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
Changes seen in atherosclerotic plaque at the time of rupture are all except ? 
Select and explain. 
A. Thin fibrosis cap, B. Multiple foam cap, C. Smooth muscle cell hyperophy, D. Cell debris
C: Smooth muscle cell hyperophy
Answer: C: Smooth muscle cell hyperophy 
Explanation: Ans. is 'c' i.e., Smooth muscle cell hyperophy Rupture occurs in advanced atherosclerotic lesion. In advanced atheroma, smooth muscle cells undergo apoptosis and advanced atheromatous plaque often have mostly fibrous character with lack of smooth muscle cells that are seen in less advanced lesion.