Cvs

Question 1

VSD best heard at

Answer 1

Tricuspid area

Lt 4 sternal

Question 2

In all shock the preload after load resistance and co ,,,,,

In septic or cns injury

Answer 2

Preload and co ⬇⬇⬇
The Resistance ⬆
In septic resistance ⬇due to vasodilation and preload ⬇
And co ⬆

Question 3

First sign of septic shock

Answer 3

Tachycardia

Question 4

Scattered mycopolysaccharide stroma

Answer 4

Myxomas

Question 5

Caused by bartonella henselase

Answer 5

Bascillary angiomatosis

In Aids

Question 6

Polyploid capillary hemangiomas

Answer 6

Pyogenic granuloma in Truma and pregnancy

Question 7

Lapis sarcoma and bacillary angiomastosis different

Answer 7

Bacillary has neutrophils

Kaposi has lymphocyte

Question 8

Antiprotenase 3

Antimyloperoxidaese

Answer 8

Wagner +nasal perforation
Microscopic polyangitis
No granuloma no nasal perforation

Question 9

MPO ANAC P + IgE

Answer 9

Churgstrauss

Asthma and skin nodule and peripheral neuropathy

Question 10

Embryo origin of PDA

Answer 10

6 aortic arch

Between the lt pulmonary artery and aortic arch

Question 11

Hemopoisis in embryo

Answer 11

Ys
Liver 1 month
Spleen and LN 2-4 month
Bone marrow 4 months

Question 12

Causes of wide pulse p

Answer 12

⬆T4
Isolated systolic HT 
Obstructive apnea 
PDA
AR
Exercise

Question 13

Hi altitude

What is ⬆what ⬇

Answer 13

⬆Hc and Hb concentration and o2 content after polycythemia
But ⬇always saturation and pA o2
And pA co2 bc hyperventilation

Question 14

Ischemic heart cell what happens to K ca HCO3

Answer 14

Due to stop k /NA atpase Channal and also stop Na / ca atpase lead to accumulate ca and hypo K and increase CO2