Pathology of Heart - DR.

Henny Sulastry, SpPA (K)

1. Physiological Factor Influence the Expression of Ischemia, except..
a. Energy requirements
b. Anerobic metabolism
c. Feature of cardiac muscle
d. Pattern of myocardial blood flow
2. Necrosis may be inhibited if blood flow is re-establisted within
a. 10-30min
b. 20-40min
c. 40-50 min
d. 50-60 min
3. Cause
a.
b.
c.
d.

of stable angina pectory is...

severe narrowing of atherosclerotic coronary vessels
disruption of an atherosclerotic plaque
vasospasm coronary vessels
thrombus disposition

4. Usually happen if there is Myocardial Infarction, except...

a. progressive changes involving gross and microscopic appearance of
the heart
b. progressive changes involving gross and macroscopic appearance
of the heart
c. Release of myocardial enzymes into bloodstream
d. Release of myocardial proteins into bloodstream
5. Characteristic of Transmural Infarction
a. Plaque disruption with overlying thrombus that spontaneously lyses
b. increased cardiac demand in the setting of limiting supply,
vasospasm,due to diffuse atherosclerosis disease
c. caused by severe coronary atherosclerosis with acute plaque
rupture and superimposed occlusive thrombosis
d. In few cases vasospasm and platelet aggregation with
atherosclerotic stenoses
6. Gross changes when myocardial infraction happen for 7-10 days..
a. progressively, yellow, softened
b. usually inapparent
c. hyperemic granulation tissue
d. infarcted tissue is generally readily apparent as discrete pale to
cyanotic areas
7. Death myocyte become hypereosinophilic, loss nuclei, coagulative
necrosis, is changes that we can find microscopically when myocardial
infraction happed for..
a. Within 1 hour
b. 12 72 hours after MI
c. From 3-7 days after injury
d. After 7-10 days

8. Complications of myocardiac infraction, except

a. Cardiogenic shock
b. Ventricular rupture
c. Sinus rhythm
d. Fibrinous pericarditis
9. Condition of hemodynamic overload is
a. acute hypertension
b. valvular stenosis
c. valvular sufficiency
d. ventricular dilatation
10.
Happen when there is Systemic (left-sided) Hypertensive
Heart Disease, except
a. Left ventricular hypertrophy typically concentric
b. The left ventricular wall is thickened
c. Thickened myocardium increase left ventricle compliance
d. Myocytes cannot devide
11.

Classic lession (patognomonic) of rheumatic fever

a. Aschoff body
b. Psamo body
c. Anitschkow myocites
d. verrucae
12.
inflammation lead to valvular damage
a. acute pericarditis
b. chronic pericarditis
c. myocarditis
d. endocarditis
13.
fish mouth appearance exist when
a. Chronis pericarditis
b. Chronic Rheumatic Heart Disease
c. Acute rheumatic heart disease
d. myocarditis
14.
Complication of endocarditis, except
a. Distal embolizations
b. Septic infarcts
c. Focal necrotizing glomerulitis
d. Cardiogenic shock
15.
Myocarditis that Sometimes occurs in patients of SLE,
hyperthyroidism,thymoma is
a. Giant cell myocarditis
b. Hypersensitivity Myocarditis
c. Viral myocarditis
d. Acute myocarditis
16.
The most common type is Dilated Cardiomyopathy (DCM),
characterized by , except
a. biventricular dilation
b. impaired contractility
c. congestive heart failure
d. biatrium dilation

17.
A group of diseases in which myocardial or endocardial
abnormalities limit diastolic filling, while contractile function remains
normal is
a. Acute cardiomyopathy
b. Restrictive Cardiomyopathy
c. Hypertrophic Cardiomyopathy
d. Secondary Cardiomyopathy
18.

Fabry Diseases
a. Interstitila infiltration of the left ventricle by cerebroside-laden
macrophages
b. Lead impairment of left ventricular compliance & COP
c. Accumulation of glycolipids in blood vessel
d. Accumulation of glycosphingolipids in heart

19.
a.
b.
c.
d.
20.
heart
a.
b.
c.
d.

Fluid containing chylomicrons is characteristic of

Serosanguineous pericardial effusion
Chylous effusion
Serous pericardial effusion
fibrous pericardial effusion
A chronic fibrosing disease of the pericardium that compresses the
and restricts inflow is..
Constrictive Pericarditis
Acute Pericarditis
Chronic pericarditis
Pericardial Effusion

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