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</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</p> Signup and view all the answers

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

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

    What causes the development of arteriole hyalinosis or arteriolosclerosis?

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

    In which arteries does elastofibrosis and stenosing atherosclerosis occur?

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

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

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

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

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

    What leads to hypertrophied heart cavities in hypertension?

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

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

    <p>Atherosclerosis</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</p> Signup and view all the answers

    Which symptom is a characteristic sign of a hypertensive crisis?

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

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

    <p>Death</p> Signup and view all the answers

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

    <p>Arteriolonecrosis</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</p> Signup and view all the answers

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

    <p>Edema</p> Signup and view all the answers

    What is the outcome of arteriole hyalinosis in the kidneys?

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

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

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

    What is the prevalence of malignant hypertension currently?

    <p>Rare</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</p> Signup and view all the answers

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

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

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

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

    What is a characteristic of hypervolemic hypertension?

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

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