IM - BUZZWORDS

Question 1

Extensive lentiginoses with multiple atrial myxomas

Answer 1

Carney syndrome.

Question 2

High arched palate, arachnodactyly

Answer 2

Marfan syndrome.

Question 3

Bifid uvula

Answer 3

Loey-Dietz syndrome.

Question 4

Orange tonsils

Answer 4

Tangier disease.

Question 5

Blue sclerae

Answer 5

Osteogenesis Imperfecta.

Question 6

Loss of normal kyphosis of thoracic spine and has been described in patients with MVP

Answer 6

Straight back syndrome.

Question 7

Janeway lesions, Osler’s nodes, Duke’s criteria

Answer 7

Infective endocarditis.

Question 8

Posterior calf pain on active dorsiflexion of foot

Answer 8

Homan’s sign.

Question 9

Atrioventricular dissociation & RA contraction against a closed tricuspid valve

Answer 9

Cannon a-waves.

Question 10

Absent a-waves

Answer 10

Atrial fibrillation.

Question 11

Rise or lack of fall of the JVP during inspiration - classically associated with constrictive pericarditis

Answer 11

Kussmaul’s sign.

Question 12

Single most important bedside measurement to estimate VOLUME STATUS

Answer 12

JVP.

Question 13

A-wave

Answer 13

RA presystolic contraction.

Question 14

X-descent

Answer 14

Fall in RA pressure before TV opening

Question 15

C-wave

Answer 15

RV pushes the closed tricuspid valve.

Question 16

V-wave

Answer 16

Atrial diastole during ventricular systole.

Question 17

Y-descent

Answer 17

Fall in RA pressure after TV opening.

Question 18

Fall in SBP > 10mmHg with inspiration

Answer 18

Pulsus paradoxus.

Question 19

Beat-to-beat variability of pulse amplitude

Answer 19

Pulsus alterans.

Question 20

Two peaks in systole

Answer 20

Bisferiens pulse.

Question 21

Weak and delayed pulse

Answer 21

Pulsus parvus et tardus.

Question 22

Slow, notched, or interrupted upstroke

Answer 22

Anacrotic pulse.

Question 23

Peaks in systole and diastole

Answer 23

Anacrotic pulse.

Question 24

Mitral and Tricuspid valve closure sound

Answer 24

S1.

Question 25

Aortic and pulmonic valve closure sound

Answer 25

S2.

Question 26

Sound occurs during RAPID FILLING phase of ventricular diastole (common in CHF)

Answer 26

S3.

Question 27

Sound occurs during ATRIAL FILLING phase of ventricular diastole (common in LVH or AMI)

Answer 27

S4.

Question 28

A2-P2 interval increases with inspiration and narrows during expiration

Answer 28

Physiologic S2 split.

Question 29

Narrow split/Singular S2

Answer 29

Pulmonary HTN.

Question 30

Fixed S2 split

Answer 30

ASD.

Question 31

Nonejection systolic click

Answer 31

MVP.

Question 32

Opening snap

Answer 32

MS.

Question 33

Pericardial knock

Answer 33

Constrictive pericarditis.

Question 34

Tumor plop (low-pitched)

Answer 34

Myxoma.

Question 35

1. ) Diamond-shaped crescendo-decrescendo MID-SYSTOLIC murmur, NARROW pulse pressure
2. ) Triad of symptoms associated:
3. ) Best initial test:
4. ) Most accurate diagnostic test:
5. ) Done if pt is not a good candidate for surgery:
6. ) What to be avoided in tx:

Answer 35

1. ) Aortic stenosis.
2. ) Syncope, Angina, Dyspnea (SAD)
3. ) TTE
4. ) Left heart catheterization
5. ) Aortic balloon valvuloplasty
6. ) Overdiuresis.

Question 36

1. ) DIASTOLIC murmur heard at left sternal border with WIDE pulse pressure
2. ) Best initial test:
3. ) What treatment should be avoided:
4. ) Tx of choice:

Answer 36

1. ) Aortic regurgitation.
2. ) TTE
3. ) Beta-blockers.
4. ) Surgery (valve replacement).

Question 37

1. ) Low-pitched DIASTOLIC murmur with OPENING SNAP
2. ) Most common cause:
3. ) Tx of choice:
4. ) Hallmark of disease progression:

Answer 37

1. ) Mitral stenosis. Most readily audible in EXPIRATION.
2. ) Rheumatic fever.
3. ) Percutaneous transmitral commissurotomy (PTMC).
4. ) Atrial fibrillation.

Question 38

Functional MS in severe AR

Answer 38

Austin flint murmur.

Question 39

Jarring of the entire body and bobbing motion of head

Answer 39

De Musset sign.

Question 40

Capillary pulsation at root of nail

Answer 40

Quincke’s pulse.

Question 41

Booming “pistol shot” sound over femoral arteries

Answer 41

Traube’s sign.

Question 42

To-and-fro murmur when femoral artery is compressed

Answer 42

Duroziez’s sign.

Question 43

1. ) Holosystolic murmur, heard at the apex:

2. ) Most prominent complaints when severe:

Answer 43

1. ) MR

2. ) Fatigue, exertional dyspnea, ORTHOPNEA.

Question 44

1. ) Mid-systolic (nonejection) click and systolic murmur; increased by standing & valsalva
2. ) Most common ECG finding:
3. ) Associated disorder:
4. ) Only indication for IE prophylaxis:

Answer 44

1. ) MVP.
2. ) Normal.
3. ) Connective tissue disorders.
4. ) Only if with (+) history of endocarditis.

Question 45

Holosystolic murmur secondary to marked dilatation of tricuspid annulus from RV enlargement due to PA HTN.

Common among IV drug users.

Answer 45

Mitral regurgitation.

Question 46

Systolic ejection click

Answer 46

Pulmonic stenosis.

Question 47

Heavy or squeezing substernal or central pain causing right clenched fist over referred area.

Answer 47

Levine’s sign.

Question 48

Major site of atherosclerotic disease

Answer 48

Epicardial coronary artery.

Question 49

Most definitive test for CAD

Answer 49

Coronary angiography.

Question 50

Useful diagnostic for pt with intermediate pretest probability for CAD

Answer 50

Stress test.

Question 51

Underlying pathophysiology for NSTE-ACS

Answer 51

Plaque rupture or erosion with superimposed non-occlusive thrombus