CVS Formative

Question 1

Why might a MRI of lumbar spine be performed on assessing Marfan?

Answer 1

Pelvic MRI may show Dural ectasia which is a major feature in the Ghent criteria for diagnosing marfans

Question 2

Why might a chest X ray be performed on someone with suspected Marfans?

Answer 2

A chest X-ray may show apical blebs which are a sign of Marfan (due to the tall structure)

Question 3

Why is an echocardiogram performed to diagnose Marfans?

Answer 3

An echo will show aortic root diameter of sinus of Valsalva which is mandatory in Marfan diagnosis

Question 4

Give 2 possible findings on physical examination of a mitral regurgitation.

Answer 4

Pan systolic murmur
Best heard at the apex and radiates to the axilla
Best heard on expiration

Question 5

Give two findings on clinical examination of someone with aortic stenosis.

Answer 5

Best heard right parasternal 2nd intercostal space
Radiates to the carotid
May be associated with slow rising uptake in pulse waveform (pulse is low volume slowly rising)

Question 6

On physical examination, what cam differentiate between aortic stenosis and aortic sclerosis?

Answer 6

Aortic sclerosis doesn’t radiate to the carotid