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OSCE II > CV > Flashcards

CV Flashcards

1
Q

systolic murmurs

A

ASMR

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2
Q

diastolic murmurs

A

MSAR

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3
Q

causes of S3

A

enlarged LV. may be physiologic (athlete, child) OR pathologic (CHF, DCM)

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4
Q

causes of S4

A

forceful atrial contraction ejecting blood into stiff LV (always pathologic: HTN, aortic stenosis w/ LV hypertrophy, HCM, CHF)

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5
Q

when is physiologic split of S2 heard?

A

during inspiration

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6
Q

how would you position a patient/your steth to hear S3?

A

LLD with bell at M (apex of heart)

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7
Q

how would you position a patient/your steth to hear S4?

A

LLD with bell at M (apex of heart)

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8
Q

how would you position a patient/your steth to hear MR?

A

(maybe LLD) with diaphragm at M (apex of heart)

have patient clench their fist to enhance sound of murmur

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9
Q

how would you position a patient/your steth to hear MS?

A

LLD at M (apex of heart)

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10
Q

how would you position a patient/your steth to hear AR?

A

seated, leaning forward with steth at P

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11
Q

how would you position a patient/your steth to hear AS?

A

seated, leaning forward with steth at A

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12
Q

what diseases are associated with mitral stenosis?

A

rheumatic heart disease

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13
Q

what diseases are associated with aortic regurg?

A

rheumatic heart disease, endocarditis, Marfan

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14
Q

what diseases are associated with mitral regurg?

A

rheumatic heart disease, dilated cardiomyopathy, post-MI, Marfan

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15
Q

what diseases are associated with aortic stenosis?

A

being elderly (lol not really a disease), rheumatic heart disease

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16
Q

what physical exam findings accompany MR?

A

possible S3, displaced PMI

17
Q

what physical exam findings accompany MS?

A

loud S1, opening snap, pulmonary HTN, atrial fib

18
Q

what physical exam findings accompany AR?

A

bounding pulse, S3, displaced PMI

19
Q

what physical exam findings accompany AS?

A

S4, large/prominent PMI, weak/delayed carotid pulse

20
Q

can AS murmur radiate anywhere?

A

yes, carotids

21
Q

can MR murmur radiate anywhere?

A

yes, L axilla

22
Q

can AR murmur radiate anywhere?

A

yes, apex and R sternal border

23
Q

can MS murmur radiate anywhere?

A

not likely

OSCE II (4 decks)

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