Learnings

Question 1

Angina Pectoris

Answer 1

the sensation of chest pain, pressure, or squeezing, often due to ischemia of the heart muscle from obstruction or spasm of the coronary arteries.

Question 2

Angina Pectoris is caused by ________ mismatch in the coronary arteries

Answer 2

supply-demand

Question 3

Levines sign

Answer 3

pt has CP and points right to their sternum

Question 4

Right arm pain is not _______

Answer 4

Angina

Question 5

Sharp, shooting pain is ______-

Answer 5

NOT ANGINA

Question 6

Left arm/jaw pain is _________

Answer 6

Angina

Question 7

__________ helps with true Angina

Answer 7

Rest, Nitroglycerin

Question 8

_________ can cause dyspnea

Answer 8

LV failure

Mitral stenosis

Question 9

Orthopnea

Answer 9

SOB when laying flat

relieved by elevation

Question 10

Paroxysmal nocturnal dyspnea

Answer 10

SOB that wakes pt from sleep

Question 11

Dyspnea on exertion

Answer 11

SOB while walking, etc

Question 12

Syncope

Answer 12

transient loss of consciousness

reduced blood flow to brain

Question 13

Syncope Causes

Answer 13

Cardiac- rhythm disturbance, LV output obstruction
Vasovagal (stress/parasymp response)
Orthostatic
coughing

Question 14

Carotide sensitivity leading to syncope is common with……

Answer 14

men’s ties, and tuning of the head

Question 15

a narrowing of the aorta, when this occurs, heart must pump harder to force blood through the narrow part of your aorta.

Answer 15

Coarctation of the aorta

Coarctation of the aorta is generally present at birth (congenital).

Question 16

an irregular radial pulse may be caused by

Answer 16

A fib

Question 17

Orthostatic is a drop by _____ in ______

Answer 17

20 mmHG in systolic pressure

Question 18

LBB on ECG will affect ____ on PE

Answer 18

the PMI- will feel sluggish

Question 19

is S4 always patho?

Answer 19

No, can be normal result of aging

Question 20

____________ is the most common cause of a heart murmur

Answer 20

Valvular heart disease

Valve stenosis – a narrow, tight, stiff valve, limiting forward flow of blood.

Valve regurgitation – a valve that does not close completely, allowing backward flow (a “leaky” valve)

Question 21

Murmurs can be present without any medical or heart conditions. Two common examples include:

Answer 21

Childhood murmurs

Pregnancy

Question 22

The fourth heart sound, S4 is

Answer 22

Atrial kick
Ass. w/ V hyper trophy
NOT ALWAYS PATHOGENIC

Question 23

Holo systolic murmur

Answer 23

Heart sound continuing between S1 and S2

Can be from mitral regurg