Alfred Webinar physical findings

Question 1

What are severity markers in mitral regurgitation

Answer 1

soft 1st heart sound
3rd heart sound
displacement of apex beat
pulmonary hypertension

Question 2

features of tricuspid regurg

Answer 2

elevated JVP
cannon V waves
pansystolic murmur L) sternal edge louder on inspiration
pulsatile liver

Question 3

assessing fluid overload heart failure

Answer 3

hypoxia
JVP - caveat of tricuspid regurg
chest exam - bibasal creps
peripheral oedema

ix:
cxr
BNP
urea 
electrolytes
cr
egfr

Question 4

mitral stenosis findings

Answer 4

loud S1

mid-diastolic rumbling murmur

Question 5

investigation results of severe aortic stenosis

Answer 5

valve area <1cmsq
transvalvular gradient >40 mmHg
aortic jet velocity >4.0m/s

Question 6

what is a third heart sound in keeping with

Answer 6

dilated cardiomyopathy and turbulent flow

Question 7

clinical indicators of mitral regurg severity

Answer 7

enlarged left ventricle
pulmonary hypertension
third heart sound
early diastolic ruble
sort first heart sound
aortic component of second heart sound is earlier
small volume pulse
LV failure

Question 8

apex beat in aortic stenosis

Answer 8

pressure loaded (hypertrophied left ventricle)

Question 9

signs of severity in aortic stenosis

Answer 9

small volume carotid pulse
late peaking murmur
S4
aortic thrill

Question 10

signs of severity in aortic regurg

Answer 10

austin flint murmur
wide pulse pressure
murmur duration
S3
Soft A2
LV enlargement

Question 11

mitral regurg apex beat

Answer 11

dyskinetic

Question 12

signs of severe mitral regurg

Answer 12

soft s1
pulm HTN
S3
split S2
small pulse volume

Question 13

indicators of severe mitral stenosis

Answer 13

murmur length
pulm HTN
small pulse pressure
apical diastolic thrill