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Cardiovascular Pathophysiology exam 4

Total questions: 51

Worksheet time: 27mins

Name
Class
Date
1.

Arteriosclerosis is a chronic disease of the arterial system. What are the characteristics of arteriosclerosis?

a)

abnormal thickening and hardening of the vessel walls

b)

smooth muscle cells and collagen fibers migrate to the tunica intima

c)

decrease distensibility and inability to constrict/dilate the vessels

d)

may cause downstream ischemia, hypertension

e)

increase distensibility and inability to constrict/dilate the vessels

2.

Atherosclerosis is the most frequent and clinically important form of arteriosclerosis.

a)

true

b)

false

3.

_______________ is a form of arteriosclerosis characterized by thickening and hardening of arteries caused bay accumulation of lipid-laden macrophages in the arterial wall.

a)

Atherosclerosis

b)

orthostatic hypotension

c)

embolism

4.

Plaque development leads to _____________.

a)

atherosclerosis

b)

arteriosclerosis

5.

Atherosclerosis can cause ___________.

a)

aneurisms

b)

heart attacks

6.

Progression of which disease includes the following: inflammation of endothelium due to damage, cellular proliferation and LDL entry, macrophage migration, LDL oxidation (foam cell formation), fatty streak, fibrous plaque, complicated plaque

a)

atherosclerosis

b)

thrombus

c)

embolism

d)

arteriosclerosis

7.

What kind of risk factors for atherosclerosis are the following: genetics, age, sex

a)

nonmodifiable

b)

modifiable

8.

What kind of risk factors for atherosclerosis are the following: hyperlipidemia, hypertension, cigarette smoking, diabetes mellitus

a)

nonmodifiable

b)

modifiable

9.

What is another way to say orthostatic hypotension?

a)

postural hypotension

b)

cardiac hypertension

10.

Which measurement of blood pressure decreases when someone is affected by orthostatic (postural) hypotension?

a)

systolic

b)

diastolic

c)

neither

d)

both

11.

What is an aneurysm?

a)

local dilation or outpouching of a vessel wall or cardiac chamber

b)

a ruptured artery caused by excess plaque buildup

12.

Choose the true aneurisms from below

a)

fusiform

b)

circumferential

c)

ventricular rupture after MI contained by pericardial adhesion

d)

atherosclerotic aneurism

e)

syphilitic aneurism

13.

Choose the false aneurisms from below

a)

fusiform

b)

circumferential

c)

ventricular rupture after MI contained by pericardial adhesion

d)

congenital

14.

What is a thrombus?

a)

a blood clot that remains attached to the vessel wall

b)

a blot clot that breaks loose

c)

a blood clot that usually blocks veins in legs

15.

What is it called when a blood clot has broken loose?

a)

thrombus

b)

thromboembolism

c)

thrombophlebitis

16.

Which of the below is a clot that is blocking veins (usually in the legs)?

a)

thrombus

b)

thromboembolism

c)

thrombophlebitis

17.

Can an embolism be anything other than a blood clot such as an air bubble, amniotic fluid, aggregate of fat, bacteria, cancer cells, or a foreign substance?

a)

yes

b)

no

18.

Atherosclerotic disease of the arteries that perfuse the limbs; intermittent claudication (obstruction of arterial blood flow in the iliofemoral vessels resulting in pain with ambulation)

a)

peripheral artery disease

b)

thromboangitis obliterans (Buerger disease)

c)

Raynaud disease

19.

Occurs mainly in young men who smoke, inflammatory disease of peripheral arteries resulting in the formation of nonatherosclerotic lesions, obliterates the small and medium-sized arteries (decreased profusion of peripheral tissues)

a)

thromboangiitis obliterans (Buerger disease)

b)

peripheral artery disease

c)

Raynaud disease

20.

Causes pain, tenderness, and hair loss in the affected area; symptoms are caused by slow, sluggish blood flow; can often lead to gangrenous lesions

a)

peripheral artery disease

b)

thromboangitis obliterans (Buerger disease)

c)

Raynaud disease

21.

Episodic vasospasm in arteries and arterioles of the fingers, less commonly the toes; primary vasospastic disorder of unknown origin

a)

thrombangitis obliterans (Buerger disease)

b)

Raynaud disease

c)

Raynaud phenomenon

22.

Collagen vascular disease (scleroderma), smoking, pulmonary hypertension, myxedema, and environmental factors (cold and prolonged exposure to vibrating machinery); secondary to other systemic diseases or conditions

a)

Raynaud disease

b)

Raynaud phenomenon

c)

thromboangitis obliterans (Buerger disease)

23.

Any vascular disorder that narrows or occludes the coronary arteries (atherosclerosis is the most common cause)

a)

coronary artery disease

b)

Raynaud disease

c)

Raynaud phenomenon

d)

thromboangitis obliterans (Buerger disease)

24.

What are the following risk factors for: dyslipidemia, hypertension, cigarette smoking, diabetes mellitus, obesity/sedentary lifestyle

a)

coronary artery disease

b)

Raynaud disease

c)

thromboangitis obliterans

25.

Local, temporary deprivation of the coronary blood supply resulting in low oxygen supply

a)

myocardial ischemia

b)

Raynaud disease

c)

Buerger disease

26.

What are the following types of: stable angina, silent ischemia

a)

myocardial ischemia

b)

myocardial infarction

c)

transient ischemia

d)

unstable angina

27.

Which of the following are acute coronary syndromes?

a)

transient ischemia

b)

unstable angina

c)

sustained ischemia

d)

myocardial infarction

e)

myocardial inflammation and necrosis

28.

______________ is defined as sudden and extended obstruction of the myocardial blood supply, death of cardiac muscle from prolonged ischemia.

a)

myocardial infarction

b)

myocardial ischemia

c)

transient ischemia

d)

myocardial inflammation and necrosis

29.

What is the most common cause of myocardial infarction?

a)

atherosclerotic narrowing of the epicardial coronary arteries

b)

coronary emboli

c)

myocardial vessel inflammation

d)

vascular spasm

30.

Atherosclerotic narrowing of the epicardial coronary arteries is the most common cause of a myocardial infarction, however, this is usually in concert with what other triggering factors?

a)

acute plaque change

b)

thrombosis

c)

vasospasm

d)

coronary emboli

e)

myocardial vessel inflammation

31.

For a myocardial infarction to cause irreversible damage or necrosis, how much blood flow and time is needed?

a)

10% or less, 20-30 minutes

b)

20% or less, 45 minutes

c)

25% or less, about an hour

d)

10% or less, only 5 minutes

32.

Overall, _________ lead to cellular injury, cellular death, structural and functional changes (myocardial remodeling), and repair

a)

myocardial infarction

b)

myocardial ischemia

33.

What can heart attacks lead to?

a)

cardiomyopathies

b)

atherosclerosis

c)

arteriosclerosis

34.

Which subtype of cardiomyopathy is seen in congestive heart failure when heart is weakened causing low stroke volume, ventricles enlarge due to higher volume of blood pumped in from the venous system in order to increase stroke volume and cardiac output, results in inability for heart to constrict

a)

dilated cardiomyopathy (congestive cardiomyopathy)

b)

hypertrophic cardiomyopathy

c)

restrictive cardiomyopathy

35.

Which cardiomyopathy subtype generally occurs after an MI leading to increase in muscle tissue around ventricles due to tissue damage and leads to lower stroke volume?

a)

dilated cardiomyopathy (congestive cardiomyopathy)

b)

hypertrophic cardiomyopathy

c)

restrictive cardiomyopathy

36.

Which cardiomyopathy subtype is a condition where the chambers of the heart become stiff over time. The heart is able to squeeze well, not able to relax. makes it harder for the heart to fill with blood. Usually caused by amyloidosis: an abnormal buildup of protein in organs and tissues.

a)

dilated cardiomyopathy (congestive cardiomyopathy)

b)

hypertrophic cardiomyopathy

c)

restrictive cardiomyopathy

37.

What do cardiomyopathies lead to?

a)

disorders of the heart wall/pericardium

b)

coronary artery disease

c)

peripheral artery disease

38.

Causes of this are acute MI, complications from myocardial infarction, uremia, chest radiation, rheumatic fever, SLE, trauma, cardiac surgery, infections

a)

acute pericarditis

b)

pericardial effusion

c)

constrictive pericarditis

39.

The following are symptoms of this: loud pericardial friction rub, but fluid may prevent rubbing; sharp, pleuritic, position-dependent pain and fever (better sitting up and forward), ECG changes, possible HF

a)

acute pericarditis

b)

pericardial effusion

c)

constrictive pericarditis

40.

When abnormal fluids fill between pericardium and heart, a diagnosis of _________ is given.

a)

pericardial effusion

b)

acute pericarditis

c)

constrictive pericarditis

41.

Acute effusions have clinical consequences with 200-300mL of fluid, ruptured MI or aortic dissection. This compresses the heart, causing potentially fatal _________

a)

cardiac tamponade

b)

hemopericardium

42.

_____________ is the general term used to describe several types of cardiac dysfunction that result in inadequate perfusion of tissues with blood-borne nutrients.

a)

heart failure

b)

cardiac tamponade

43.

How many types of congestive heart failure are there?

a)

1

b)

2

c)

3

d)

4

44.

____________ heart failure is the inability of the heart to generate adequate cardiac output to perfuse tissues.

a)

systolic

b)

diastolic

45.

__________ heart failure is pulmonary congestion despite normal stroke volume and cardiac output.

a)

systolic

b)

diastolic

46.

Most commonly caused by a diffuse hypoxic pulmonary disease, can result from an increase in left ventricular filling pressure that is reflected back into the pulmonary circulation.

a)

right heart failure

b)

high-output failure

47.

Inability of the heart to supply the body with blood-borne nutrients, despite adequate blood volume and normal or elevated myocardial contractility.

a)

right heart failure

b)

high-output failure

48.

Coronary artery disease results from _________

a)

persistent parasympathetic nervous system stimulation of the heart

b)

the accumulation of fatty, calcified deposits within blood vessels

c)

temporary loss of oxygen to the heart

d)

incompetent venous valves

e)

scar tissue in the myocardium of the heart from repeated myocardial infarctions

49.

A clot attached to the wall of an artery is called ___________

a)

embolism

b)

aneursym

c)

thrombus

d)

none of the answers are correct

50.

A heart attack is also known as __________

a)

myocardial infarction

b)

myocardial hiccup

c)

myocardial malfunction

d)

pathophysiology exam

51.

______ is a condition where the chambers of the heart become stiff over time. The heart is able to squeeze well, not able to relax.

a)

dilated cardiomyopathy

b)

hypertonic cardiomyopathy

c)

restrictive cardiomyopathy