This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pathology
[{'content': 'Major change occurring in blood vessels in hypertension -a) Atherosclerosisb) Hyaline arteriosclerosisc) Multiple small aneurysmsd) Fibrinoid necrosis \nSelect and explain. \nA. c, B. d, C. ab, D. bd', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Vascular \xa0pathology \xa0in Hypertension\nHypertension is associated with two forms of small blood vessels disease -\n1. Hyaline arteriolosclerosis\n\nThere is homogenous, pink, hyaline thickening of arteriolar wall.\nThe lumen becomes narrow.\nIt is characteristic of benign hypertension.\nIt may also occur in diabetes and aging.\n\n2. Hyperplastic arteriosclerosis\n\nIt is characteristic of malignant hypertension.\nThere is concentrentic, laminated thickening of arteriolar wall → onion skinning.\nThere is mutinous intimal thickening and fibrous intimal thickening.\nThere may be accompanied fibrinoid deposits with necrosis of the vessels wall → fibrinoid necrosis.', 'role': 'assistant'}]