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Flashcards in No Answers (Yet!) Deck (9)
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1

The following are true of congenital heart diseases except

A. lower number in adult than in children
B. Pattern of lesion changes in adult
C.
D. Acyanotic heart disease is left to right shunt

NA

2

This is the only symptom in the major criteria in the Framingham criteria for Heart Failure:

A. Paroxysmal nocturnal dyspnea
B. Nocturnal cough
C. Bipedal edema
D. Dyspnea on exertion
E. Hepatojugular reflux

NA

3

The following are consistent with the new treatment paradigm of heart failure except:

A. Activation of rennin-angiotensin system leading to vasoconstriction: give ACEI
B. Activation of the parasympathetic system leading to vasodilation: give inotropes
C. Increase in the production of antidiuretic hormone: give beta antagonists
D. Activation of the sympathetic system leading to vasoconstriction: give beta blockers

NA

4

A 66/M comes to your clinic with dyspnea, clear breath sounds, distended neck veins, ascites, jaundice and bipedal edema. These findings are typical of:

A. Right-sided heart failure
B. Left-sided heart failure
C. Right or left sided heart failure
D. NOTA

NA

5

Which of the following is incorrectly paired?

A. Systolic heart failure: large, dilated heart
B. Diastolic heart failure: concentric hypertrophy, ejection fraction >50%
C. Systolic heart failure: ejection fraction

NA

6

The central venous pressure can be derived from the jugular venous pressure adding 5cm H20 to the obtained JVP. This in turn approximates the pressure in the:

A. Right atrium
B. Right ventricle
C. Pulmonary artery
D. Peripheral vascular resistance

NA

7

A 19/F presents with difficulty of breathing with characteristic murmur of mitral stenosis. It will be best assessed by auscultation in which anatomical landmark?

A. 2nd ICS, right parasternal border
B. 2nd ICS, left parasternal border
C. 4th ICS, left parasternal border
D. 5th ICS, left midclavicular line
E. NOTA

NA

8

Certain maneuvers can enhance a certain murmur/heart sound. Which of the following is incorrectly paired?

A. Aortic regurgitation: lean forward, ask patient to exhale
B. S3 gallop: roll to left side
C. Tricuspid regurgitation: exhalation
D. Mitral valve prolapse: Valsalva maneuver

NA

9

Which of the following is false?

A. The anterior tibial artery is felt anterior to the ankle joint, midway between the malleoli.
B. The posterior tibial artery can be palpated behind the medial malleolus.
C. The jugular venous pulse is easier palpated than seen.
D. The point of maximal impulse is normally within 15 cm of the sternum on the left side
E. NOTA

NA