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]]>1.] Arteriosclerosis is a general term used to include all conditions with thickening and hardening of the arterial walls.
2.] Following morphological entities are included under arteriosclerosis :-
SENILE ARTERIOSCLEROSIS :-
1.] It is the thickening of media and intima of the arteries seen due to the ageing in senile arteriosclerosis.
2.] The changes seen in senile arteriosclerosis is non – selective and it affects most of the arteries.
3.] Senile arteriosclerosis is caused by the stress and strain on the vessel walls during life.
4.] Following are the changes that occurs in the senile arteriosclerosis :
HYPERTENSIVE ARTERIOSCLEROSIS :
1.] Hypertension is the term used to describe an elevation in blood pressure.
2.] Arteriosclerosis is the term used to describe three morphological forms of vascular disease affecting arterioles and muscular arteries. These are as follows :
These above three mentioned types are common in hypertensive arteriosclerosis, but may cause by other reasons as well.
A.] HYALINE ARTERIOSCLEROSIS :
B.] HYPERPLASTIC ARTERIOSCLEROSIS :
C.] NECROTISING ARTERIOSCLEROSIS :
MÖNCKEBERG’S ARTERIOSCLEROSIS :-
MULTIPLE CHOICE QUESTIONS :-
1.] Mönckeberg’s calcific sclerosis affects the medium sized muscular arteries by involving the structure of ?
a. Intima
b. Media
c. Adventitia
d. All of the above
2.] In malignant hypertension hyperplastic arteriosclerosis is seen in all except?
a. Heart
b. Kidney
c. Pericardial fat
d. Peri pancreatic fat
3.] Medial calcification is seen in ?
a. Atherosclerosis
b. Arteriosclerosis
c. Mönckeberg’s sclerosis.
d. Dissecting aneurysm
4.] Onion skin thickening of anterior wall is seen in ?
a. Atherosclerosis
b. Median calcific sclerosis
c. Hyaline arteriosclerosis
d. Hyperplastic arteriosclerosis
5.] Commonest histological finding in benign hypertension ?
a. Proliferating endartheritis
b. Necrotising arteriolitis
c. Hyaline arteriosclerosis
d. Cystic medial necrosis
6.] Which of the following is the common histological finding in benign hypertension ?
a. Proliferative end aterititis
b. Necrotising arteriolitis
c. Hyaline arteriosclerosis
d. Cystic medial necrosis
7.] Hallmark feature of hyaline arteriosclerosis ?
a. Hylaine arteriosclerosis
b. Cystic medial necrosis
c. Fibrinoid necrosis
d. Hyperplastic arteriosclerosis
8.] Which of the following cells provide major proliferative stimuli for the cellular component of atherosclerosis plaques ?
a. Neutrophils
b. Eosinophils
c. Platelet
d. Erythrocytes
9.] Accelerated phase of hypertension is characterized microscopically by ?
a. Fibrinoid necrosis of anterior wall
b. Hyaline arteriosclerosis
c. Elastosis of intima
d. Marked calcification the media.
10.] Vascular pathology of benign hypertension include ?
a. Segmental fibrinoid necrosis
b. Hyaline arteriosclerosis
c. Periarteries
d. Loss of internal elastic lamina
SOLUTION :-
1.] (b) media
2.] (a) heart
3.] (c) Mönckeberg’s sclerosis
4.] (d) Hyperplastic arteriosclerosis
5.] (c) Hyaline arteriosclerosis
6.] (c) Hyaline arteriosclerosis
7.] (a) Hyaline arteriosclerosis
8.] (c) Platelets
9.] (a) Fibrinoid necrosis of anterior wall
10.] (b) Hyaline arteriosclerosis
List of Successful GPATINDIAN CANDIDATES
REFERENCES :-
1.] Textbook Of Pathology By Harsh Mohan; 7th edition; Page no. 371 – 373.
2.] Robbin’s Basic Pathology; 5th edition; Page no. 488 – 489.
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