239 Pericardial Disease

Question 0

Beck’s triad

Answer 0

Hypotension
Soft or absent heart sounds
Jugular venous distention

Question 1

Patch of dullness and increased fremitus beneath the angle of the left scapula

Answer 1

Ewart’s sign

Question 2

Amount of pericardial fluid for beck’s triad

Answer 2

200 ml

Question 3

Pulsus paradoxus

Answer 3

10 mmHg inspiratory decline in syatemic arterial pressure

Question 4

Pulse display in constrictive pericarditis

Answer 4

M shaped contour

Prominent x and y descent

Question 5

This is diminished in cardiac tamponade

Most prominent deflection in constrictive pericarditis

Answer 5

Y descent

Question 6

Square root sign in diastole

Answer 6

Chronic Constrictive pericarditis

Question 7

Kussmaul’s sign

Answer 7

Distended cervical veins remaining so even after intensive diuretic treatment, venous pressure may fail to decline during inspiration

Question 8

Where you see kussmaul’s sign

Answer 8

Chronic pericarditis
Right ventricular infarction
Restrictive cardiomyopathy

Question 9

Apical pulse reduced and may retract in systole

Answer 9

Broadbents sign

Question 10

Where broadbents sign is found

Answer 10

Chronic constrictive pericarditis

Question 11

Ecg in chronic constrictive pericarditia

Answer 11

Low qrs voltage

Diffuse flattening or inversion of T waves

Question 12

Pericardial knock

Answer 12

Chronic constrixtive pericarditis

Occuring at cardiac apex 0.09-0.12 s after aortic valve closure

Question 13

Where pericardial calcification is most common

Answer 13

Tuberculous pericarditis

Question 14

Test to definitively exclude constrictive pericarditis

Answer 14

Mri/ct scan

Question 15

Fall in atrial pressure after tricuspid valve opening

Answer 15

Y descent

Question 16

Most common primary malignant tumore of pericardium

Answer 16

Mesothelioma

Question 17

Combination of tense effusion in pericardial space and constriction of the pericardium

Answer 17

Subacute effusive-constrictive pericarditis

Question 18

Broadbents sign

Answer 18

Chronic constrictive pericardotia

Question 19

Mc chronic constrictive pericarditis

Answer 19

TB

Question 20

Kussmauls sign

Answer 20

Venous pressure may fail to decline during inspiration

Question 21

Causes drug induces pericardiris

Answer 21

Procainamide

Hydralazine

Question 22

Acute pericarditis after cardiac operarion

Answer 22

Postpericardiotomy syndrome

Pericarditis
Fever (39’c)
Pleuritis
Pneumonitis

Question 23

Cause of post cardiac injury syndrome

Answer 23

Hypersensitivity traction to antigen that originates from injured myocytes

Question 24

``` Pulsus paradoxus (+) ```

Answer 24

Tamponadr

Question 25

(+) electrical alternans

Answer 25

Tampnade

Question 26

(+) kussmauls sign

Answer 26

Constroctive pericarditia Restrictive cm Rvmi