fucking more bonus quiz questions exam 1 son

Question 1

The tunica Media is sperated from the Tunica Adventitia by the?

a. Endothelium
c. Internal Elastic Lamina
b. Tunica Intima
d. External Elastic Lamina

Answer 1

d. External Elastic Lamina

Question 2

Athersclerosis is most likely to involve which of the following

a. Small arteries
c. Postcapillary venules
b. Large elastic arteries
d. collecting venules

Answer 2

b. Large elastic arteries

Question 3

Which 2 mechanisms may cause vascular disease? (2 best)
A. Reduced Luminal Diameter       
c. Weakening of Vessel Walls
b.	Thromboembolism		
d. Arteriosclerosis

Answer 3

A. Reduced Luminal Diameter

c. Weakening of Vessel Walls

Question 4

The diameter of a capillary lumen is around 8 um and is partially surrounded by smooth muscle like cells called
d.	A. Myonic Periphocyte		
c. Gliomas
B. Pericytes			
d. Endothelial Cells

Answer 4

d. Endothelial Cells

Question 5

WOTF: 3 are considered to be major clinical consequences of atherosclerosis?
A, MI			
c. Peripheral Vascular Disease
B. Neovascularization
d. Aortic Aneurysm

Answer 5

A, MI

c. Peripheral Vascular Disease
d. Aortic Aneurysm

Question 6

Extravastion of blood into the wall of an artery is associated with a?
A. Intracranial Berry Aneurysm	
c. False Aneurysm
B. True Aneurysm		
d. Fusiform aneurysm

Answer 6

c. False Aneurysm

Question 7

Everyone older that ( ) years will demonstrate the presence of fatty streaks on the luminal surface of arteries?

a. 10 c. 35
b. 25 d. 45

Answer 7

a. 10

Question 8

WOTF: 2 are key features of atherosclerotic plaques?

a. Thickening of Tunica Media
c. Lipid Accumulation
b. Thickening of Tunica Intima
d. Endothelial Aggregation

Answer 8

c. Lipid Accumulation

b. Thickening of Tunica Intima

Question 9

Metabolic Syndrome is assoc. with which 2?

a. Insulin Resistance
c. Leptin Receptor Gene Mutation
b. Hypercoagulability
d. Retinitis

Answer 9

a. Insulin Resistance

c. Leptin Receptor Gene Mutation

Question 10

Most type (  )  aortic dissections may be managed conservatively, while type (    )  require immediate surgery.
A. A, B				
c. C, A
B. B, A				
d. B, A

Answer 10

B. B, A

Question 11

What are the 2 most common pathogenic mechanisms of vasculitis?

a. Physical Trauma
c. Immune-Mediated Inflammation
b. Exposure to Toxins
d. Direct Vascular Infection

Answer 11

c. Immune-Mediated. Direct Vascular Infection

d Inflammation

Question 12

An abdominal aortic aneurysm measuring 5.7 cm in diameter is at a ( ) risk of rupture each year

a. 1% c. 22%
b. 11% d. 25%
- +6cm=25%; 4-5cm=1%; 5-6 cm=11%

Answer 12

b. 11%

Question 13

A patient w/ Emphysema is at an increased risk of developing an abdominal aortic aneurysm
a. True b. False

Answer 13

a. True

Question 14

The abrupt onset of ocular symptoms is involved w/ ( ) of patients w/ Giant Cell Arteritis.

a. 2%
c. 50%
b. 33%
d. 98%

Answer 14

c. 50%

Question 15

The development of hepatic angiosarcomas is commonly assoc. w/ exposure to which of the following?

a. CO
c. Lead
b. Halogens
d. PVS

Answer 15

d. PVS

Question 16

Karposi Sarcoma is a Vascular Neoplasm assoc. w/ which?

a. Escherichia coli
c. HHV 8
b. Cytomegalovirus
d. EBV

Answer 16

c. HHV 8

Question 17

Lymphangiomas are benign lymphatic tumors that may grow as large as 15 cm and are most similar to WOTF?
a. Angiosarcomas			
c Telangiectasis
b. Hemangiomas			
d. Achalasia

Answer 17

b. Hemangiomas

Question 18

Which condition is a common endpoint for various forms of cardiomyopathy

a. CHF
c. Ventral Septal Defect
b. MI
d. Activation of neurohumoral systems

Answer 18

a. CHF

Question 19

WOTF: Cardiac defects commonly results in P&V ovenoads?

a. Obstruction of flow
c. Shunted flow
b. Regurgitant flow
d. Ruptured Vessels

Answer 19

a. Obstruction of flow

Question 20

What is the most common cause of L sided Cardiac Failure

a. Aortic Valve Stenosis
c. Weight Lifting
b. Physiologic Hypertrophy
d. Ischemic Heart Disease

Answer 20

d. Ischemic Heart Disease

Question 21

R side heart failure resulting from pulmonary HTN is?

a. Angina
c. Cor Pulmonale
b. CHF
d. Tachycardia

Answer 21

c. Cor Pulmonale

Question 22

The Ductus arteriosus arises from the L pulmonary artery and joins the aorta during intrauterine life and is functionally closed by ( ) postrat.

a. 2
c. 30
b. 10
d. 90

Answer 22

a. 2

Question 23

Shunting of blood from the ( ) is most likely to manifest as early onset cyanosis

a. L to R Ventricle
b. R to L Ventricle

Answer 23

b. R to L Ventricle

Question 24

A prolonged ( ) shunt may cause shunt reversal due to adaptive changes in Pulmonary Vascular Resistance

a. L to R Ventricle
b. R to L Ventricle

Answer 24

?

Question 25

Congenital Heart Diseases account for (   ) of all birth defects
a. 4%				
C. 75%
b. 30%				
D. 90%

Answer 25

? 30% ?

Question 26

Which disease is most likely to interfere with the embryogenesis of Cardiac Tissue

a. Pertusis c. Mumps
b. Rubeola d. Rubella

Answer 26

d. Rubella

Question 27

WOTF: is used as a lab marker to evaluate pts. w/ possible MI

a. Inflammasome
c. Pericarditis
b. Myositisoifacans
d. Troponins (and CK)

Answer 27

?

Question 28

The symptoms associated w/ MI are commonly relieved by Nitroglycerine and rest

a. True
b. False

Answer 28

b. false

Question 29

PTs. Experiencing an acute MI will commonly demonstrate a rapidly and scarcely palpable (Thready) Pulse

a. True
b. False

Answer 29

true

Question 30

Anginal Symptoms typically begin when chronic atherosclerotic lesions occlude ( ) of the lumen.

a. 20%
c. 70%
b. 50%
d. 90%

Answer 30

C. 70%

Question 31

Systematic hypertensive heart disease causes _______ thickening of the left ventricularwall with reduced lumen size
A. CONCENTRIC
B. ECCENTRIC

Answer 31

A. CONCENTRIC

Question 32

Failure of a cardiac valve to open completely is \_\_\_\_\_\_
A. COR PULMONATE
B. INSUFFICIENCY
C. STENOSIS
D. FRILLS

Answer 32

C. STENOSIS

Question 33

Bicuspid aortic valve is a congenital malformation that occurs in approx. \_\_\_\_\_ of births
A. 2%
B. 18%
C. 82%
D. 98%

Answer 33

A. 2%

Question 34

It is common for calcific aortic stenosis to result in eccentric cardiac hypertrophy
A. T
B. F

Answer 34

B. False

Question 35

Cause of acute endocarditis involves a ______ heart valve
A. Previously normal
B. Previously abnormal

Answer 35

A. Previously normal

Question 36

When acute rheumatic fever develops within adults, \_\_\_\_\_ is the predominant feature
clinically
A arthritis 
B. carditis
C. weakness
D. dyspnea

Answer 36

A arthritis - adults

Question 37

WOTF is a clinical concern associated with the development of a friable vegetation on a
patients mitral valve.
A. DVT
B. increased stroke vol.
C. embolus
D. RV hypertrophy

Answer 37

C. embolus

Question 38

Rheumatic heart disease commonly develops \_\_\_\_\_\_ following exposure to Group A Bhemolytic
strep pharyngitis
A. 3 weeks
B. 7 weeks
C. 10 week
D. 1-2 years

Answer 38

A. 3 weeks

Question 39

Dilated cardiomyopathy commonly involves an increase in \_\_\_\_\_ of 2-3x
A. Filling pressure
B. Mitral thickness
C.Weight
D. Diameter of LV lumen

Answer 39

C.Weight

Question 40

What is the fundamental cardiac defect in patients with dilated cardiomyopathy?
A. Amyloidosis
B. diastolic dysfunction
C. ineffective contraction
D. arrhythmia

Answer 40

C. ineffective contraction

Question 41

WOTF is an example of restrictive cardiomyopathy?
A. Amyloidosis
B. myocarditis
C. hypertrophic cardiomyopathy
D. asymmetric septal hypertrophy

Answer 41

A. Amyloidosis

Question 42

Extravascular hemolysis is most likely to take place within the \_\_\_\_\_\_\_
A. Lymph channels
B. post cap venule
C. liver 
D. spleen

Answer 42

D. spleen - primary [liver is secondary]

Question 43

Major receiving repeated blood transfusions are at risk for developing which condition?
A. Hematopoiesis
B. hemolytic anemia
C. hemosiderinuna
D. hemochromatosis

Answer 43

D. hemochromatosis

Question 44

The leading cause of death among patients with sickle cell anemia are \_\_\_\_\_\_ and\_\_\_\_\_
A. hemochromatosis
B. acute chest syndrome
C. stroke
D. hemosidennuria

Answer 44

B. acute chest syndrome

C. stroke

Question 45

Thalassemia is most likely to develop in these living in mediterr, Africa, and \_\_\_\_\_
A. India
B. caribbean
C. asia
D. central america

Answer 45

C. asia

Question 46

Sickle cell disease may lead to hypoxia induce fatty changes in the heart liver and \_\_\_\_
A. renal tubes
B. distal extremities
C. periungual regions
D. neurons

Answer 46

A. renal tubes

Question 47

Splenomegaly is more prominent in patients suffering from ______
A. Hereditary spherocytosis
B. Hemolytic anemia

Answer 47

A. Hereditary spherocytosis

Question 48

Iron excretion is regulated in the proximal convoluted tubule
A. True
B. False

Answer 48

B. False