IM Platinum - Cardio: Valvular Diseases Flashcards
Most common presenting symptoms:
Dyspnea
Fatigue
Decreased Exercise Tolerance
a. Mitral Stenosis
b. Mitral Regurgitation
c. Mitral Valve Prolapse
A
Most prominent symptoms:
Fatigue
Exertional Dyspnea
Orthopneaa
a. Mitral Stenosis
b. Mitral Regurgitation
c. Mitral Valve Prolapse
B
Most are asymptomatic
a. Mitral Stenosis
b. Mitral Regurgitation
c. Mitral Valve Prolapse
C
Characteristic murmur: apical, mid-or late non-ejection systolic murmur preceded by a click
a. Mitral Stenosis
b. Mitral Regurgitation
c. Mitral Valve Prolapse
C
Apical holosystolic murmur of at least grade III
a. Mitral Stenosis
b. Mitral Regurgitation
c. Mitral Valve Prolapse
B
Apical early diastolic rumble preceded by an opening snap
a. Mitral Stenosis
b. Mitral Regurgitation
c. Mitral Valve Prolapse
A
PE finding: Malar flush with pinched and blue facies
a. Mitral Stenosis
b. Mitral Regurgitation
c. Mitral Valve Prolapse
A
Most common PE finding in Mitral Stenosis:
a. irregular pulse caused by AF and signs of left and right heart failure
b. Malar flush with pniched and blue facies
c. prominent a wave
d. Apical early diastolic rumble preceded by an opening snap
A
ECG finding of biphasci or inverted T in II, III avF
a. Mitral Stenosis
b. Mitral Regurgitation
c. Mitral Valve Prolapse
C
CXR showing LAE RAE and RVH
a. Mitral Stenosis
b. Mitral Regurgitation
c. Mitral Valve Prolapse
A
CXR showing LAE LVH sometimes RAE
a. Mitral Stenosis
b. Mitral Regurgitation
c. Mitral Valve Prolapse
B
CXR or ECG usually normal
a. Mitral Stenosis
b. Mitral Regurgitation
c. Mitral Valve Prolapse
C
PE finding hyperdynamic LV with brisk systolic impulse and laterally displaced apex beat
a. Mitral Stenosis
b. Mitral Regurgitation
c. Mitral Valve Prolapse
B
Inconspicuous LV on palpation
a. Mitral Stenosis
b. Mitral Regurgitation
c. Mitral Valve Prolapse
A
Murmur is accentuated by standing and strain phase of Valsalva and diminished by squatting
a. Mitral Stenosis
b. Mitral Regurgitation
c. Mitral Valve Prolapse
C
