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Pathology (F) > Vascular system > Flashcards

Vascular system Flashcards

1
Q

Invasion of BV by fungi and bacteria that can cause BV rupture, infarction

A

Mycotic aneurysm

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2
Q

Berry aneurysms usually occur where

A

ACom

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3
Q

Sudden OCCIPITAL h/a

Ety of worst h/a of my life

A

Berry aneurysm

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4
Q

w/ obliterative endarteritis (invasion of vasa vasorum);
M, 40-55 y/o
May lead to aortic v. regurg
(+) chancre

A

Syphilitic aneurysm

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5
Q

Dissection of blood along laminar pts of tunica media
Usually w/in 10 cm of aortic v.
40-60 y/o, M
Assoc w/ Ehler-Danlos and Marfan syndrome
Histo: cystic medial degeneration

A

Aortic dissection

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6
Q

Autosomal dominant
Aortic dissection
Mitral v. prolapse
Defect in fibrillin gene due to missense mutation

A

Marfan syndrome

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7
Q

Aortic dissection
Hyperextensible skin d/t Collagen III defect
Inc tendency to bleed

A

Ehlers-Danlos syndrome

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8
Q

> 50, obese, pregnant, prolonged standing, OC

NOT lead to thromboembolism

A

Varicose veins

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9
Q

Most common location of phlebothrombosis

A

Deep calf vein

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10
Q

(+) Homan’s sign (pain on dorsiflexion)
Orange d/c and ischemic ulcers around ankles
d/t stasis of blood flow

A

Phlebothrombosis

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11
Q

Causes of thrombophlebitis

A

IV cannulation
Staph aureus infx
Pancreatic CA

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12
Q

Syndrome 2ndary to lung CA or lymphoma
(+) Puffiness, cyanosis of head, neck, arm
Comp: stroke

A

SVC syndrome

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13
Q

Syndrome 2ndary to neoplasm or thrombus

(+) leg edema, massive proteinuria

A

IVC syndrome

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14
Q

Most common cause of thoracic outlet obstruction

A

Spastic anterior scalene muscles

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15
Q

DX text for thoracic outlet syndrome

A

Adson test

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16
Q

Microorganism assoc w/ lymphagitis

A

GABHS

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17
Q

Females
Puberty
lymphedema involves lower pt of body

A

Lymphedema praecox

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18
Q

Pattern of arteriosclerosis involving >50 y/o
(+) Ca deposits
No sx

A

Monckenberg medial calcific sclerosis

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19
Q

Variant of arteriosclerosis assoc w/ long standing HPN and DM
Seen in benign nephrosclerosis

A

Hyaline variant

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20
Q

Variant of arteriolosclerosis with concentric hypertrophy

Characteristic of malignant HPN

A

Hyperplastic variant

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21
Q

Bacteria causing PNM assoc w/ atherosclerosis

A

Chlamydia

22
Q

Most common site of atherosclerosis

A

Abdominal aorta

23
Q

Most common location of atherosclerosis in small bowel infarction

A

Superior mesenteric a.

24
Q

Most common location of atherosclerosis in stroke

A

MCA

25
Q

Most common location of atherosclerosis in MI

A

LAD

26
Q

Most common cause of 2ndary HPN in elderly men

A

Renal a. atherosclerosis

27
Q

Most common cause of 2ndary HPN in women

A

Fibromuscular dysplasia

28
Q

Most common CV defect causing 2ndary HPN

A

Coarctation of the aorta

29
Q

ANCA assoc w/ Churg-Strauss syndrome, microscopic polyangitis
Ab against myeloperoxidase

A

p-ANCA

30
Q

ANCA assoc w/ Wegener’s granulomatosis

Ab against Proteinase-3

A

c-ANCA

31
Q 
F=M, >50 y/o, Nordic
Nodular intimal thickening
Affects temporal, ophthalmic a.
Polymyalgia rheumatica
Unilat temporal h/a, blindness
Jaw claudication
A

Temporal (giant cell) arteritis

32
Q 
Young, Asian
Absent/ weakened UE pulses
>10 mmHg BL diff b/w arms
Fever, night sweats
Arthritis, myalgia
Skin nodules
Ocular disturbances
A

Takayasu arteritis

33
Q 
Segmental transmural necrotizing inflamm of small to med a. of varied ages
HBsAg (+)
Young adults
Affect renal a.
Spares pulmo a.
A

Polyarteritis nodosa

34
Q 
Most common acquired heart dse.
Involves coronary a.
Strawberry tongue
Edema and desquamation
PAN-like w/ less fibrinoid necrosis
A

Kawasaki disease

35
Q

Diseases in w/c ASA can be given to children

A

Kawasaki
RF
JRA

36
Q

Affect both renal and pulmo a.
Precipitated by drug (penicillin), infx and immune d/o (SLE)
Tx: removal of offending agent

A

Microscopic polyangitis

37
Q 
Allergic granulomatosis
(+) eosinophilic necrosis
affects pulmo a.
spares renal a.
Tx: steroids
A

Churg-Strauss syndrome

38
Q

Triad of Wegener Granulomatosis

A

Necrotizing:
granulomas
vasculitis
glomerulitis (crescentic)

39
Q

4 C’s of Wegener granulomatosis

A

c-ANCA
Crescentic GN
Cyclophosphamide
Corticosteroids

40
Q

Largest single type of vascular tumor
Regresses by age 7
Closely packed, thin-walled capillaries

A

Capillary hemangioma

41
Q

Most common benign tumor of liver and spleen
component of Von-Hippel-Lindau dse
Large, cavernous blood-filled vascular spaces

A

Cavernous hemangioma

42
Q

Polypoid form of capillary hemangioma

Bleeds easily

A

Pyogenic granuloma/

Lobular capillary hamangioma

43
Q

Blister-like blebs filled with exudate in the head, neck, and axilla
Analogous to capillary hemangioma

A

Capillary lymphagioma

44
Q

Occurs in the neck (esp Turners) and axilla
Poor margins
Analogous to cavernous hemangioma

A

Cavernous lymphagioma

45
Q

Benign but painful tumor affect the glomus body

Aggregates, nests, masses of specialized glomus cells

A

Glomangioma

46
Q

Ordinary birthmark, dilation of dermal vessels

Port Wine stains

A

Nevus flammeus

47
Q

Widely distributed spider telangiectatisus in skin, MM of mouth, lips, resp, GUT and GIT
autosomal dominant

A

Osler-Weber-Rendu syndrome

Hereditary hemorrhagic telangiectasia

48
Q

What virus is assoc w/ Kaposi sarcoma?

A

HHV-8

49
Q

Assoc w/ arsenic, PVC, and thorotrast

A

Hepatic angiosarcoma

50
Q

Staghorn vascular pattern

Derived from pericytes

A

Hemangiopericytoma

51
Q

Male, >50 y/o
Asymptomatic, otherwise abrupt tearing abd pain
Inc risk of MI
Location below renal a.

A

Abdominal aortic aneurysm

Pathology (F) (20 decks)

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