Q:

For each of the types of systemic hypertension listed on the left select the most appropriate association from the list on the right

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For each of the types of systemic hypertension listed on the left select the most appropriate association from the list on the right.

a. Accelerated phase hypertension.

b. Chronic benign essential hypertension in a small vessel.

c. Early benign essential hypertension.


  1. Hyaline arteriolosclerosis.
  2. Hyaline arteriolosclerosis with fibrinoid necrosis.
  3. Hypertrophy of medial muscle and elastic.
  4. Medial calcification.
  5. Median and intimal necrosis of a segment of arterial wall.

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The answer is B, A, C. In accelerated phase (malignant phase) hypertension there is necrosis added to the features of benign hypertension, with permeation of the vessel wall by plasma and fibrin.

Hyaline arteriolosclerosis is the lesion of chronic benign essential hypertension in a small vessel in which there is medial thickening plus intimal thickening which may narrow the lumen.

The early feature of benign essential hypertension involve hypertrophy of medial muscle and elastic; larger vessels often dilate. Medial calcification (D) is dystrophic calcification of the larger vessels of the lower limbs in elderly people (Monckeberg's sclerosis).

Polyarteritis nodosa has the feature described in (E).

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