Cardiology

Question 1

Murmur right upper sternal edge means what?

Answer 1

Aortic stenosis

Question 2

What is first line treatment for pericarditis?

Answer 2

Ibuprofen 800mg

Question 3

TRUNCUS ARTERIOSUS causes what murmur ?

Answer 3

Systolic murmur with mid-diastolic rumble

Question 4

What is typical for ASD?

Answer 4

Soft systolic, left sternal edge, fixed split S2

Question 5

What x-ray finding is classic for coarctation of aorta?

Answer 5

Rib-notching

Question 6

What are the ecg findings of Wolf-Parkinson white syndrome?

Answer 6

Short PR interval <0.12 seconds
Slurred upstroke of QRS esp lead II AKA delta wave

Question 7

What is common long term cardiac side effect of rheumatic fever?

Answer 7

Mitral stenosis

Question 8

What murmurs can you hear in the mitral zone?

Answer 8

Systolic- mitral regurgitation
Diastolic- mitral stenosis

Question 9

What murmurs can you hear in the second intercostal space left ?

Answer 9

Systolic - pulmonary stenosis, ASD
Diastolic- aortic regurgitation
pulmonary regurgitation

Question 10

What murmur can you hear in tricuspid zone ?

Answer 10

PanSystolic - VSD, tricuspid regurgitation
Diastolic - tricuspid stenosis,

Question 11

What is Ebstein’s anomaly?

Answer 11

Tricuspid valve malformation (therefore regurgitation ) cyanosis and cardiomegaly

Question 12

Treatment for hypoplastic left heart

Answer 12

Norwood procedure
Blalock-taussig shunt insertion