Hypertonic Disease Overview

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Questions and Answers

What is the primary clinical sign of Hypertonic disease?

  • A transient increase in blood pressure
  • A transient decrease in blood pressure
  • A prolonged and persistent increase in blood pressure (correct)
  • A prolonged and persistent increase in heart rate

Who described Hypertonic disease as a 'disease of unreacted emotions'?

  • Dr. Maria Garcia
  • Dr. John Smith
  • Dr. Robert Johnson
  • Dr. G.F. Lang (correct)

What is Hypertonic disease most closely associated with?

  • Decreased tension in the psycho-emotional sphere
  • Economically developing countries
  • Economically developed countries experiencing all increasing tension in the psycho-emotional sphere (correct)
  • Rural living

Who is more likely to develop Hypertonic disease?

<p>Men in the second half of life (A)</p> Signup and view all the answers

How does Hypertonic disease differ from symptomatic hypertension?

<p>Symptomatic hypertension is a secondary condition to many diseases (B)</p> Signup and view all the answers

Which of the following is NOT a typical sign of hypertension?

<p>Atherosclerosis in large arteries (D)</p> Signup and view all the answers

What causes the development of arteriole hyalinosis or arteriolosclerosis?

<p>Spasm of the vessel (B)</p> Signup and view all the answers

In which arteries does elastofibrosis and stenosing atherosclerosis occur?

<p>Arteries of the heart, brain, kidneys (A)</p> Signup and view all the answers

What happens to the mass of the heart in the later stages of hypertension?

<p>It can reach 900-1000 g (D)</p> Signup and view all the answers

What contributes to the development of dystrophic and necrobiotic changes in myocardial fibers?

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

Which clinical form is characteristic of hypertension and coronary heart disease?

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

What leads to hypertrophied heart cavities in hypertension?

<p>Eccentric myocardial hypertrophy (D)</p> Signup and view all the answers

Which condition of the arteries leads to the development of diffuse small-focal cardiosclerosis?

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

What is the underlying cause of secondary changes in organs due to hypertension?

<p>Arteriolo- and atherosclerotic vascular occlusion (A)</p> Signup and view all the answers

Which symptom is a characteristic sign of a hypertensive crisis?

<p>Plasma impregnation of arterioles (D)</p> Signup and view all the answers

What is the typical outcome of arteriolonecrosis of the kidneys in the absence of hemodialysis?

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

What is the morphological expression of malignant hypertension in the kidneys?

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

What is the result of insufficient blood supply and hypoxia in the kidneys in chronic benign hypertension?

<p>Atrophy of the tubular part of most nephrons (D)</p> Signup and view all the answers

What is the characteristic change in the optic nerve papilla in hypertension?

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

What is the outcome of arteriole hyalinosis in the kidneys?

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

What is the change in the adrenal glands in hypertension?

<p>Hyperplasia of the medulla and cortical layers (A)</p> Signup and view all the answers

What system plays a crucial role in the regulation of arterial pressure and is involved in the excretion of sodium and water?

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

What is the primary link in the genesis of essential hypertension according to the 'membrane theory'?

<p>Genetic defect in cell membranes (B)</p> Signup and view all the answers

What is the result of a hypertensive crisis in malignant hypertension?

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

What is the characteristic morphological manifestation of a hypertensive crisis?

<p>Corrugation of the basement membrane of the endothelium (C)</p> Signup and view all the answers

What is the prevalence of malignant hypertension currently?

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

What is the characteristic change in the heart during the preclinical stage of hypertension?

<p>Moderate compensatory hypertrophy of the left ventricle (B)</p> Signup and view all the answers

What is the role of hereditary factors in the pathogenesis of hypertension?

<p>Confirmed by experimental studies (D)</p> Signup and view all the answers

What is the result of a genetic defect in cell membranes according to the 'membrane theory'?

<p>Change in the contractile properties of vascular smooth muscles (C)</p> Signup and view all the answers

What is the role of the renal factor in the pathogenesis of hypertension?

<p>Closing the 'vicious circle' of hypertension (D)</p> Signup and view all the answers

What are some diseases of the central nervous system that can lead to symptomatic hypertension?

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

Which of the following is a disease of the endocrine system that can lead to symptomatic hypertension?

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

What role does psycho-emotional overstrain play in the development of hypertension?

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

Which of the following is a reflex factor that can lead to the development of hypertension?

<p>Both a and b (D)</p> Signup and view all the answers

Which of the following hormones is not involved in the regulation of blood pressure?

<p>None of the above (D)</p> Signup and view all the answers

What is the 'kidney switching' phenomenon that can lead to chronic arterial hypertension?

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

What is a prerequisite for the development of chronic arterial hypertension?

<p>Shift in the curve of dependence of the excretory function of the kidney on the value of systolic blood pressure towards its higher values (A)</p> Signup and view all the answers

What is a characteristic of hypervolemic hypertension?

<p>Increase in the mass of circulating blood (A)</p> Signup and view all the answers

Which of the following is not a vascular disease that can lead to symptomatic hypertension?

<p>None of the above (D)</p> Signup and view all the answers

What is the role of the hereditary factor in the development of hypertension?

<p>It plays a great role in the occurrence of hypertension (C)</p> Signup and view all the answers

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