Physical Exams

Question 1

3 components of pericarditis rub

Answer 1

Atrial, ventricular contractions, ventricular relaxation

Question 2

Ewart’s sign

Answer 2

Dullness over left posterior lung field due to compressive atelectasis from pericardial effusion

Question 3

Pulsus paradoxus DDx

Answer 3

PE, hypovolemia, severe COPD, constriction, RV infarct, tamponade

Question 4

HCMP

Answer 4

Sustained PMI, paradoxically split S2 if severe outflow obstruction, S4, systolic murmur crescendo-decrescendo LLSB, increase with valsalva and standing (decrease preload), +/- MR murmur, bifid carotid pulse, JVP with prominent a wave

Question 5

HCMP ECGs

Answer 5

LVH, anterolateral/inferior pseudo Q’s. apical giant TWI