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AHN 572 CV 2 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
Sample some practice questions
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Where do aneurysms most commonly occur
Choose matching definition
1In the adventitia layer 2In the media layer
3Severe symptoms of vhd 4In the endothelium
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Terms in this set (189)
Aneurysm A defect in the anatomy of an artery resulting in
stretching, weakness, and ballooning out of
the arterial wall
Where do aneurysms In the media layer
most commonly occur
Function of media layer Responsible for the elasticity of the aorta (composed of
collagen and elastin)
Fusiform aneurysm Uniform shape that encompasses the entire diameter of
the vessel
Saccular aneurysm Involved ballooning of one side of the artery only
3 major layers of an Intima (innermost), media, adventitia (outermost)
artery
Dissecting aneurysm Tear in intima of vessel allowing blood to accumulate
pathology into the media
Severity of ruptured Life threatening bleeding requiring immediate repair
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aneurysm
Common risk factors for Atherosclerotic disease (most common),
dissection/aneurysm trauma, marfans syndrome, bicuspid aortic
valve, copd, tobacco, htn, family hx
How many leaflets in 3
aortic valve
Where do 90% of Infrarenal also have a 4:1 male predominance
abdominal aortic
aneurysms occur
Thoracic Aneurysms Obviously in the thoracic cavity. Ascending AO, AO
arch, descending AO
What is cascade First degree relatives are likely to also have one
screening and why is it especially brothers
important in AA
Class 1 recommendations Men >65 who have a family history of
of who gets AAA AAA or who have ever smoked Women
screening US >65 who have a family history of
AAA
Strongest risk factors for Smoking history, older age, male sex, family hx of AAA
AAA
What is an LDH test Lactate dehydrogenase (indicated hemolysis into the
false lumen)
What is the AAA gold D: CT
standard for diagnosis S: Abdominal US
vs screening
S/s of aneurysms Typically asymptomatic until expansion or rupture
Grey turners sign Flank bruising
TAA physical exam signs Ascending JVD, widening pulse pressure, HF
Risk reduction in pts w: BP control, lipid control, stop smoking, anti platelet
TAA or AAA therapy
SBP >130 and DBP >80
BP goal of pt with TAA
or AAA BB are first line
AAA screening Q3 years 3.0-3.9cm
US
AAA annual US size Men: 4-
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