Examination of the Cardiovascular System

Question 1

At least 10 seconds pressure over the upper abdomen (RUQ)

Positive response: sustained rise of >3 cm in JVP for at least 10-15 seconds after release of the hand.

Answer 1

Abdominojugular Reflux

Question 2

Pansystolic murmur of tricuspid regurgtation

Louder during inspiration and diminishes during forced expiration

Answer 2

Carvallo’s Sign

Question 3

High-pitched, diastolic, decrescendo blowing murmur along the left sternal border due to dilation of the pulmonary valve ring; occurs in mitral valve disease and sever pulmonary hypertension

Answer 3

Graham Steel Murmur

Question 4

Condition where the murmur of aortic stenosis may be transmitted downward and to the apex and may be confused with the systolic murmur of the mitral regurgitation

Answer 4

Gallavardin Effect

Question 5

Apical pulse is reduced and may retract in systole in constrictive pericarditis

Answer 5

Broadbent’s Sign

Question 6

A rapidly rising “water-hammer” pulse that collapses suddenly as arterial pressure falls rapidly during late systole and diastole, seen in aortic regurgitation

Answer 6

Corrigan’s Pulse

Question 7

Capillary pulsations manifest as alternate flushing and paling of the skin while pressure is applied to the tip of the nail, seen in aortic regurgitation

Answer 7

Quincke’s Pulse

Question 8

A booming “pistol-shot” sound heard over the femoral arteries, seen in aortic regurgitation

Answer 8

Traube’s Sign

Question 9

To and fro murmur audible if the femoral artery is lightly compressed with a stethoscope, seen in aortic regurgutation

Answer 9

Duroziez Sign