boards Flashcards

1
Q

Holt Oram PE finding

A

fixed split S2 2/2 secundum ASD

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2
Q

What is holt oram syndrome>

A

atrioskelatal dysplasia, tiny or missing thumbs

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3
Q

Williams Syndrome (7 del) PE changes

A

Supravalvular AS

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4
Q

Marfan syndrome genetic defect

A

fibrillin 1

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5
Q

Skin abn name the sundrome

  1. Striae
  2. Loose hyperextensile skin
  3. Telangectasias
A
  1. Cushings, Marfans
  2. E-Danlos
  3. HHT. (also pulmonary shunt) Crest, Variant SSc
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6
Q

Erythema chronicum migrans think of

A

Acute Rheumatic Fevere

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7
Q

target lesions of lyme

A

erythema migrans

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8
Q

Severe TR is associated with what atrial wave form

A

prominent cv waves.

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9
Q

Tamponade has what neck vein finding?

A

absent Y descent which is early atrial filling due to it being encased in blood.

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10
Q

Kussmals sign

A

increase in JVP with inspiration.

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11
Q

ABI normal. mild moderate, severe

A

Normal > 0.9
Mild 0.7 to 0.9
Mod 0.4-0.7
Severe 0.0 to 0.4

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12
Q

Pulsus paradoxis is > X mmHg fall

A

> 10 mmHg

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13
Q

In nrml patient what happend to bp in the 10 seconds after a valsalva

A

inital brief decrease, ABP increases

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14
Q

CHF 2 possibles respsonses with CHF and valsalva

A
  1. square wave response. During valsalva in severe CHF goes up throught then decreases after.
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15
Q

Fixed splitting board cause?

A

ASD

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16
Q

Loud single S2

A

pHTN

17
Q

Paradoxical splitting

A

LBBB or RV Pacing. severe AS, Hocm

18
Q

ejection click

non ejection click

A

BAV

MVP (after caroditd upstroke

19
Q

Valsva use for hocm vs. AS

A

Hocm louder, AS murur softer

20
Q

MVP radiation

A

post leaflet = ant radiation

ant leaflet = post radiation

21
Q

hoiosystolic murmurs (3)

A

VSD, MR, TR (Regurg murmurs are the chroic ones. …

22
Q

MS disastolic murmur opening snap caveat

A

OS happens only in sinus

23
Q

Continuous murmur

A

Ruptured sinus, PDA, AV fistula