Branuwalds Exam November 2023 Flashcards
The most common clinical presentation of aortic stenosis is:
Angina
Heart failure
Syncope
Exertional dyspnea
exertional dyspnea
Syncope in severe aortic stenosis is caused by which of the following mechanisms:
Malfunction of baroreceptors
Vasodepressor response to a greatly elevated LV systolic pressure during exercise
Reduced cerebral perfusion
All of the above
AOTA
Which of the following correctly describes angiodysplasia causing gastrointestinal bleeding in severe aortic stenosis:
Occurs frequently on the left colon
Correlates with AS severity
Uncorrectable by AVR
All of the above
b. correlates with AS severity
Auscultatory findings of severe AS includes:
Systolic murmur of grade 3 intensity or greater
Late peaking systolic murmur
Single S2
All of the above
Late peaking systolic murmur
Which of the following correctly describes AS murmur:
a. the intensity of the systolic murmur varies depending on the diastolic filling duration
b. augmented by squatting
c. increased in intensity during the strain phase of Valsalva manuever
d. a and b
e. all of the above
d. A and B
Auscultatory findings providing confirmation of wide pulse pressure in chronic severe AR includes which of the following:
a. Traube sign
b. Muller sign
c. Quincke sign
d. All of the above
a. Traube sign - AUSCULTATORY finding
A systolic murmur heard over the femoral artery when it is compressed proximally and a diastolic murmur when compressed distally:
a. Duroziez sign
b. Muller sign
c. Traube sign
d. Musset sign
a. Duroziez sign
Austin flint murmur:
a. Common in severe AR
b. Caused by obstruction to mitral inflow
c. Early diastolic murmur
d. Holo diastolic apical rumble
e. All of the above
a. common in severe AR
Which of the following correctly describes the murmur of chronic AR:
a. High frequency diastolic murmur
b. Begins immediately after A2
c. Begins immediately after P2
d. A and B
e. A and C
d. A and B
