study review Flashcards

(87 cards)

1
Q

atrial emptying w/ opening of tricuspid valve (S2)

A

y wave

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2
Q

passive atrial filling

A

v wave

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3
Q

decreased movement of tricuspid x/ vent contraction

A

x1

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4
Q

atrial relaxation

A

x

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5
Q

tricuspid wave

A

c

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6
Q

atrial contraction (giant __ wave= vol overload or R. sided failure)

A

a wave

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7
Q

friction rub is seen in

A

pericarditis

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8
Q

marker of inflammation/cv dz

A

CrP

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9
Q

precursur for atherosclerosis/vitamin B def

A

homocysteine levels

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10
Q

mid systolic click and population

A

mvp - slender women

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11
Q

s1

A

systole; AV valves closing

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12
Q

s2

A

diastole; Semilunar valves closing

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13
Q

physiologic split of S2

A

normal; delayed interval b/w A2 and P2 during inspiration

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14
Q

pathologic split of s2

A

widened gap b/w A2P2; AS and MR

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15
Q

S3 vs S4

A

s3- rapid ventricular filling– MR LVF

s4- atrial contraction – stiff wall AS

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16
Q

opening snap

A

seen in MS- diastole

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17
Q

Ejection clicks

A

systole; AS

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18
Q

Friction rubs/to and fro murmur

A

Peridcarditis

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19
Q

bicuspid valve congenital, degenerative changes and or rheumatic heart dz type of murmur

A

AS

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20
Q

has a TRIAD of angina syncope and dyspnea

A

AS

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21
Q

has a diamond shaped crescendo decrescendo

A

AS

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22
Q

has a paradoxical split of S2 with pulsus parvus and tardus

A

AS

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23
Q

congenital dz; asx until R side HF; affect JVD

A

pulmonic stenosis

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24
Q

flat, blowing holosystolic murmur

A

mitral regurgitation

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25
murmur etiology MVP most common
mitral regurgitation
26
where do you see osler nodes, janeway lesions, or roth spots
signs associated with endocarditis and IVDA; Tricuspid regurg
27
murmur with Ebstein anoaly
tricuspid regurgitation
28
mid to late systolic ejection CLICK
MVP
29
what is the most common heart valve abnlity
MVP
30
where is barlows syndrome mostly seen in
slender women
31
what iincreases venous return in MVP
valsalva, NO, and standing (opposite of the rest)
32
murmur with widely split FIXED S2 not varying with respirations
Atrial septal Defect
33
what is crochetage sign and whre is it seen
Atrial Septal Defect: notching of peak of R wave in inferior leads
34
water hammer pulse and what murmur has this
AR; wide pulse pressure with forceful arterial pulse
35
Traubes sign where and what
AR; pistol shot bruit over femoral pulse
36
Corrigans pulse
unusually large carotid pulsation; in AR
37
where is Quinckes sign seen and what is it
AR and pulsatile blanching and red fingernails
38
where is an Austin flint murmur seen
Aortic Regurgitation
39
where is a De mussets sign seen
AR -- head bobbing caused by carotid pulsations
40
mullers sign
pulsatile bobbing of the uvula (AR)
41
durozeiz's sign
to and fro murmur over femoral artery heard best with mild pressure (AR)
42
what is ortners syndrome and whhere is it seen
Mitral stenosis; hoarsness due to pinching of laryngeal nerve
43
opening snap w loud (crisp) S1
Mitral stenosis
44
an apical low pitched diastolic rumble with puslus alternans and bisferiens pulse
Austin Flint-- seen in AR
45
machinery murmur
Patent Ductus Arteriosus
46
an abnml connection between arteries and veins
Arteriovenous Malformation
47
a musical whirling resolved by turning childs neck
Venous hum
48
___ can lead to Patent Formane Ovale if not sealed `
Atrial Septal Defect
49
4 acyanotic congenital heart diseases
atrial septal defect ventricular septal defect* patent ductus arteriosus coarctation of the Aorta
50
4 cyanotic congenital heart diseases
eisenmenger's syndrome ebstein anomaly pulmonic valve stenosis tetralogy of Fallot
51
what is the most common cyanotic congenital heart lesion?
Tetralogy of Fallot
52
high pitched hrsh holosystolic murmur with thrill
Centricular septal defect
53
which is most common in downs
VSD
54
loud continous machinery murmur
patent ductus arteriouss
55
where does the coarctation of aorta occur
distal to L subclavian vein
56
most common extracardiac abnl in Coac of aorta
aneurysm of the circle of willis (stroke)
57
where is rib notching with a fig 3 pattern heard/seen
coac of aorta
58
atrializing r ventricle is known as
ebsteins anomaly
59
bisferins pulse
AR and HOCM
60
a retrograde flow from a chamber of high pressure to a chamber of lower pressure is known as
holosystolic murmur
61
crescendo decrescendo b/w S1 and S2
AS
62
harsh, high pitch @ S1; crescendo-decrescendo
Pulmonic stenosis
63
where does pulmonic stenosis radiate
left shoulder
64
signs and symptoms of JVD, RVH, edema and increased liver
pulmonic stenosis
65
harsh, holosystolic, flat, murmur
mitral regurgitation
66
what increases with valsalva
MR, MVP, hocm
67
what increases in the left lateral decubitus
MR, MS*******
68
fatigue, orthopnea, a-fib, DOE sx
MR
69
possible inferior wall MI is in what murmur
MR
70
myxomatous dz
seen in MVP | - degeneration of valves
71
palpitations, anxiety, lightheaded sx w arryth/a-fib
MVP
72
where is MR or MVP best heard
apex
73
a blowing, holosystolic murmur
tricuspid regurgitation
74
sx of of pain in abdomen and vascular congestion is indicative of
Tricuspid regurgitation
75
how can you differentiate b/w MR and TR
Carvallos sign-- inspiration -- TR murmur
76
abdominal hepatojugular reflux, edema and ascites
Tricuspid regurgitation
77
high pitch, soft blow, early diastolic crescendo
Aortic regurgitation
78
dissection aneurysm leading to rupture can be a cause of
aortic regurgitation
79
symptom of wide pulse presssure
AR
80
to and fro murmur
AR
81
austin flint in
AR
82
pulsus bifirens
AR
83
low frequency decrescendo, rumbling mid diastolic murmur
MS
84
which murmur accentuates a wave
MS
85
six P's
``` pain pallor paresthesia pulselessness paralysis poikothermia ```
86
sounds loudest at base
S2
87
sound loudest at apex
S1