CARDIO AMC

Question 1

DOC for staphylococcal prothetic valve endocarditis

Answer 1

Flucloxacillin

Question 2

manifestations of aortic dissection (2)

Answer 2

mediastinal widening
severe sharp chest pain radiating to the back

Question 3

Raised JVP without cardiomegaly

Answer 3

• congestive heart failure (iHD)
• right heart failure (cor pulmonale)
• right ventricular MI
• volume overload (renal failure
• mitral stenosis
• pericardial constriction and effusion

Question 4

Raised JVP with cardiomegaly

Answer 4

• MR

Question 5

Buttock and thigh muscle ischemic claudication pain on walking relieved by rest

Answer 5

Common or external iliac artery

Question 6

Calf claudication

Answer 6

Supeficial femoral artery

Question 7

Mitral stenosis

Answer 7

diastolic murmur

Question 8

Atrial septal defect

Answer 8

soft mid systolic murmur
left upper sternal edge

Question 9

Ventricular septal defect

Answer 9

apex beat palpable at the 5th ICS MCL
systolic murmur audible at the left sternal edge radiating to the axilla and back

Question 10

Patent Ductus Arteriosus (PDA)

Answer 10

“machinery-like” murmur,

Question 11

Aortic stenosis

Answer 11

Murmur: A systolic ejection murmur with a crescendo-decrescendo pattern.
Location: Best heard at the right second intercostal space (aortic area).
Radiation: The murmur commonly radiates to the carotid arteries.