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AHN 572 CV 2 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++

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AHN 572 CV 2 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++ Sample some practice questions 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 most commonly occur In the media layer 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 artery Intima (innermost), media, adventitia (outermost) Dissecting aneurysm pathology Tear in intima of vessel allowing blood to accumulate into the media Severity of ruptured aneurysm Life threatening bleeding requiring immediate repair Common risk factors for dissection/aneurysm Atherosclerotic disease (most common), trauma, marfans syndrome, bicuspid aortic valve, copd, tobacco, htn, family hx How many leaflets in aortic valve 3 Where do 90% of abdominal aortic aneurysms occur Infrarenal also have a 4:1 male predominance Thoracic Aneurysms Obviously in the thoracic cavity. Ascending AO, AO arch, descending AO What is cascade screening and why is it important in AA First degree relatives are likely to also have one especially brothers Class 1 recommendations of who gets AAA screening US Men 65 who have a family history of AAA or who have ever smoked Women 65 who have a family history of AAA Strongest risk factors for AAA Smoking history, older age, male sex, family hx of AAA What is an LDH test Lactate dehydrogenase (indicated hemolysis into the false lumen) What is the AAA gold standard for diagnosis vs screening D: CT S: Abdominal US 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: TAA or AAA BP control, lipid control, stop smoking, anti platelet therapy BP goal of pt with TAA or AAA SBP 130 and DBP 80 BB are first line AAA screening Q3 years US 3.0-3.9cm AAA annual US size Men: 4-4.9cm Women: 4.0-4.4cm AAA Q6 month size M: 5cm W4.5cm When to operate on aortic root & ascending aortic Aneurysm - Multiple symptoms related to aneurysm - Asymptomatic patients with a max diameter 5.5 -Patients with aneurysm of the aortic root 5.5cm w/ a growth rate of .3cm in 2 consecutive years or .5cm in 1 year TAA surgical repair reccomendations - intact descending 5.5cm - intact w risk for rupture 5.5cm - growth .5cm/yr AAA surgical reccomendations - unruptured 5.5 in men 5 in women DeBakey I vs II I: tear in ascending aortic arch which propagates into the descending II: confined to ascending aorta DeBakey III Originated in the descending and propagates distal Mortality of acute AA 1-2% /hr if not treated immediately Horner syndrome -Ptosis: -Miosis: pupil constricting -Anhydrosis: no sweat Cause of Horner Syndrome Sympathetic chain compression by AAA HR and BP goal in acute management of aortic disease SBP: 120 HR: 60-80 Medications for acute management of aortic disease 1: BB's 2: non-dihydropyridine if intolerant or contraindicated 3: Nipride if the former two are ineffective Other: pain meds/comfort

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6/25/25, 11:19
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AHN 572 CV 2 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++

Sample some practice questions

Learn 1/7 Study with Learn




Where do aneurysms most commonly occur



Choose matching definition



1In the adventitia layer 2In the media layer




3Severe symptoms of vhd 4In the endothelium




Don't know?




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

https://quizlet.com/jp/1007243664/ahn-572-cv-2- 1/
flash-cards/ 11

, 6/25/25, 11:19
AM
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-
https://quizlet.com/jp/1007243664/ahn-572-cv-2- 2/
flash-cards/ 11

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