Cardiac/renal

Question 1

Murmur along LEFT lower sternal border
Peaking crescendo de crescendo

Answer 1

Hypertrophic cardiomyopathy

Question 2

2nd L intercostal space (systolic)
Left to right shunt
Pulmonary mid systolic flow murmur
Tricuspid diastolic flow rumble
RBBB
Fixed splitting of S2

Answer 2

ATRIAL SEPTAL DEFECT
(ASD)

Question 3

Diastolic decrescendo murmur
Left sternal border

Answer 3

aortic regurg

Question 4

Late peaking systolic ejection murmur, carotid radiation, pulsus parvus et tarsus.
What murmur is this?

Answer 4

Aortic stenosis

Question 5

What diabetic meds reduce CKD progression

Answer 5

SGLT-2: gliflozin
GLP-1 : glucose

Question 6

AAA
<4 q2-3 yr US
4 <5.5 CT angio or duplex q6-12 months
>5.5 ends repair or open surgery

Answer 6

If bicuspid valve and getting aortic stenosis surgery then get repear at
>4.5 cm

If other risk factor for dissection ok to repat >5 cm

If rate >_ 0.5cm/year

Question 7

Decrescendo diastolic murmur
L sternal border

Answer 7

Aortic regurg

Question 8

Systolic crescendo decrescendo murmur
R upper Sternal border

Answer 8

Aortic stenosis

Question 9

Diastolic murmur
2nd L sternal border
Increases w inspiration

Answer 9

Pulmonar regurg