Fatty Streak Formation

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Questions and Answers

Which of the following events initiates the process of increased endothelial permeability in fatty streak formation?

  • Phagocytosis of LDLs
  • Systemic inflammation
  • Endothelial cell injury (correct)
  • Elevated levels of LDLs

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

  • They produce fibrous cap over the plaque
  • They recruit additional inflammatory cells
  • They invade the intima and proliferate
  • They differentiate into macrophages and phagocytose LDLs (correct)

Which of the following components is recruited in response to inflammatory signals during plaque growth?

  • all the above (correct)
  • Platelets
  • T lymphocytes
  • Dendritic cells

What is the main function of vascular smooth muscle cells during plaque growth?

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

What is the term used to describe the stage of atherosclerosis where the necrotic plaque core is initially covered by a fibrous cap and endothelial cells?

<p>Complex plaque (Atheroma) (B)</p> Signup and view all the answers

What is the main cause of vascular lumen narrowing in atherosclerosis?

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

What is the underlying cause of coronary, cerebral, and peripheral vascular disease?

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

What is the main component of plaques formed in atherosclerosis?

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

What initiates the recruitment of monocytes to the intima in atherosclerosis?

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

What is the term used to describe the process of cholesterol accumulation in the evolving lesion during atherosclerosis?

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

Which of the following factors can contribute to the progression of vessel narrowing?

<p>All of the above (D)</p> Signup and view all the answers

What can cause the rapid formation of a large thrombus that completely occludes the artery?

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

Which cells favor fortification of the fibrous cap in plaques?

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

What can weaken the fibrous cap of a plaque and predispose it to rupture?

<p>Matrix metalloproteinases (MMP) (D)</p> Signup and view all the answers

What can lead to the formation of a vascular aneurysm downstream from a large atherosclerotic plaque?

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

What is the role of neovascularization in plaque development?

<p>It causes rapid expansion of the plaque (A)</p> Signup and view all the answers

What is the consequence of plaque rupture healing with fibrosis?

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

Which cells secrete collagen- and elastin-degrading matrix metalloproteinases (MMP) in response to inflammatory cytokines?

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

What is the role of matrix metalloproteinases (MMP) in plaque development?

<p>They weaken the fibrous cap (B)</p> Signup and view all the answers

What causes further changes in hemodynamic forces that increase wall tension in the presence of a large atherosclerotic plaque?

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

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