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
Major change occurring in blood vessels in hypeension - 
Select and explain. 
A. Atherosclerosis, B. Hyaline aeriosclerosis, C. Multiple small aneurysms, D. All
B: Hyaline aeriosclerosis
Answer: B: Hyaline aeriosclerosis 
Explanation: Ans. is 'b' i.e., Hyaline aeriosclerosis Vascular pathology in Hypeension Hypeension is associated with two forms of small blood vessels disease ? 1. Hyaline aeriolosclerosis o There is homogenous, pink, hyaline thickening of aeriolar wall. o The lumen becomes narrow. o It is characteristic of benign hypeension. o It may also occur in diabetes and aging. 2. Hyperplastic aeriosclerosis o It is characteristic of malignant hypeension. o There is concentrentic, laminated thickening of aeriolar wall --> onion skinning. o There is mucinous intimal thickening and fibrous intimal thickening. o There may be accompanied fibrinoid deposits with necrosis of the vessels wall --> fibrinoid necrosis.