GENERAL

Question 1

FEVER, WHO

Answer 1

Morning >=98.9 F
EVENING >= 99.9 F
Cause increase in BMR in evening

Question 2

Assessment of pulse

Answer 2

Rate
Rythm
Volume
Character or quality
Condition of vessel wall
Radiofrmoral , radioradial delay
Other palpable pulses

Question 3

Bradycardia causes ,<60

Answer 3

Heart block , av block
Severe hypoxia
Myxedema coma
Hypothyroidism
Obstructive jaundice
Hypothermia
Cushings reflex dt raised ICT
DRUGS- beta blocker , verapamil , digoxin
Sick sinus syndrome
Athelete
Deep sleep
Dengue
Lymphoma

Question 4

Tachycardia causes , >100

Answer 4

Tachyarrythmia
Cardiogenic shock
Hyperthyroidism
Thyrotoxicosis
Wet beriberi
Severe anemia
Av fistula
Cardiac failure
DRUGS- beta agonist , atropine , caffeine , nicoteine
Stress
Emotion
Pregnancy
Infants

Question 5

Liebermeister rule

Answer 5

For change in temp by 1 degree Celsius ,
Rise in HR by 10

Question 6

Regular rythm PULSE 🫀,🌟VAH

Answer 6

Ventricular tachycardia
Atrial flutter
Heart block - first and second degree

Question 7

Regularly irregular cause, 🌟

Answer 7

Ventricular bigeminy , trigeminy
Sinus arrythmias

Question 8

Irregularly irregular PULSE 🫀🌟

Answer 8

Ventricular ectopic
VPC , PREMATURE COMPLESE
AF

Question 9

Pulse deficit , HR-PR

Answer 9

> 10/min: ATRIAL FIBRILLATION
<10/min: VPC

Question 10

Hypokinetic pulse PP<30mm hg

Answer 10

Shock
Hypovolemia
Cardiac failure
Mitral stenosis
Aortic stenosis
Constrictive pericarditis

Question 11

HYPERKINETIC PULSE PP>60mmhg

Answer 11

Anemia
Beriberi
Thyrotoxicosis
Av fistula
Liver cirrhosis
AR
MR
PDA
VSD
Ruptured sinus of Valsalva
Fever
Pregnancy
Alcoholism
Exercise
( INCREASED END DIASTOLIC VOLUME )

Question 12

Speed of Pulse wave

Answer 12

5 m /s

Question 13

Speed of blood flow

Answer 13

0.5m/s

Question 14

PULSE PARADOX , 🌟 TP Sir ExamInes COP

Answer 14

Tamponade
Pericarditis
Shock
Embolism pulmonary
Cardiomyopathy
Obstruction SVC
Post thoracotomy
DEFN: Fall in systolic BP during inspiration by more than 10 mm Hg

RESP: BA, COPD , emphysema , b/l pleural effusion

Phy: Obesity
Pregnancy

Question 15

Paradox of Pulsus paradoxus ?

Answer 15

During inspiration despite heart sounds are audible …pulse cannot be felt or absent pulse

Question 16

Anacrotic pulse

Answer 16

Single peak low volume , AS

Question 17

Spike and dome pulse

Answer 17

HOCM

Question 18

Waterhammer pulse / Collapsing pulse / Watson’s pulse / PULSUS CELER/ DANCING CAROTID

Answer 18

Sharp rise , sharp fall
High volume pulse
I’ll sustained
Pulse pr>60 m hg
High vol Collapsing pulse : AR, PDA
NORMAL vol : MR
OTHER: av fistula
Sinus of Valsalva

Question 19

Twin beating pulse

Answer 19

Pulsus bisfreiens
Pulsus Dicroticus

Question 20

Pulsus bisfreiens 🌟AAH

Answer 20

Two peaks in systole

AR
AR+AS
HOCM

Question 21

Pulsus Dicroticus 🌟TLCD

Answer 21

One peak in systole and other in diatole

Typhoid
LVF
cardiomyopathy
Dehydration

Question 22

Alternating volume pulses

Answer 22

Pulsus alternans
Pulsus bigeminus

Question 23

Pulsus Atlernans🌟 L

Answer 23

Regular rythm
Alternating high and low volume

LVF

Question 24

Pulsus bigeminy 🌟b=d

Answer 24

Normal beat - premature beat - normal beat - premature beat,
Alternating strength of pulse

Digoxin toxicity