heart conditions

Question 1

Murmur with a low pitch. Use bell of the stethoscope

Answer 1

stenosis

Question 2

Murmur has a high pitch. Use diaphragm of the stethoscope

Answer 2

regurgitation

Question 3

failure of the shunt to close btw the aorta and L pulm artery

Answer 3

patent ductus arteriosus

Question 4

(4) conditions that occur with tetralogy of fallot

Answer 4

1. overriding of the aorta
2. right ventricular hypertrophy
3. interventricular septal defect
4. pulm stenosis

Question 5

___: constriction of the descending aorta.
Causes: high BP in the UE (by 20mg) compared to the LE

Answer 5

coarctation of the aorta

Question 6

__: prox stenosis of the subclavian art

Answer 6

subclavian steal sx

Question 7

MC pop for subclavian steal sx

Answer 7

young females who faint durng exercise

Question 8

1st and 2nd MCC of Left sided heart failure

Answer 8

1st: HT (35-55 yo)
2nd: mitral stenosis from Rheumatic fever (ASO-titer)

Question 9

__: when the R side of the heart fails by itself

Answer 9

Cor pulmonale

usually from a lung condition

Question 10

____: incr HR, S3 gallop, and decr BP

Answer 10

R sided Heart failure `

Question 11

Pt cc of “tearing” pain in their chest

Answer 11

aortic dissection

pop: HT/ arteriosclerosis/ Marfans

Question 12

Printzmental angina comes on with____

Answer 12

rest

Non- exertional chest pn–> normal exercise tolerance, pn is cyclical and usually in the morning

Question 13

3 lab values that will be increased with MI

Answer 13

1. CK-MB (now replaced by troponin)
2. incr LDH
3. incr SGOT

Question 14

explain each part:

1. P wave
2. QRS
3. T wave
4. U wave

Answer 14

p wave: atrial depolarization

QRS: depolarization of ventricles, repolarization of atrium

T wave: repolarization of ventricles

U wave: repolarization of papillary M

Question 15

Incr PR interval (ECG)

Answer 15

AV nodal delay = primary heart block

Question 16

What will be abn. in a ECG when there is a weinkbochs- block of bundle of HIIS

Answer 16

Two P waves before QRS

secondary heart block

Question 17

what will be seen on a ECG during an MI

Answer 17

enlarged or inverted ST segment