Heart disease

Question 1

Symptoms aortic stenosis

Answer 1

SOB on exertion
Angina
Dizziness + syncope

Question 2

Aortic stenosis murmur

Answer 2

Disappearance of 2nd aortic sound

Crescendo-decrescendo systolic ejection murmur

Question 3

Management of aortic stenosis

Answer 3

Transcatheter aortic valve implantation (TAVI) or aortic valve replacement

Question 4

Signs + murmur for aortic regurgitation

Answer 4

Diastolic murmur, exaggerated arterial pulsations, low diastolic pressure
Collapsing pulse

Question 5

Management of aortic regurgitation

Answer 5

Vasodilators or surgery

Question 6

S+S endocarditis

Answer 6

Fever, polymyalgia, heart murmurs

Weight loss

Question 7

What are the order that valves tend to become affected in endocarditis?

Answer 7

Mitral
Aortic
Tricuspid
Pulmonary

Question 8

Management of endocarditis

Answer 8

Amoxicillin + gentamicin

Question 9

Management of macrocytic anaemia

Answer 9

B12 then folate

Question 10

Causes of mitral stenosis

Answer 10

Rheumatic fever, endo/myo/pericarditis

Calcium build up

Question 11

Symptoms mitral stenosis

Answer 11

SOB on exertion + when lying flat

Malar flush

Question 12

Mitral stenosis murmur

Answer 12

Loud 1st heart sound
Normal 2nd heart sound
Opening snap after 2nd heart sound
low pitched murmur

^^Diastolic murmur

Question 13

Management of mitral stenosis

Answer 13

Antiplatelets

Question 14

Causes of mitral regurgitation

Answer 14

Degenerative changes, coronary artery disease

Question 15

Symptoms of mitral regurgitation

Answer 15

Pulmonary oedema

HF + SOB

Question 16

Mitral regurgitation murmur

Answer 16

Pansystolic murmur at apex

Question 17

Management of mitral regurgitation

Answer 17

Surgery

Nitrates, diuretics, ACE inhibitors