Atherosclerosis Quiz

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Questions and Answers

Which of the following is NOT a characteristic of an atheromatous plaque?

  • Increased blood flow (correct)
  • Vascular inflammation
  • Build up of lipids, cholesterol, calcium, and cellular debris
  • Endothelial dysfunction

What is the primary theory used to explain the development of atherosclerosis?

  • The response-to-injury hypothesis (correct)
  • The vascular permeability theory
  • The lipid accumulation theory
  • The inflammatory response theory

What is one consequence of endothelial cell dysfunction?

  • Reduced leukocyte adhesion
  • Increased blood flow
  • Decreased vascular permeability
  • Increased thrombosis (correct)

Which of the following is NOT a potential cause of endothelial cell injury?

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

What happens to the blood vessel once endothelial cell damage occurs?

<p>It becomes more impermeable to blood components (C)</p> Signup and view all the answers

What is the first step in the response-to-injury hypothesis?

<p>Endothelial cell injury (C)</p> Signup and view all the answers

What is the role of macrophages in the development of atherosclerosis?

<p>They release inflammatory mediators that contribute to plaque formation (C)</p> Signup and view all the answers

What is the potential consequence of atherosclerosis in the coronary arteries?

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

What is the consequence of plaque rupture in the arteries?

<p>Formation of a blood clot (C)</p> Signup and view all the answers

What does advanced atherosclerosis typically show?

<p>Crusting and ulceration of plaques (A)</p> Signup and view all the answers

Which region is commonly inspected for signs of atherosclerosis post-mortem?

<p>Thoracic or abdominal aorta (C)</p> Signup and view all the answers

What is one of the risks associated with advanced atherosclerotic plaques?

<p>They may cause mural thromboses (A)</p> Signup and view all the answers

What can happen if blood flow is blocked by a clot formed from plaque rupture?

<p>Interruption of nutrient supply (B)</p> Signup and view all the answers

What is one visual characteristic of mild atherosclerosis?

<p>Some raised irregularities or yellow streaks (A)</p> Signup and view all the answers

What is often noted about the fibrous cap of the plaque during progression of atherosclerosis?

<p>It can become thin and prone to rupture (D)</p> Signup and view all the answers

What is a characteristic feature of complicated plaques in advanced atherosclerosis?

<p>Presence of significant calcium (C)</p> Signup and view all the answers

What are the two predominant mechanical forces exerted by blood flow on blood vessel walls?

<p>Pressure and shear stress (C)</p> Signup and view all the answers

How does shear stress affect endothelial cells in blood vessels?

<p>It influences their function (A)</p> Signup and view all the answers

In what condition is blood flow considered laminar?

<p>When it is parallel to the vessel wall (B)</p> Signup and view all the answers

What happens to laminar flow when it transitions to turbulent flow?

<p>It becomes disturbed (C)</p> Signup and view all the answers

Which factor influences the levels of shear stress in blood vessels?

<p>Type of blood flow and vessel shape (B)</p> Signup and view all the answers

What is a primary consequence of endothelial dysfunction?

<p>Increased plaque formation (B)</p> Signup and view all the answers

Which of the following statements best describes turbulent blood flow?

<p>Flow pattern has oscillatory shear stress (B)</p> Signup and view all the answers

What does pressure do to vascular smooth muscle (VSM) cells?

<p>Stimulates muscle contraction (D)</p> Signup and view all the answers

What caused the significant reduction of blood flow to Mr. Jones' heart?

<p>Atherosclerosis leading to plaque rupture (C)</p> Signup and view all the answers

What is the primary composition of the plaque observed in Mr. Jones' coronary artery?

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

How does the lumen of Mr. Jones' diseased coronary artery compare to a healthy artery?

<p>It is abnormally small in diameter (B)</p> Signup and view all the answers

What event likely led to Mr. Jones’ acute myocardial infarction?

<p>Superimposed thrombus formation on plaque rupture (C)</p> Signup and view all the answers

Which of the following statements about Mr. Jones' coronary artery condition is incorrect?

<p>The plaque was entirely made up of healthy tissue (B)</p> Signup and view all the answers

What was a significant visual characteristic observed in the plaque during examination?

<p>It appeared dark and non-pink like the muscular wall (A)</p> Signup and view all the answers

What likely contributed to the strain on Mr. Jones’ heart in addition to restricted blood flow?

<p>Hypoxia caused by insufficient oxygen delivery (C)</p> Signup and view all the answers

Which pathway accurately describes the progression of Mr. Jones' cardiac condition?

<p>Plaque rupture -&gt; Thrombus formation -&gt; Myocardial infarction (C)</p> Signup and view all the answers

What do LDLs and VLDLs undergo that is significant in the progression of atherosclerosis?

<p>They get oxidized. (D)</p> Signup and view all the answers

What happens to monocytes during the progression of atherosclerosis?

<p>They transform into macrophages and enter the tunica intima. (C)</p> Signup and view all the answers

Which cells migrate into the tunica intima to contribute to foam cell formation?

<p>Smooth muscle cells (C)</p> Signup and view all the answers

At what stage does atherosclerosis begin to be clearly observable and can still be reversed?

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

What characterizes the final stage of atherosclerosis, specifically the atheromatous plaque?

<p>It is a complex structure with lipid accumulation and a fibrous cap. (A)</p> Signup and view all the answers

What lifestyle changes can reverse the formation of fatty streaks in atherosclerosis?

<p>Increased physical activity and healthy diet (D)</p> Signup and view all the answers

Which layer of the artery wall do smooth muscle cells migrate into during the atherosclerotic process?

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

What is the primary factor that leads to the formation of fatty streaks?

<p>Oxidized LDL and foam cells (B)</p> Signup and view all the answers

What indicates a potential risk of atherosclerosis in Mr. Jones' son?

<p>Presence of viscous yellow-white lipid in blood (C)</p> Signup and view all the answers

What is the triglyceride level recorded for Mr. Jones' son?

<p>160 mg/dL (A)</p> Signup and view all the answers

Which lipid level is considered high in Mr. Jones' son?

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

Which lipid marker shows the highest risk level in Mr. Jones' son?

<p>Low Density Lipoproteins (D)</p> Signup and view all the answers

Which statement reflects the findings from Mr. Jones’ son’s blood sample?

<p>Opaque lipid layer suggests abnormal lipid presence. (A)</p> Signup and view all the answers

What does a high level of Low Density Lipoproteins (LDL) generally suggest?

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

What does the presence of a semi-transparent serum in a healthy patient sample indicate?

<p>Normal lipid levels (D)</p> Signup and view all the answers

What is the significance of comparing Mr. Jones’ son’s blood results with reference tables?

<p>To determine the exact cause of increased lipid presence (D)</p> Signup and view all the answers

Flashcards

Coronary Arteries

Arteries supplying blood to the heart muscle; vulnerable to disease.

Atherosclerosis

A condition where arteries narrow due to plaque build-up.

Angina

Chest pain due to restricted blood flow to heart muscles.

Characteristics of Atheromatous Plaque

Includes endothelial dysfunction, inflammation, and lipid accumulation.

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Endothelial Dysfunction

Impairment of the endothelium, leading to vascular problems.

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Response-to-Injury Hypothesis

Theory that atherosclerosis is a healing response to endothelial injury.

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Endothelial Injury Causes

Hemodynamic forces, hyperlipidemia, hypertension, and toxins can cause injury.

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Vascular Inflammation

Inflammation of blood vessels contributing to atherosclerosis.

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LDL

Low-density lipoproteins that can become oxidized and contribute to atherosclerosis.

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VLDL

Very low-density lipoproteins that transport triglycerides and can be oxidized.

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Monocytes

White blood cells that transform into macrophages to engulf oxidized LDLs.

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Macrophages

Phagocytic cells that engulf oxidized LDLs and play a key role in atherosclerosis.

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Foam cells

Cells formed by macrophages engulfing oxidized LDLs, involved in atherosclerosis.

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Fatty streaks

Initial visual signs of atherosclerosis that are reversible with lifestyle changes.

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Atheromatous plaque

An irreversible lipid accumulation in the arterial wall, forming a plaque.

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Smooth muscle cells (SMC)

Muscle cells that migrate into the tunica intima and contribute to plaque formation.

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Hemodynamic Forces

Mechanical forces due to blood flow impacting endothelial cells.

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Endothelial Dysfunction Causes

Factors that can impair endothelial function include hemodynamic forces.

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Pressure in Blood Vessels

Force acting perpendicular to the vessel wall affecting vascular smooth muscle.

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Shear Stress

Force acting parallel to vessel walls, affecting endothelial cell function.

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Laminar Blood Flow

Smooth, regular blood flow parallel to the vessel walls.

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Turbulent Blood Flow

Irregular, disturbed flow typically found in branched or curved vessels.

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Types of Blood Flow

Includes laminar and turbulent flows with different shear stress levels.

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Effects of Shear Stress

Influences endothelial cell function and plays a role in vascular health.

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Fibrous Cap

Thin fibrous layer covering the plaque in arteries.

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Plaque Rupture

Breakdown of plaque leading to blood flow obstruction.

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Coronary Occlusion

Complete blockage of a coronary artery.

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Fibronecrotic Tissue

Tissue made of fibrin and necrotic materials found in plaques.

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Coronary Thrombus

Blood clot that forms in a coronary artery.

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Myocardial Infarction (MI)

Heart attack resulting from restricted blood flow.

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Lumen

Interior space of a blood vessel that should be large.

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Atheroma

Fatty deposit forming the core of the plaque in arteries.

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Blood Clot Formation

The process where blood cells aggregate at the site of a plaque rupture, potentially blocking blood flow.

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Atherosclerosis Progression

The gradual accumulation of plaque in arteries, leading to their narrowing and hardening.

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Mild Atherosclerosis

Early stage characterized by some raised irregularities and yellow streaks in arteries.

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Moderate Atherosclerosis

An intermediate stage with more pronounced plaque buildup affecting blood flow.

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Advanced Atherosclerosis

A severe stage with crusting, ulceration of plaques, and calcium buildup, leading to serious complications.

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Calcium in Plaque

Accumulation of calcium in plaques that makes them brittle and prone to rupture.

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Mural Thromboses

Blood clots that form on the wall of a blood vessel, often due to plaque rupture.

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Hyperlipidemia

An abnormal increase of lipids in the blood.

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At-risk for Atherosclerosis

Higher likelihood of developing artery blockage due to excess lipids.

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Blood Sample Analysis

Comparative examination of blood samples to diagnose conditions.

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Plasma Lipid Levels

Measurement of different fat components in blood plasma.

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Triglycerides (TG)

A type of fat found in your blood, measured for health risks.

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High Density Lipoproteins (HDL)

Good cholesterol that helps remove other forms of cholesterol from your bloodstream.

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Low Density Lipoproteins (LDL)

Bad cholesterol that can lead to plaque build-up in arteries.

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Total Cholesterol

The sum of all cholesterol levels in your blood, both good and bad.

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Study Notes

Module 02: Cardiovascular Disorders

  • This module focuses on cardiovascular diseases, specifically atherosclerosis and channelopathies.
  • It's designed to be used with online modules; the companion guide is supplementary.
  • Do not share the module companion guide with unauthorized students. This is a violation of Queens University's Academic Integrity Policy.

Table of Contents

  • Introduction to Module 02: Cardiovascular Disorders
  • Learning Outcomes
  • Module Assessments
  • Team-Based Learning Assignment #1
  • Course Icons, and Module Outline
  • Atherosclerosis Section (contains case studies, autopsy reports, questions, risk factors etc)
    • Case Presentation: Mr. Jones, and related autopsy reports.
    • Risk Factors for Atherosclerosis
    • The Response-to-Injury Hypothesis
    • Stable and Vulnerable Plaques
    • Development of Atherosclerotic Plaque
    • Progression of Aortic Atherosclerosis
  • Channelopathies Section (case studies, autopsy reports, etc):
    • Case Presentation: Benjamin
    • Benjamin's Autopsy Report, and Family History
    • Inheritable Cardiovascular Diseases
    • Genetic factors associated with Long QT Syndrome
    • Additional Considerations of Genetic Testing, and testing for Tianna

Introduction to Module 02

  • The cardiovascular system has three components: the heart, blood vessels, and blood.
  • This module explores pathologies in the heart and vasculature.
  • It includes sections on atherosclerosis and channelopathies.

Learning Outcomes

  • Students will be able to describe components relevant to understanding cardiovascular diseases.
  • Students will compare and contrast atherosclerosis and channelopathys.
  • Students will identify and explain testing approaches for cardiovascular diseases.
  • Students will apply their knowledge to a hypothetical scenario to describe a possible etiology, mechanism, testing approach, pathological findings and treatment for a cardiovascular condition.

Module Assessments

  • Includes a team-based learning assignment.
  • Includes a module-related assessment.

Course Icons

  • This module uses icons to guide learning.
  • The icons, descriptions of each, and function will vary throughout the course, module, and sections.

Important Considerations

  • Students should consult the online learning materials for any discrepancies between the guide and online materials.
  • Do not share the module guide with students who are not enrolled in PATH 310.

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