Introduction to Vascular Disorders Flashcards

1
Q

Three layers of vessels?

A

Tunica intima
Tunica media
Tunica adventitia

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2
Q

What are the two general nonneoplastic vascular diseases?

A

Narrowing of vessel lumen

Weakening of vessel walls

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3
Q

What is a basal state?

A

In a healthy state the vessel walls are a non-adhesive, non-thrombogenic surface

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4
Q

What is an activated state?

A

In a diseased state the vessel walls express procoagulants, adhesion molecules and proinflammatory factors

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5
Q

What is the general response vascular injury?

A

Intimal thickening

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6
Q

What are three developmental vascular anomalies?

A

Developmental aneurysms
Arteriovenous fistulas
Fibromuscular dysplasia: Irregular thickening of walls of muscular arteries

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7
Q

What can hypertension cause?

A

Hyaline arteriosclerosis

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8
Q

What is arteriosclerosis?

A

Hardening of the arteries

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9
Q

What are the three patterns of arteriosclerosis?

A

Arteriolosclerosis
Monckeberg medial sclerosis
Atherosclerosis

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10
Q

What is arteriolosclerosis?

A

Small arteries and arterioles; hyaline and hyperplastic forms

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11
Q

What is Monckeberg medial sclerosis?

A

Muscular arteries; mural calcification not clinically significant

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12
Q

What is atherosclerosis?

A

Plaque build up

Atheroma and atheromatous plaques

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13
Q

What is the injury hypothesis for atherosclerosis?

A

Chronic endothelial injury
Endothelial dysfunction
Macrophage activation
Macrophages and smooth muscle cells engulf lipid
Smooth muscle proliferation/deposition of collagen and lipids

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14
Q

What are the three classifications of aneurysms?

A

True
False
Dissection

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15
Q

What is a false aneurysm?

A

A hole in the vessel that allows blood to leave and form a hematoma in the surrounding tissue

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16
Q

What are the three classifications of aortic dissections?

A

DeBakey I: Ascending aorta part of more extensive
DeBakey II: Ascending aorta only
DeBakey III: Dissections in aorta after the great vessels

17
Q

What can cause non-infectious vasculitis?

A

Antineutrophil cytoplasmic antibodies (ANCAs)

18
Q

What is the antigen cytoplasmic ANCA (c-ANCA) attacks?

A

Proteinase-3

19
Q

What is c-ANCA associated with?

A

Granulomatous polyangiitis

20
Q

What is the antigen perinuclear ANCA (p-ANCA) attacks?

A

Anti-myeloperoxidase

21
Q

What is p-ANCA associated with?

A

Microscopic polyangiitis

Churg-Strauss

22
Q

What do antiendothelial cell antibodies cause?

A

Kawasaki disease