Lec 15 Pathology of Valvular Heart Diseases

Question 1

junction of leaflets

Answer 1

Commisure

Question 2

opening of the valve

Answer 2

Annulus

Question 3

Cause of chronic morbidity in endocarditis?

Answer 3

Thrombus formation

Question 4

Most threatening cardiac problem during the

initial attack

Answer 4

Myocarditis

Question 5

pathognomonic of myocarditis

Answer 5

Aschoff nodules

Question 6

large macrophages with atypical rod-shaped nuclei

Answer 6

Anitschkow cells or caterpillar cells

Question 7

Just friction rub on auscultation

Answer 7

Pericarditis

Question 8

Order of valve involvement in valvulitis

Answer 8

M>A>T>P

Question 9

almost exclusively post-rheumatic (post
inflammatory) 99% of the time from healed, often
recurrent valvulitis

Answer 9

Mitral Stenosis

Question 10

T or F. Mitral valve prolapse is more common in women

Answer 10

T

Question 11

most common predisposing condition for

bacterial endocarditis in children

Answer 11

Congenital heart disease

Question 12

Most common predisposing condition for bacterial endocarditis in adults

Answer 12

MVP and CHD

Question 13

T or F. In bacterial endocarditis, the mitral valve is more involved than the aortic valve.

Answer 13

F. The aortic valve is more involved (39-46%). Baliktad compared to RHD

Question 14

Vegetations with NO organism

Answer 14

Marantic endocarditis

Question 15

most striking cardiac lesion in Systemic lupus

erythematosus

Answer 15

Libman-Sacks Verrucous Vegetations

Question 16

Right sided lesions found in patients with venous

catheters

Answer 16

Libman-Sacks Verrucous Vegetations

Question 17

Type of Vegetative Endocarditis. Small/medium vegetations on either or both sides of
the valve leaflets

Answer 17

SLE/Libman-Sacks

Question 18

Type of Vegetative Endocarditis. Small, warty tan vegetations along the line of closure
of the valve leaflets

Answer 18

Acute RF

Question 19

Type of Vegetative Endocarditis. Bulky, friable lesions on the valve

Answer 19

Infective endocarditis

Question 20

Type of Vegetative Endocarditis. Small/medium red/tan vegetations usually attached at
the line of closure of the valve leaflets

Answer 20

Non-bacterial thrombotic (marantic)