Cardiovascular Flashcards

(63 cards)

1
Q

Marfans syndrome associated with?

A

Aortic regurgitation

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2
Q

Down’s syndrome associated with

A

Congenital heart disease

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3
Q

What is turners syndrome ?

Associated with

A

Female who is partially or totally missing an X chromosome

Coarctation of the aorta

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4
Q

Cardiovascular causes of clubbing

A

Cyanotic congenital heart disease

Subacute infective endocarditis

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5
Q

Causes of sprinter haemorrhages

A

Infective endocarditis

Profound anaemia

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6
Q

What are Olsers nodes

Why do you get them?

A

Painful lumps in fingers / Palms

Fragments of vegetation from an infected valve

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7
Q

Most common cause of irregularly irregular pulse

A

Atrial fibrillation

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8
Q

When do you get a collapsing pulse

A

Aortic regurgitation

Patent ductus arteriosus

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9
Q

Radial radial delay

A

Arterial occlusion

Atherosclerotic plaque, aneurysm

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10
Q

Radial femoral delay suggests ?

A

Coarctation of the aorta

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11
Q

Why check blood pressure lying and standing

A

Postural hypotension

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12
Q

Cardiac cause of jaundice

A

Prophetic heart valve induced haemolysis

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13
Q

Malar flush is?

Cause ?

A

Rosy cheeks with bluish tinge
Dilation of malar capillaries -
pulmonary hypertension
Low cardiac output - mitral stenosis

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14
Q

High arched palate seen in

A

Mar fans

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15
Q

Ways to distinguish JVP from arterial

A

Double impulse
Varies with position and inspiration
Cannot be palpated
Rises if pressure applied to liver

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16
Q
Carotid pulses 
Slow rising 
Collapsing 
Bisferiens (slow rising and collapsing) 
Small volume 
Pulses alternates (alternating weakens strong)
A

Slow rising - aortic stenosis
Collapsing - aortic regurgitation, patent ductus arteriosus
Bisferiens (slow rising and collapsing) - aortic stenosis and incompetence
Small volume - aortic stenosis, pericardial effusion
Pulses alternates (alternating weakens strong) - LV diseased

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17
Q

Cardiac failure -> what heard in lungs

A

Pan-inspiriatory crackles

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18
Q

Pitting oedema of sacrum occurs when

A

Severe right heart failure

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19
Q

Unilateral lower limb oedema

A

DVT or compression of large veins by tumour/ lymph nodes

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20
Q

Causes of raised JVP

A
HOLT 
Heart failure
Obstruction of vena cava 
Lymph node enlargement - supraclavicular 
Thoracic pressure increase
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21
Q

What is cardiac tamponade ?

Becks triad?

A
Pericardial effusion -> slow / rapid compression of heart 
3 Ds
Distant heart sounds
Distended jugular veins 
Decreased arterial pressure
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22
Q

Difference between valve replacement scar and cabg

A

Cabg always midline sternotomy

Valve may be on side

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23
Q

When may apex best be decimated laterally

A

Mitral / aortic regurgitation (volume overload)

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24
Q

When would you feel parasternal heaves

A

Rv / severe LA enlargement

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25
Right / left sided murmurs heard loudest when ?
Right - inspiration (venous return increased) | Left - expiration
26
Causes of pericarditis
``` CARDIAC RIND Collagen vascular disease Aortic aneurysm Radiation Drugs eg. Hydralazine Infections Acute renal failure Cardiac infarction Rheumatic fever Injury Neoplasms Dressers syndrome ```
27
Radial radial delay
Aortic coarctation
28
Dental caries predispose to?
Infective endocarditis
29
Pansystolic murmur
Mitral regurgitation
30
Ejection systolic murmur
Aortic stenosis | Can be heard in carotids
31
Basic management of MI
``` BOOMAR bed rest Oxygen Opiate Monitor Anticoagulants Reduce clot ```
32
Causes of ST elevation
``` ELEVATION Electrolytes LBBB Early repolarisation Ventricular hypertrophic Aneurysm Treatment Injury Osbourne waves (hypothermia) Non-occlusive vasospasm ```
33
Causes of depressed ST
``` Dropping valve Enlargement of LV with strain Potassium loss Reciprocal ST Embolism in lungs Subendocardial ischemia Encephalopathy haemorrhage (cranial) Shock Toxicity (digitalis, quinidine) ```
34
Causes of T wave inversion
``` INVERT Ischemia Normal (young, black) Ventricular hyper trophy Ectopic foci RBBB, LBBB Treatments (digoxin) ```
35
How do you calculate ABPI | Arterial disease indicated by
Highest systolic in the ankle / highest in arms | ABPI
36
Haemosidderin deposition looks like? | Indicative of ?
Purplish bruise just below skin | Venous insufficiency
37
Malar flush indicative of
Mitral stenosis
38
Splinter haemorrhages
Bacterial endocarditis
39
2 causes of clubbing
Infective endocarditis | Cyanotic congenital heart disease
40
Where are janeway lesions found
Palm pulp lesions
41
Where are Olsers nodes found
Tender red nodules on finger pulps / thenar eminence
42
What is xanthomata
Raised yellow lesions often in tendons of wrist | Hyperlipidaemia
43
Radial radial delay suggests
Aortic coarctation
44
Causes of water hammer pulse
Normal - fever , pregnancy Cardiac - AR, PDA High output - anaemia , AV fistula, thryrotoxicosis
45
Narrow pulse pressure associated with
Aortic stenosis
46
Wide pulse pressure associated with
Aortic regurgitation
47
Causes of raised JVP
Fluid overload Rv failure Tricuspid regurgitation
48
Where / when do you get heaves
Left steal edge | Rv hyper trophy
49
What is a thrill
Palpable murmur over aortic valve and apex beat
50
Lateral displacement of apex beat indicates
Cardiomegaly
51
Lung base crackles could mean
LV failure
52
Sacral / pedal oedema could mean
Rv failure
53
Finish cv exam
Peripheral vascular examination 12 lead ECG Dipstick urine (eg proteinuria caused by hypertension) Capillary blood glucose Fundoscopy ( malignant hypertension - papilloedema )
54
Difference in BP across arms
Aortic aneurysm
55
Hair loss in legs due to
PVD
56
Discolouration of legs due to
``` Eg haemosiderin Venous disease (not PVD) ```
57
Prolonged cap refil indicates
PVD
58
Radial femoral delay
Coarctation of aorta
59
Femoral Bruis indicates
Femoral / iliac stenosis
60
What angle of positive buergers indicates severe limb ischemia
Less than 20 degrees
61
What is reactive hyperaemia
When leg first goes pink and then Becomes red | Due to arteriolar dilatation to remove built up metabolic waste
62
Finish peripheral vascular exam
Cv exam ABPI Lower limb neurological examination
63
Usual cause of endocarditis
Strep viridans