Arteriosclerosis vs Atherosclerosis

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Questions and Answers

What is the main cause of ischemic necrosis in cells?

  • Deficient blood flow to the cells (correct)
  • Overexposure to oxygen
  • Excessive blood flow to the cells
  • A surplus of nutrients

Where are atherosclerotic lesions predominantly found?

  • In the abdominal aorta and coronary arteries (correct)
  • In the brain and spinal cord
  • In the lungs and kidneys
  • In the liver and spleen

What is the main effect of nicotine in tobacco on blood flow?

  • Increases blood flow to the extremities
  • Decreases blood flow to the extremities (correct)
  • Has no effect on blood flow
  • Causes irregular blood flow

How does carbon monoxide affect the tissues in the body?

<p>It deprives the tissues of oxygen (A)</p> Signup and view all the answers

What is the impact of diabetes on peripheral artery disease (PAD)?

<p>It increases the overall risk of PAD (C)</p> Signup and view all the answers

What is a sensitive marker of cardiovascular inflammation?

<p>C-reactive protein (CRP) (D)</p> Signup and view all the answers

What happens to fatty streaks over time?

<p>They develop into fibrous plaques (C)</p> Signup and view all the answers

What are the main components of fibrous plaques?

<p>Collagen fibers, plasma components, and lipids (D)</p> Signup and view all the answers

What is collateral circulation?

<p>The rerouting of blood flow around an obstruction (B)</p> Signup and view all the answers

What is the effect of cessation of nicotine product use on atherosclerosis risk?

<p>Significant decrease in atherosclerosis risk (B)</p> Signup and view all the answers

What has hyperhomocysteinemia been positively correlated with in some studies?

<p>Peripheral, cerebrovascular, and coronary artery disease (B)</p> Signup and view all the answers

How does homocysteine promote coagulation?

<p>By increasing factor V and factor XI activity while depressing protein C activation and increasing the binding of lipoprotein(a) in fibrin (B)</p> Signup and view all the answers

What has been reported to reduce serum homocysteine levels?

<p>Folic acid and vitamin B12 (A)</p> Signup and view all the answers

What is the impact of using B complex vitamins to reduce cardiovascular disease in patients with PAD?

<p>It is not recommended (A)</p> Signup and view all the answers

What effect does homocysteine have on thrombin formation?

<p>Increases thrombin formation (C)</p> Signup and view all the answers

What does homocysteine do to the binding of lipoprotein(a) in fibrin?

<p>Increases the binding of lipoprotein(a) in fibrin (C)</p> Signup and view all the answers

What has folic acid and vitamin B12 been reported to reduce?

<p>Serum homocysteine levels (A)</p> Signup and view all the answers

What is the impact of reducing serum homocysteine levels using folic acid and vitamin B12 on adverse cardiovascular events?

<p>It has no impact on adverse cardiovascular events (A)</p> Signup and view all the answers

What impact do B complex vitamins have on reducing cardiovascular disease in patients with PAD?

<p>Not recommended (D)</p> Signup and view all the answers

What effect does homocysteine have on protein C activation?

<p>Depresses protein C activation (D)</p> Signup and view all the answers

What is the most common disease of the arteries?

<p>Arteriosclerosis (B)</p> Signup and view all the answers

Which process affects the intima of large and medium-sized arteries?

<p>Atherosclerosis (B)</p> Signup and view all the answers

What are the accumulations on the intimal layer of the artery referred to as?

<p>Atheromas (D)</p> Signup and view all the answers

What are the most common direct results of atherosclerosis in arteries?

<p>Stenosis (narrowing) of the lumen (A)</p> Signup and view all the answers

What are the indirect results of atherosclerosis in arteries?

<p>Malnutrition and fibrosis (D)</p> Signup and view all the answers

Which disease is described as a diffuse process whereby the muscle fibers and the endothelial lining of the walls of small arteries and arterioles become thickened?

<p>Arteriosclerosis (C)</p> Signup and view all the answers

Which disease involves the accumulation of lipids, calcium, blood components, carbohydrates, and fibrous tissue on the intimal layer of the artery?

<p>Atherosclerosis (B)</p> Signup and view all the answers

What is a generalized disease of the arteries, usually present elsewhere in the body when it is present in the extremities?

<p>Atherosclerosis (C)</p> Signup and view all the answers

What process involves malnutrition and subsequent fibrosis of organs that sclerotic arteries supply with blood?

<p>Atheroscleorsis (C)</p> Signup and view all the answers

What accumulations are referred to as plaques?

<p>Plaques (A)</p> Signup and view all the answers

What is the key difference between arteriosclerosis and atherosclerosis?

<p>Atherosclerosis affects the intima of large and medium-sized arteries, while arteriosclerosis affects the walls of small arteries and arterioles. (C)</p> Signup and view all the answers

What are the main accumulations on the intimal layer of the artery referred to as?

<p>Atheromas (A)</p> Signup and view all the answers

Which disease is a generalized disease of the arteries, usually present elsewhere in the body when it is present in the extremities?

<p>Atherosclerosis (B)</p> Signup and view all the answers

What are the most common direct results of atherosclerosis in arteries?

<p>Obstruction by thrombosis (D)</p> Signup and view all the answers

What is the impact of reducing serum homocysteine levels using folic acid and vitamin B12 on adverse cardiovascular events?

<p>It reduces adverse cardiovascular events (D)</p> Signup and view all the answers

What has hyperhomocysteinemia been positively correlated with in some studies?

<p>Increased risk of cardiovascular disease (C)</p> Signup and view all the answers

What is collateral circulation?

<p>The formation of new blood vessels in response to blocked arteries (C)</p> Signup and view all the answers

What process involves malnutrition and subsequent fibrosis of organs that sclerotic arteries supply with blood?

<p>Arteriosclerosis (A)</p> Signup and view all the answers

What is the main cause of ischemic necrosis in cells?

<p>Obstruction by thrombosis (B)</p> Signup and view all the answers

What impact do B complex vitamins have on reducing cardiovascular disease in patients with PAD?

<p>They reduce the risk of cardiovascular disease (D)</p> Signup and view all the answers

What is the main cause of ischemic necrosis in cells?

<p>Decreased oxygen levels (D)</p> Signup and view all the answers

Where are atherosclerotic lesions predominantly found?

<p>Coronary, popliteal, and internal carotid arteries (A)</p> Signup and view all the answers

What process involves malnutrition and subsequent fibrosis of organs that sclerotic arteries supply with blood?

<p>Diffuse process (B)</p> Signup and view all the answers

What is the impact of cessation of nicotine product use on atherosclerosis risk?

<p>Decreases the risk (A)</p> Signup and view all the answers

What is a sensitive marker of cardiovascular inflammation?

<p>C-reactive protein (CRP) (A)</p> Signup and view all the answers

What does homocysteine do to the binding of lipoprotein(a) in fibrin?

<p>Increases its binding (C)</p> Signup and view all the answers

What has been reported to reduce serum homocysteine levels?

<p>Folic acid and vitamin B12 (C)</p> Signup and view all the answers

What are the main components of fibrous plaques?

<p>Smooth muscle cells, collagen fibers, plasma components, and lipids (C)</p> Signup and view all the answers

What is collateral circulation?

<p>Rerouting of blood flow around an obstruction in arteries (D)</p> Signup and view all the answers

What is a generalized disease of the arteries, usually present elsewhere in the body when it is present in the extremities?

<p>Atherosclerosis (B)</p> Signup and view all the answers

What effect does carbon monoxide have on the tissues in the body?

<p>Deprives the tissues of oxygen (D)</p> Signup and view all the answers

What is the impact of using B complex vitamins to reduce cardiovascular disease in patients with PAD?

<p>It has no impact on reducing cardiovascular disease (B)</p> Signup and view all the answers

What impact do B complex vitamins have on reducing cardiovascular disease in patients with PAD?

<p>They have no impact on reducing cardiovascular disease (B)</p> Signup and view all the answers

What has folic acid and vitamin B12 been reported to reduce?

<p>Serum homocysteine levels (B)</p> Signup and view all the answers

What happens to fatty streaks over time?

<p>They develop into fibrous plaques or atheromas (C)</p> Signup and view all the answers

What are the indirect results of atherosclerosis in arteries?

<p>Reduced blood flow and ischemia (D)</p> Signup and view all the answers

What is the effect of cessation of nicotine product use on atherosclerosis risk?

<p>It leads to a gradual reduction in atherosclerosis risk (B)</p> Signup and view all the answers

What does homocysteine do to the binding of lipoprotein(a) in fibrin?

<p>It increases the binding of lipoprotein(a) in fibrin (C)</p> Signup and view all the answers

What is the main cause of ischemic necrosis in cells?

<p>Reduced blood flow and ischemia (B)</p> Signup and view all the answers

What is collateral circulation?

<p>The development of new blood vessels to bypass blocked arteries (D)</p> Signup and view all the answers

What are the accumulations on the intimal layer of the artery referred to as?

<p>Fibrous plaques or atheromas (A)</p> Signup and view all the answers

What has hyperhomocysteinemia been positively correlated with in some studies?

<p>Increased risk of peripheral, cerebrovascular, and coronary artery disease as well as venous thromboembolism (VTE) (D)</p> Signup and view all the answers

What is the main effect of nicotine in tobacco on blood flow?

<p>Constriction of blood vessels leading to reduced blood flow (D)</p> Signup and view all the answers

Which process affects the intima of large and medium-sized arteries?

<p>Atherosclerosis (B)</p> Signup and view all the answers

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Study Notes

Cardiovascular Disease

  • The main cause of ischemic necrosis in cells is inadequate blood supply.

Atherosclerosis

  • Atherosclerotic lesions are predominantly found in the intimal layer of large and medium-sized arteries.
  • Fatty streaks develop into fibrous plaques over time.
  • Fibrous plaques consist of lipids, calcium, blood components, carbohydrates, and fibrous tissue.
  • Atherosclerosis can lead to ischemic necrosis, heart attack, and stroke.

Nicotine and Blood Flow

  • Nicotine in tobacco reduces blood flow.

Carbon Monoxide

  • Carbon monoxide reduces oxygen delivery to tissues in the body.

Diabetes and PAD

  • Diabetes increases the risk of peripheral artery disease (PAD).

Inflammation

  • C-reactive protein is a sensitive marker of cardiovascular inflammation.

Homocysteine

  • Hyperhomocysteinemia has been positively correlated with cardiovascular disease in some studies.
  • Homocysteine promotes coagulation by promoting thrombin formation.
  • Homocysteine inhibits protein C activation.
  • Homocysteine alters the binding of lipoprotein(a) in fibrin.
  • Folic acid and vitamin B12 reduce serum homocysteine levels.
  • Reducing serum homocysteine levels using folic acid and vitamin B12 reduces adverse cardiovascular events.

Arterial Disease

  • Arteriosclerosis is a diffuse process affecting the intima of large and medium-sized arteries.
  • Atherosclerosis involves the accumulation of lipids, calcium, blood components, carbohydrates, and fibrous tissue on the intimal layer of the artery.
  • Peripheral artery disease (PAD) is a generalized disease of the arteries, usually present elsewhere in the body when it is present in the extremities.
  • Ischemic malnutrition and subsequent fibrosis of organs supplied by sclerotic arteries is a consequence of atherosclerosis.

Circulation

  • Collateral circulation is the development of new blood vessels to compensate for blocked arteries.

Miscellaneous

  • The main components of fibrous plaques are lipids, calcium, blood components, carbohydrates, and fibrous tissue.
  • The accumulations on the intimal layer of the artery are referred to as plaques.
  • The key difference between arteriosclerosis and atherosclerosis is the accumulation of substances on the intimal layer in atherosclerosis.

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