CVS signs

Question 1

What is this?

Answer 1

Finger clubbing

Question 2

What is angular stomatitis a sign of?

Answer 2

Iron deficiency

Question 3

What is this?

Answer 3

Angular stomatitis

Question 4

What is slow-rising pulse in the carotid artery assocaited with?

Answer 4

Aortic stenosis

Question 5

What is the pathology on this ECG?

Answer 5

Second degree heart block type 2

• Irregularly irregular rhythm
• Dropped QRS complexes
• No progression of PR interval

Question 6

What is the patholgoy in this ECG?

Answer 6

Atrial flutter

• Sawtooth baseline
• Irregularly irregular rhythm

Question 7

What is this scar from?

Answer 7

Sternotomy

Question 8

What is a parasternal heave?

Answer 8

When the heel of your hand is pushed upwards during systole due to right ventricular hypertrophy

Question 9

What is going on with this thumb?

Answer 9

Osler’s nodes

Question 10

What is the pathology on this ECG?

Answer 10

Right axis deviation

• Mostly positive in aVF
• Mostly negative in I
• isoelectric in II

Question 11

What is the pathology on this ECG?

Answer 11

First degree heart block

• Prolonged PR interval
• Regular rhythm

Question 12

Where do you listen for the tricuspid valve?

Answer 12

4/5th intercostal space left sternal edge

Question 13

How do you feel for thrills?

Answer 13

Flat hand over each valve area

Question 14

Describe this murmur and what it is caused by

Answer 14

Systolic crescendo-decrescendo murmur

Aortic stensosis

Question 15

What is this?

Answer 15

Splinter Haemorrhages

Question 16

What is corneal arcus a sign of?

Answer 16

Hyperlipidaemia

Question 17

What is this?

Answer 17

Xanthalasma

Question 18

What are splinter haemorrhages a sign of?

Answer 18

Infective endocarditis

Question 19

What is the pathology on this ECG?

Answer 19

Atrial fibrilation

• Irregularly irregular rhythm
• Absent P waves

Question 20

What can you see on this person?

Answer 20

• Pacemaker
• Sternotomy scar

(Two for one here!)

Question 21

What are we worried about?

Answer 21

Infective endocarditis

Question 22

What is the pathology on this ECG?

Answer 22

LBBB

• Widened QRS complex
• V₁ - WiLLiaM - V₆

Question 23

Where do you listen for the pulmonic valve?

Answer 23

2nd intercostal space left sternal edge

Question 25

What surgeries can require sternotomy?

Answer 25

* CABG * Valve surgery

Question 26

What is the pathology on this ECG?

Answer 26

Second degree heart block (Type 1 aka Wenkebach) * *Progressively prolonged PR interval with a dropped beat and reset* * *Regularly irregular rhythm*

Question 27

What is a thrill?

Answer 27

A palpable murmur (i.e. a vibration due to turbulent blood flow through a valve)

Question 28

What's going on with the palm?

Answer 28

Janeway lesions

Question 29

What is the pathology on this ECG?

Answer 29

WPW * *Delta Waves* * *Borderline tachycardic* * *Inverted T waves*

Question 30

What is tendinous xanthoma a sign of?

Answer 30

Hyperlipidaemia

Question 31

What is the difference between Osler's nodes and Janeway lesions?

Answer 31

* Osler's nodes are painful * *Janeway lesions aren't* * Osler's nodes appear on the finger and thumb pads * *Janeway lesions are more on the palms and soles* * Osler's nodes are due to immune complexes * *​Janeway lesions are cardiac emboli*

Question 32

What is this a sign of?

Answer 32

Anaemia

Question 33

Describe this murmur and what most likely causes it

Answer 33

Diastolic murmur Mitral stensosis

Question 34

What is the pathology on this ECG?

Answer 34

RBBB * *Prolonged QRS (\>0.12s)* * *V₁ - MaRRoW - V6*

Question 35

What is this?

Answer 35

Tendinous xanthoma

Question 36

What is the pathology on this ECG and where has it occured and what has been affected?

Answer 36

STEMI - Inferior - RCA and Circumflex

Question 37

Where do you listen for the mitral valve?

Answer 37

5th intercostal space mid-clavicular line

Question 38

What can clubbing be a sign of?

Answer 38

* Endocarditis * Cyanotic congenital heart disease

Question 39

How do you feel for heaves?

Answer 39

Place heel of hand on the left sternal edge

Question 40

What is this?

Answer 40

Central cyanosis

Question 41

What is this?

Answer 41

Tar staining

Question 42

What can a radio-radial delay suggest?

Answer 42

Co-arctation of the aorta

Question 43

What is this?

Answer 43

Peripheral cyanosis

Question 44

What is the pathology of this ECG and where has it taken place and what has been affected?

Answer 44

NSTEMI - Infeirior and lateral aspects - most likely the left circumflex artery

Question 45

What is the pathology in this ECG?

Answer 45

Left axis deviation * *Mostly positive in I* * *Mostly negative in II an aVF*

Question 46

What is this?

Answer 46

Corneal arcus

Question 47

Describe this murmur and what most likely causes it

Answer 47

Pansystolic murmur Mitral regurgitation

Question 48

What is this?

Answer 48

GTN Spray

Question 49

What is a collpasing pulse associated with?

Answer 49

Aortic regurgitation

Question 50

What is xanthalasma a sign of?

Answer 50

Hyperlipidaemia

Question 51

What are Osler's nodes and Janeway lesions signs of?

Answer 51

Infective endocarditis

Question 52

Where do you listen for the aortic valve?

Answer 52

2nd intercostal space right sternal edge

Question 53

Pnemonic for heart valves?

Answer 53

Starting right sternal edge 2nd intercostal space it goes: All - aortic Prostitutes - pulmonic Take - tricuspid Money - mitral

Question 54

What is the pathology on this ECG?

Answer 54

Third degree heart block * *No relationship between P wave and QRS complex* * *Irregularly irregular rhythm*