Hypertension and Blood Pressure Factors

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Questions and Answers

What is the primary factor that contributes to the pathogenesis of coronary heart disease and cerebrovascular accidents in individuals with hypertension?

  • Elevated diastolic pressure (correct)
  • Hypertensive heart disease
  • High sodium intake
  • Increased systolic pressure

What percentage of hypertension cases have an underlying renal or adrenal disease?

  • 90% to 95%
  • 5% (correct)
  • 5% to 10%
  • 1% to 2%

What is the term for hypertension that is characterized by a rapidly rising blood pressure that can lead to death within 1 or 2 years if left untreated?

  • Secondary hypertension
  • Accelerated hypertension (correct)
  • Essential hypertension
  • Benign hypertension

What is the typical course of hypertension in most individuals?

<p>Asymptomatic until late in its course (D)</p> Signup and view all the answers

What is the term for hypertension that has an unknown etiology?

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

What is the typical blood pressure range for benign hypertension?

<p>Diastolic pressure ≤ 110 mm Hg (D)</p> Signup and view all the answers

What is the characteristic diastolic pressure associated with the clinical syndrome of severe hypertension?

<p>120mmHg (D)</p> Signup and view all the answers

Which of the following is a genetic factor contributing to essential hypertension?

<p>Gene defects affecting enzymes involved in aldosterone metabolism (C)</p> Signup and view all the answers

What is a potential consequence of hypertension-associated degenerative changes in the walls of large and medium arteries?

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

Which of the following environmental factors is NOT implicated in modifying the expression of underlying genetic determinants of hypertension?

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

What is the fundamental defect in dilated cardiomyopathy?

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

What is the most common form of cardiomyopathy?

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

What is the name of the syndrome caused by mutations affecting proteins that influence sodium reabsorption?

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

In hypertrophic cardiomyopathy, what is the most pronounced site of myocardial hypertrophy?

<p>Left ventricle and interventricular septum (C)</p> Signup and view all the answers

Which of the following is a type of small blood vessel disease associated with hypertension?

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

What is the inheritance pattern of hypertrophic cardiomyopathy in about 50% of cases?

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

What is the characteristic feature of dilated cardiomyopathy in terms of morphology?

<p>Non-specific morphology with interstitial fibrosis (A)</p> Signup and view all the answers

What is the common complication of dilated cardiomyopathy?

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

What is the most common risk factor associated with deep brain parenchymal hemorrhages?

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

What is the characteristic of the heart in hypertension in Western countries?

<p>Concentric hypertrophy and coronary artery disease (D)</p> Signup and view all the answers

What is the clinicopathologic syndrome arising in the setting of malignant hypertension, characterized by diffuse cerebral dysfunction?

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

What is the outcome of effective control of hypertension in terms of hypertrophy and its associated risks?

<p>Prevention or regression of hypertrophy and its associated risks (B)</p> Signup and view all the answers

What is the characteristic of the heart in hypertension in Africa?

<p>Eccentric hypertrophy with congestive heart failure (B)</p> Signup and view all the answers

What is the percentage of deaths among individuals with chronic hypertension attributed to hypertension as a risk factor?

<p>15% (C)</p> Signup and view all the answers

What is the primary cause of myocardial injury in myocarditis?

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

Which of the following viruses is NOT a common cause of myocarditis?

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

What is the typical appearance of the myocardium in cases of myocarditis caused by bacteria?

<p>Containing frank abscesses (A)</p> Signup and view all the answers

What type of cells dominate the inflammatory infiltrate in acute viral myocarditis?

<p>Lymphocytes and other mononuclear cells (C)</p> Signup and view all the answers

What is the typical histologic appearance of the myocardium in patients with bacterial myocarditis?

<p>Containing a neutrophilic infiltrate (B)</p> Signup and view all the answers

What is the common outcome of myocyte degeneration and/or necrosis in myocarditis?

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

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