Cardio Exam Flashcards

1
Q

What is pulsus alternans?

A

Alternate strong and weak beats in radial pulse

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2
Q

What is orthopnoea?

A

SOB on lying

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3
Q

What does radial radial delay indicate?

A

Dissecting aortic aneurysm

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4
Q

What does holosystolic mean?

A

Throughout systole

AKA Pansystolic

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5
Q

What are splinter haemoorhages? What do they indicate?

A

Linear haemorrhages in nail bed that lie parallel to the long axis of the nail

Usually trauma, infective endocarditis can cause it

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6
Q

What might you do to examine for an aortic dissection?

A

The BP isn’t the same of both arms

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7
Q

What is Xanthelasma?

A

A sharply demarcated yellowish deposit of fat underneath the skin, usually on or around the eyelids

Sign of some types hyperlipidaemia

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8
Q

Mechanistically, why does orthopnoea occur?

A

Blood flows into the central circulation causing increase pulmonary capillary pressure

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9
Q

What might a loud S2 indicate?

A

PE

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10
Q

What is PND?

A

Paroxysmal noctural dyspnoea - SOB and coughing that occurs at night

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11
Q

What are Korotkoff sounds?

A

The sound of turbulent blood flow when taking a manual blood pressure

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12
Q

A loud P2 is indicative of what?

A

Pulmonary hypertension

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13
Q

How does the carotid pulse vary in aortic stenosis vs aortic regurgitation?

A

AS - slow rise, low volume

AR - collapsing, high volume

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14
Q

What is Schamroth’s sign?

A

Loss of diamond-shaped space that is formed when the nails of two similar fingers are held facing each other

  • Indicative of clubbing
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15
Q

What is the name of the scar produced from a CABG?

A

Medial stenotomy

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16
Q

What are Janeway lesions?

A

Non-tender erythematous, maculopapular lesions containing bacteria

Occur very rarely on palms or pulps of fingers in patients with infective endocarditis