Path 1

Question 1

Answer 1

Normal Heart,

Cardiac Muscle

Question 2

Answer 2

Coronary arteries, note the conus (~45% of hearts)

Question 3

Answer 3

Question 4

Answer 4

Normal Heart

Question 5

Answer 5

coronary atherosclerosis

Question 6

Answer 6

coronary atherosclerosis

Question 7

Answer 7

coronary atherosclerosis

Question 8

Answer 8

coronary atherosclerosis

Question 9

Answer 9

coronary atherosclerosis,

recanalization

Question 10

Answer 10

Question 11

Answer 11

AMI

Question 12

Answer 12

remote MI (older)

Question 13

Answer 13

Remote MI

Question 14

coagulative necrosis

Answer 14

Question 15

Answer 15

inflammatory cell infiltration (neutrophils first) 1-2 or 3 days

Question 16

Answer 16

neutrophil infiltration (1-2 or 3 days)

Question 17

Answer 17

macrophage infiltration, neovascularization (5-7 days)

Question 18

Answer 18

replacement of necrotic tissue w/ scar tissue (3-10 days)

Question 19

Answer 19

Ventricular Free Wall Rupture (hemopericardium, cardiac tamponade)

Complications most at risk during first 4-7 days.

Question 20

Answer 20

Ventricular Free Wall Rupture

Question 21

Answer 21

Ventricular Septal Rupture

Question 22

Answer 22

Papillary Muscle Rupture

Question 23

Answer 23

Ventricular Aneurysm, Mural Thrombi

Question 24

Answer 24

Ventricular Aneurysm, Mural Thrombi

Question 25

Answer 25

aortic atherosclerosis

Question 26

Answer 26

aortic atherosclerosis

Question 27

Answer 27

aortic atherosclerosis

Question 28

Answer 28

abdominal aortic aneurysm

(infrarenal, most common site of aneurysm)

Question 29

Answer 29

Aortic dissection,

type A (ascending aorta, more severe, req sx), type B (descending, less severe, possibly managed medically)

Question 30

Answer 30

Aortic dissection,

most common site of intimal tear/dissection is the

proximal ascending aorta (poor prognosis, leads to hemopericardium/tamponade)

Question 31

Answer 31

Aortic dissection

Question 32

Answer 32

Aortic dissection