CVS Correlastion

Question 1

The hand in CVS EXamination
1- Clubbing
Common Cause

CVS -2-
Respiratory -2-
1-2-3-4-
And uncommon
Respiratory -3-
GIT-3-
Rare -2-

Answer 1

CVS
1-Cyonotic Cogenital heart disease
2- Infective Endocarditis
Respiratory
1-Lung carcinoma
2-Chronic pulmonary
Bronchietasis
Lung Absecess
Empyema
Idiopathic pulmonary fibrosis
GIT
Cirrhosis
Celiac disease
Inflamtory bowel disease
Rare
Neurogenic diaphragamtic tumore
Pregnancy

Question 2

Unilateral clubbing -2-
Pathogensis ?

Answer 2

1- Bronchial arteriovenous aneurysm
2- Acillary artery Anerysm
Pathogenisis : in tesponce to attial hypoxemia unknown humoral substance cause dilastion of the vessles of the finger tip of the vessles

Question 3

Splinter Hemorrhage
De :
Causes :
1-2-3
6 Causes

Answer 3

Liner hemorrhage lying parellel to the long axis of the nail
1 -Truma
2- infective endocarditis
Other Causes
Vasculitisv
Rhematic arthritis
Polyarthritis nodsa
Sepsis
Hematolgical malignancy
Profunda anemia

Question 4

Osler node
De :
Causes :

Answer 4

These red raised tender nodule on the pulp
Rare infective Endocarditis

Question 5

Janeway Lestion De :
Tendon xanthomata De :
Palmar xanthemta tuberactive xanthomata :

Answer 5

1- Non tender erythrmatous macularpopular Lestion contaning Bactira
2- Yellow or orange deposit of lipid type 2 hyperlipidemia
3- Occur in elbow and Knee type 3 Hypelipidemia

Question 6

There are 2 positive wave in normal JVP ?

Answer 6

a- wave : with right atrial systole with 1st heart sound Cause : Atrial contraction
v- wave: ventircle systole
Cause Tricsped valve is closed and atrial is opining

Question 7

There 2 decent in normal JVP

Answer 7

X decent Caused by atrial relaxtion
Y decent by rapid ventricular filling with tricusped opining
C wave not usually visible from Carotid A

Question 8

Abnormal patteren of the wave JVP
(Cannon Wave) ?

Answer 8

Occur when right Atrium Aganict cloused Tricusped

Question 9

Abnormal patteren wave JVP
(Giant a wave )

Answer 9

When the atrial pressure ⬆️⬆️⬆️
Becouse ;;
1- obstruction in the outflow (tricuspid stenosis )
2-Elevated pressure in pulmonary circulastion

Question 10

Abnormal patteren wave JVP
Large V wave

Answer 10

Occur when tricuspid regurastion

Question 11

Kussmaul*s sign in JVP

Answer 11

De : Increase jvp during inspiration
Right ventricle limited becouse
1-Constrictive pericarditis
2-Cardic temponade
3-Right ventricle infraction
Ex: the best exame when pastient 90 degree

Question 12

Heart sound
1.2.3.4

Answer 12

Z

Question 13

Pulses Alterence
Pulse Paradox
Colllapsing
Bisferins

Answer 13

-Sever myocardial infection
-increase experation decrease inspirastion (pericarditis percardial effustion sever asthma )
- High Aoratic regurastion
— Aoartic strnosis and regurastion