Cardio Exam

Question 1

Signs of infective endocarditis in hands

Answer 1

Splinter haemorrhages
Oslers nodes: Peripheral, painful
Janeway lesion: on palms, not painful
Koilonychia

Question 2

What is corneal arcus

Answer 2

Deposition of lipids around the rim of the iris

Question 3

What is corrogans sign?

Answer 3

Arterial bounding found in AR

Question 4

Two signs of AR

Answer 4

Collapsing pulse

Corrogan’s sign

Question 5

AS auscultation manoeuvre

Answer 5

Diaphragm
Over carotid arteries
On inspiration

Question 6

JVP vessel

Answer 6

Internal jugular vein

Question 7

AR auscultation manoeuvre

Answer 7

Diaphragm
Over aortic area
Leaning forward
Expiration

Question 8

MR auscultation manoeuvre

Answer 8

Diaphragm
Over mitral area
Expiration
Patient rolled onto LHS

Radiation murmur:
Diaphragm
Over axilla
Patient rolled onto LHS
Expiraiton

Question 9

MS auscultation manoeuvre

Answer 9

Bell
Expiration
Mitral area
Patient on LHS

Question 10

Abdo component

Answer 10

Renal bruits
Liver palpations
Femoral pulses (compare to radial ?coarctation)

Question 11

Radial pulses not synchronised?

Answer 11

Aortic dissection, subclavian stenosis

Question 12

Grading of murmum

Answer 12

I - Barely audible
II - Soft audible
****III - Easily audible *****
IV - ^  PLUS thrill
V- ^ and heard when steth lightly on chest
VI - Heard without stethescope on chest

Question 13

Systolic murmur

Answer 13

AS
HOCM (increased on valsalva)
MR
VSD
ASD

Question 14

Diastolic murmur

Answer 14

AR
MS
PDA