Cardiovascular Flashcards Preview

Osce Prep > Cardiovascular > Flashcards

Flashcards in Cardiovascular Deck (63)
Loading flashcards...
1

Marfans syndrome associated with?

Aortic regurgitation

2

Down's syndrome associated with

Congenital heart disease

3

What is turners syndrome ?
Associated with

Female who is partially or totally missing an X chromosome
Coarctation of the aorta

4

Cardiovascular causes of clubbing

Cyanotic congenital heart disease
Subacute infective endocarditis

5

Causes of sprinter haemorrhages

Infective endocarditis
Profound anaemia

6

What are Olsers nodes
Why do you get them?

Painful lumps in fingers / Palms
Fragments of vegetation from an infected valve

7

Most common cause of irregularly irregular pulse

Atrial fibrillation

8

When do you get a collapsing pulse

Aortic regurgitation
Patent ductus arteriosus

9

Radial radial delay

Arterial occlusion
(Atherosclerotic plaque, aneurysm )

10

Radial femoral delay suggests ?

Coarctation of the aorta

11

Why check blood pressure lying and standing

Postural hypotension

12

Cardiac cause of jaundice

Prophetic heart valve induced haemolysis

13

Malar flush is?
Cause ?

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

14

High arched palate seen in

Mar fans

15

Ways to distinguish JVP from arterial

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

16

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

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

17

Cardiac failure -> what heard in lungs

Pan-inspiriatory crackles

18

Pitting oedema of sacrum occurs when

Severe right heart failure

19

Unilateral lower limb oedema

DVT or compression of large veins by tumour/ lymph nodes

20

Causes of raised JVP

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

21

What is cardiac tamponade ?
Becks triad?

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

22

Difference between valve replacement scar and cabg

Cabg always midline sternotomy
Valve may be on side

23

When may apex best be decimated laterally

Mitral / aortic regurgitation (volume overload)

24

When would you feel parasternal heaves

Rv / severe LA enlargement

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