Cardiovascular - Valvular Disease

Question 1

two types of valve disease?

Answer 1

stenosis

regurgitation

Question 2

features of valve disease?

Answer 2

SOB
chest pain
syncope
orthopnea
PND
pitting oedema

Question 3

what are RHS features of valve disease?

Answer 3

louder with inspiration

oedema

Question 4

what are LHS features of valve disease?

Answer 4

SOB

frothy sputum

Question 5

what valves close with S1?

Answer 5

mitral

tricuspid

Question 6

what valves close with S2?

Answer 6

aortic

pulmonary

Question 7

what does S1 and S2 signal?

Answer 7

S1 - systole

S2 - end of systole, start of diastole

Question 8

what gives an ejection systolic murmur?

Answer 8

aortic stenosis

Question 9

features of aortic stenosis?

Answer 9

slow rising pulse

radiates to carotids

Question 10

what gives a pansystolic murmur?

Answer 10

mitral regurg

Question 11

features of mitral regurg?

Answer 11

radiates to left axilla
ankle swelling
cardiomegaly

Question 12

what gives an early diastolic decrescendo murmur?

Answer 12

aortic regurgitation

Question 13

features of aortic regurgitation?

Answer 13

collapsing pulse

Question 14

what gives a mid diastolic rumbling murmur?

Answer 14

mitral stenosis

Question 15

features of mitral stenosis?

Answer 15

malar flush

tapping apex

Question 16

what valve does rheumatic fever commonly affect?

Answer 16

mitral (regurg)

Question 17

what can cause valve disease?

Answer 17

infection
age
congenital
CTD
rheumatic fever

Question 18

Ix for valve disease?

Answer 18

ECG
CXR
echo

Question 19

treatment for valve disease?

Answer 19

surgery

TAVI if frail

Question 20

what pulse is seen in aortic stenosis?

Answer 20

slow rising pulse

Question 21

what pulse is seem in aortic regurg?

Answer 21

collapsing pulse

Question 22

what murmur can radiate to the axilla?

Answer 22

mitral regurg

Question 23

what murmur can radiate to the carotids?

Answer 23

aortic stenosis