CVS PPM for the final

Question 1

Pt has sustained left ventricular precordial impulse (pictured) which correlates w/ ncreased pressure load. what specific conditions are associated with sustained left ventricular impulse?

Answer 1

1. Aortic Stenosis
2. Systemic HTN
3. dilated cardiomyopathy (D)

sustained left ventricular impulse is associated w/ aortic stenosis, systemic HTN, and dilated cardiomyopathy

Question 2

Pt has enlarged (hyperkinetic) left ventricular precordial impulse (pictured), which is correlated w/ incr. volume load. enlarged (hyperkinetic) left ventricular impulse is associated w/ what conditions?

Answer 2

1. Aortic regurgitation
2. mitral regurgitation
3. hypertrophic cardiomyopathy (H)
4. dilated cardiomyopathy (D)

Question 3

pt has displaced left ventricular impulse (downward and to the left of normal position). displaced left ventricular precordial impulse is correlated with increased volume load. displaced left ventricular impulse (downward and to the left of normal position) is associated w/ what condition?

Answer 3

1. aortic regurgitation
2. mitral regurgitation
3. hypertrophic cardiomyopathy (H)
4. dilated cardiomyopathy (D)

Question 4

pt has presystolic left ventricular precordial impulse, which is asoociated w/ incr. pressure load. presystolic left ventricular impulse is associated with what specific conditions?

Answer 4

1. aortic stenosis
2. systemic HTN

Question 5

pt has bifid left ventricular precordial impulse (pictured), which is associated w/ obstruction occurring midway in systole as the mitral valve approximates a hypertrophied septum. bifid left ventricular precordial impulse is associated with which specific condition?

Answer 5

hypertrophic cardiomyopathy (H)

Question 6

pt has right ventricular heave or lift, which is correlated with ant. displacement of right ventricle and ventricular dilation. rt. ventricular heave or lift is associated with which specific condition?

Answer 6

1. mitral regurgitation
2. mitral stenosis
3. pulmonary HTN

Question 7

pt has thrills, which are associated w/ murmurs. thrills are associated w/ what specific condition?

Answer 7

1. aortic stenosis
2. pulmonic stenosis
3. ventricular septal defect (VSD)
4. severe mitral regurgitation
5. patent ductus arteriosus (PDA)

Question 8

hyperkinetic carotid pulse (pictured) is associated w/ wide pulse pressure. hyperkinetic pulse is associated w/ what specific conditions?

Answer 8

1. aortic regurgitation
2. anemia
3. thyrotoxicosis

Question 9

pt has hypokinetic carotid pulse, which is associated w/ decr. CO, and low arterial pressure (LAP). what specific condition is associated w/ hypokinetic carotid pulse?

Answer 9

1. dilated cardiomyopathy
2. mitral stenosis
3. recent MI

Question 10

pt has pulsus bisferiens carotid pulse (pictured), which is associated w/ left ventricular outflow obstruction. what specific condition is associated with pulsus bisferiens?

Answer 10

1. aortic regurgitation
2. hypertrophic cardiomyopathy

Question 11

pt has pulsus parvus et tardus (pictured), which is associated w/ aortic outflow obstruction. what condition is associated w/ pulsus parvus et tardus?

Answer 11

aortic stenosis

Question 12

pt has pulsus paradoxus, which is associated w/ palpatory decr. in strength of arterial pulse during normal inspiration. pulsus paradoxus is assoc. w/ which specific conditions?

Answer 12

1. pericardial tamponade
2. restrictive pericarditis
3. vena caval obstruction

Question 13

pt has pulsus alterans, which is associated w/ severe left ventricular failure. what condition is assoc. w/ pulsus alterans?

Answer 13

dilated cardiomyopathy