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Clinical Medicine > Ultimate Reviewer Cardio > Flashcards

Ultimate Reviewer Cardio Flashcards

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1
Q

Systolic ejection murmur of chronic severe aortic regurgitation is accompanied by which sound

A

Austin flint murmur

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2
Q

Mid-‐diastolic murmur heard over the pulmmonic area is ASD is accompanied by which sound

A

Persistent splitting of s2

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3
Q

Increased loudness of holosystolic murmur of tricuspid regurgitation upon inspiration

A

Caravallos sign

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4
Q

Heard in aortic stenosis

A

Paradoxical splitting of s2

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5
Q

Apex beat is displaced at the 6th ICS LAAL, (+) para sterna heave, (+) lift

A

Eccentric

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6
Q

40 year old female, with apical beat that retracts during systole

A

Right ventricular hypertrophy

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7
Q

Hardly palpable

A

Left ventricular dilatation

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8
Q

40 year old female with chronic hypertension complained of chest pain, PE revealed apex beat at the 5th ICS LMCL with a (+) apical lift

A

Concentric

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9
Q

A 52 year old, Male, chronic hypertensive and DM2 complained of chest pain and SOB (DOB?), PE revealed (+) murmur of AR and MR, apex beat is displaced at 5th ICS left anteroaxillary line with (+) lift

A

Eccentric

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10
Q

Pulmonary Hypertension

A

Loud P2

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11
Q

Mitral stenosis

A

Loud s1

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12
Q

Atrial Fibrillation

A

Soft s1

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13
Q

BP 220/120

A

Loud s1

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14
Q

Pulmonic stenosis

A

Paradoxical splitting of s2

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15
Q

Sinus Tachycardia

A

Loud s1

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16
Q

Chronic aortic regurgitation

A

Loud a2

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17
Q

LBBB

A

Paradoxical splitting of S2

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18
Q

Severe aortic stenosis

A

Loud A1

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19
Q

Normal PE findings

A

Splitting of S2 upon inspiration

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20
Q

Chronic aortic regurgitation and aortic Stenosis

A

Pulsus bisfierens

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21
Q

Aortic regurgitation

A

Coorrigan’s pulse

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22
Q

Constructive pericarditis

A

Pulses paradoxus

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23
Q

Severe aortic Stenosis

A

Pulses parvus et tardus

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24
Q

CHF

A

Pulses alterans

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25
Diastolic  blowing  murmur
Aortic regurgitation
26
4th  ICS  parasternal  line
Tricuspid regurgitation
27
Ejection  systolic  murmur  transmitted  to  carotid
Aortic stenosis
28
Ejection  systolic  murmur  loud  on  expiration
Pulmonic stenosis
29
Holosystolic  murmur  displaced  to  left  axilla,  diminished  S1
Mitral regurgitation
30
Important  physical  examination  finding  in  CHF
Hepatojugular reflex
31
Mid  diastolic  murmur  heard  over  the  pulmonic  area  in  ASD  is  accompanied  by  what  sound
Persistent splitting of S2
32
Loudness  of  holosystolic  murmur  of  tricuspid  regurgitation  upon  inspiration
Carvallos sign
33
Apex  beat  is  displaced  at  the  6th  ICS  LAAL,  faint  heart  sound,  (+)  parasternal  heave,  (+)  lift
Eccentric hypertrophy
34
40  year  old  female,  with  apical  beat  that  retracts  during  systole
RVH
35
SOB,  apex  at  6th  ICS  left  midaxillary  line..faint  heart  sound,  alcoholic  and  elicit  drug  use
Eccentric
36
40  year  old  with  chronic  hypertension  complained  of  chest  pain.  PE  revealed  apex  beat  @  5th  ICS  LMCL  with  a  (+)  apical  lift
Concentric
37
A  52  year  old  Male,  chronic  hypertension  &  DM2  complained  of  chest  pain  and  SOB.  PE  revealed  (+)  murmur  of  AR  &  MR.  Apex  beat  is  displaced  @  5th  ICS  left  anteroaxillary  line  with  (+)  lift
Eccentric
38
Pulmonary  hypertension
Loud P2
39
Atrial  fibrillation
Soft s1
40
BP  220/120
Loud S1
41
Sinus  Tachycardia
Loud S1
42
LBBB
Paradoxical splitting of S2
43
Severe  Aortic  Stenosis
Paradoxical splitting of S2
44
Normal  PE  findings
Split S2 on inspiration
45
Chronic  aortic  regurgitation  and  aortic  stenosis
Pulses bisfirens
46
CHF
Pulsus alterans
47
A  27  year  old  female,  worried  about  ECG  finding  of  RBBB.  Auscultation  revealed  presence  of  ejection  systolic  murmur  which  became  louder  during  forceful  expiration
Pulmonic stenosis
48
65  year  old  patient  with  DM,  HPN,  has  a  holosystolic  murmur  displaced  to  the  left  axilla,  has  a  diminished  S1
Mitral regurgitation
49
Machinery-‐like  murmur
PDA
50
Greater  BP  in  the  upper  extremities  compared  to  the  lower  extremities
Coarctation of aorta
51
Characteristics  peripheral  pulse  in  CHF
Pulsus alterans
52
DM  hypertensive  64  year  old  experienced  pain  in  right  calf  muscle  on  walking  for  20  mins  and  relived  by  rest
Intermittent claudication
53
PDA
2nd left ICS
54
Aortic  Stenosis
2nd right ICS
55
S3  &  S4
5th ICS LMCl
56
Fixed  splitting  of  S2
ASD
57
Holosystolic  murmur  at  the  left  parasternal  area  are  transmitted  to  the  right  sternal  border
VSD
58
Sail  Sound
Ebstain anomaly
59
BP  elevated  in  the  upper  extremities  markedly  lower  in  the  lower  extremities
Coarctation of aorta
60
Machinery-‐like  murmur
PDA
61
Pulmonary  Stenosis
2nd left ICS
62
Ventricular  Septal  Defect
Apex
63
Very  loud  S1
Apex
64
Opening  Snap
Pulmonic area
65
Apical  mid-‐diastolic  rumbling  murmur
Apex
66
Chronic  Aortic  Regurgitation
Erbs point
67
Acute  Severe  Mitral  Regurgitation  w/  s3  Gallop
3rd LICS
68
Right–Bundle  Branch  Block
Persistent wide S2 splitting
69
Non-‐Systolic  Click
Erbs point
70
Less  Prolapse
Squat
71
More prolapse
Stand
72
Ejection  Systolic  Murmur
Base
73
Atrial  Septal  defect
2nd LICS
74
Concentric  L-‐ventricular  Hypertrophy
5thICS LAAL
75
Restrictive  Hypertrophy  Cardiomyopathy
Standing squatting position
76
CAUSE  BY  INABILITY  OF  THE  (R)  HEART  TO  ACCOMODATE  INCREASE  VENOUSE  RETURN
Kussmull sign
77
Loud/accentuated  S1
Hypertension
78
Physiologic  Splitting
2-3 Left ICS
79
Paradoxical  Splitting  of  S2u
L)  BUNDLE  BRANCHING  BLOCK
80
Important  physical  examination  finding  in  CHF
Positive hepatojugular reflux

Clinical Medicine (6 decks)

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