues, mucous membranes of oral cavities and lips

a. Capillary hemangioma
b. Juvenile hemangiomas
c. Cavernous hemangiomas
d. Pyogenic granulomas

A

A

17
Q

Benign lymphatic counterpart of hemangiomas that is typically found in neck or axilla of children, rarely in peritoneum

a. simple lymphangioma
b. cavernous lymphangiomas
c. cystic hygroma
d. capillary lymphangioma

A

B or C

18
Q

Rapidly growing red pedunculated lesions on the skin, gingiva, or oral mucosa, bleed easily and may spontaneously regress

a. Capillary hemangioma
b. Juvenile hemangiomas
c. Cavernous hemangiomas
d. Pyogenic granulomas

A

D

19
Q

Slightly elevated, sometimes pedunculated lesions up to 1-2cm, predominantly head, neck and axillary subcutaneous tissue

a. simple lymphangioma
b. cavernous lymphangiomas
c. cystic hygroma
d. capillary lymphangioma

A

A OR D SAME LANGGG

20
Q

Large, dilated vascular channels, more infiltrive, deep structures, do not spontaneously regress

a. Capillary hemangioma
b. Juvenile hemangiomas
c. Cavernous hemangiomas
d. Pyogenic granulomas

A

C

21
Q

Strawberry-type hemangiomas which is extremely common, seen in 1 in 200 births and then fade by 1-3 years of age

a. Capillary hemangioma
b. Juvenile hemangiomas
c. Cavernous hemangiomas
d. Pyogenic granulomas

A

B

22
Q

Benign but exquisitely painful tumors arising from modifies SMC of glomus bodies (thermoregulation); most commonly found in distal portion of digits

a. Glomus Tumor or Glomangioma
b. Bacillary Angiomatosis
c. Kaposi Sarcoma
d. Hemangioendothelioma

A

A

23
Q

Grown during childhood, thickening associated skin structure

a. Nevus flammeus
b. Port-wine stain
c. Spider telangiectasia
d. Hereditary hemorrhagic telangiectasia

A

B

24
Q

Abnormally dilated, tortuous veins produced by prolonged, increased intraluminal pressure with vessel dilation and incompetence of venous valves

a. Raynaud Phenomenon
b. Varicose veins
c. Thrombophlebitis
d. Phlebothrombosis

A

B

25
Q

Vascular proliferation in immunocompromised hosts

a. Glomus Tumor or Glomangioma
b. Bacillary Angiomtosis
c. Kaposi Sarcoma
d. Hemangioendothelioma

A

B

26
Q

Also known as “allergic granulomatosis ad angiitis”, small-vessel necrotizing vasculiitis classically associated with asthma, allergic rhinitis etc.

a. Temporal arteriris
b. Kawasaki disease
c. Churg-Strauss syndrome
d. Takayasu arteritis

A

C