Cardiovascular Pathologies Quiz
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Questions and Answers

What is the primary risk factor associated with the development of an aortic aneurysm?

  • Diabetes
  • Heart valve disease
  • Pulmonary disease
  • Hypertension (correct)

Which diagnostic method is most commonly used for screening for an aortic aneurysm?

  • CT Angiography
  • MRI
  • Ultrasound (correct)
  • Chest X-Ray

What is a characteristic symptom of arterial embolism or thrombosis?

  • Tingling in fingers
  • Unilateral leg swelling (correct)
  • Warm skin
  • Fever

What immediate treatment is recommended for Giant Cell Arteritis?

<p>High-dose corticosteroids (D)</p> Signup and view all the answers

Which symptom is NOT typically associated with Aortic Dissection?

<p>Bilateral leg pain (A)</p> Signup and view all the answers

What is a common diagnostic tool used for identifying Deep Venous Thrombosis?

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

Which symptom is most closely associated with Aortic Dissection?

<p>Severe tearing chest pain (A)</p> Signup and view all the answers

What immediate treatment is suggested for a Type A Aortic Dissection?

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

Which of the following is a characteristic sign of Giant Cell Arteritis?

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

What is the first-line treatment for an Arteriovenous Malformation that is symptomatic?

<p>Surgery or embolization (D)</p> Signup and view all the answers

Flashcards

Aortic Aneurysm

Dilation of the aorta exceeding 50% of normal diameter.

Arterial Embolism/Thrombosis

Sudden blockage of an artery by a clot or embolus.

Deep Venous Thrombosis (DVT)

Blood clot in a deep vein, often in the legs.

Giant Cell Arteritis

Chronic inflammation of large and medium arteries, linked to PMR.

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Peripheral Artery Disease (PAD)

Narrowing of arteries by plaque, leading to poor blood flow.

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What does a widened mediastinum on CXR suggest?

It may indicate an aortic dissection, a serious condition where a tear in the aorta's inner layer creates a false lumen.

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What are the classic symptoms of an aortic dissection?

Severe tearing chest or back pain, a difference in blood pressure between arms, and a weak pulse in one arm.

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What are the 6 Ps of acute arterial occlusion?

The 6 Ps are pain, pallor, pulselessness, paresthesia, paralysis, and poikilothermia, indicating a compromised blood supply.

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What is the most common cause of an Arteriovenous Malformation (AVM)?

AVMs occur when an artery abnormally connects to a vein, causing a direct shunt that can lead to issues like seizures, bleeding, or bruits.

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How is DVT diagnosed?

Venous ultrasound (US) and D-dimer blood test help confirm the presence of a deep vein thrombosis, a clot in a deep vein, usually in the legs.

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Study Notes

Aortic Aneurysm

  • Dilation of the aorta exceeding 50% of its normal diameter.
  • Risk factors include atherosclerosis, smoking, and hypertension.
  • Often asymptomatic, but rupture causes severe back or abdominal pain, and hypotension.
  • Diagnosis: Ultrasound (screening), CT/MRI (pre-operative planning).
  • Treatment: Monitoring if the aneurysm is 5.5 cm or smaller and not causing symptoms.

Aortic Dissection

  • A tear in the inner lining (intima) of the aorta, creating a false lumen.
  • Characterized by severe tearing chest or back pain, pulse deficits, and blood pressure discrepancies between arms.
  • Chest X-ray: widened mediastinum; CT angiography: intimal flap.
  • Treatment: Type A (ascending): emergent surgery; Type B (descending): medical (beta-blockers, nitroprusside).

Arterial Embolism/Thrombosis

  • Acute blockage of an artery by a clot (thrombus) or embolus.
  • Six "Ps" of presentation: pain, pallor, pulselessness, paresthesia, paralysis, and poikilothermia (a change in body temperature).
  • Diagnosis: Doppler ultrasound, CT angiography.
  • Treatment: anticoagulation (heparin), thrombectomy, thrombolysis.

Arteriovenous Malformation

  • Abnormal connection between an artery and a vein.
  • Symptoms vary by location and can include seizures, bleeding, and bruits (abnormal sounds).
  • Diagnosis: Magnetic resonance imaging (MRI), angiography.
  • Treatment: observation if asymptomatic; surgery or embolization if symptomatic.

Deep Venous Thrombosis

  • Clot formation in deep veins, most commonly in the lower extremities.
  • Presents with unilateral leg swelling, pain, redness (erythema), and warmth.
  • Diagnosis: venous ultrasound, D-dimer blood test.
  • Treatment: anticoagulation (heparin initially, followed by warfarin or direct oral anticoagulants- DOACs).

Giant Cell Arteritis

  • Chronic inflammation of large and medium-sized blood vessels, often associated with polymyalgia rheumatica (PMR).
  • Symptoms: headache, jaw pain/difficulty chewing (claudication), vision loss, and scalp tenderness.
  • Diagnosis: elevated erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), temporal artery biopsy.
  • Treatment: high-dose corticosteroids, administered immediately.

Peripheral Artery Disease

  • Atherosclerosis causing narrowing of arteries in the periphery, resulting in ischemia (reduced blood flow).
  • Common symptom: intermittent claudication (pain with exercise), decreased pulses, cool extremities.
  • Diagnosis: Ankle-Brachial Index (ABI).

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Description

Test your knowledge on major cardiovascular issues such as aortic aneurysms, dissections, and arterial embolisms. This quiz covers definitions, symptoms, diagnostic methods, and treatments related to these conditions. Perfect for students of medicine and healthcare professionals.

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