Quiz 2 Flashcards

1
Q
  • It is autoimmune disease after pharyngitis
  • Children,
  • Streptococcus with M-protein
  • Aschoff bodies
  • as multinucleated giant cells
A

Rheumatic heart disease

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2
Q

what valve does Acute rheumatic endocarditis affect?

A

mitral valve

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3
Q
  1. Carditis
  2. Migratory polyarthritis, no
  3. Subcutaneous nodules
  4. Erythema marginatum
  5. Rheumatic chorea (Sydenham’s chorea)
A

Major Jones Criteria

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4
Q

•History, Symptoms, Labs.
•REMEMBER: in acute Rheumatic disease leads to mitral
regurgitation but chronic leads to stenosis

A

Minor Jones Criteria

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5
Q
  • Virus (Coxsacki B) is the Most Common Cause
  • Pathology: interstitial edema with lymphocytes
  • Complication: congestive cardiomyopathy
A

Myocarditis

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6
Q

• It is a myocardial dysfunction, Most Common Cause is

unknown

A

Cardiomyopathy

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7
Q

Mainly systolic dysfunction

•Causes: idiopathic, alcoholism, myocarditis or drugs (adriamycin)

A

Congestive (dilated) cardiomyopathy

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8
Q
  • very young age
  • congenital (AD)
  • diastolic disorder
  • asymptomatic
  • causes sudden death in athletic person
A

Hpertrophic cardiomyopathy

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9
Q

mainly diastolic dysfunction, due to hemochromatosis

⇑ iron), amyloidosis(⇑ pre-albumin

A

Restrictive cardiomyopathy

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10
Q

Friable, embolic vegetation

A

Bacterial Endocarditis

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11
Q

acute bacterial endocarditis (ABE):

A

Staph. Aureus

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12
Q

subacute Bacterial Endocarditis (SBE):

A

strept. Viridans

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13
Q

Associated with SLE, mainly affects mitral & tricuspid

valves

A

Libman Sacks endocarditis (non bacterial endocarditis)

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14
Q

non-bacterial thrombotic (NBTE), associated with tumors
& DIC due to much mucin secretion which affects the blood coagulation.
- easy to detach

A

Marantic endocarditis

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15
Q
  1. Rheumatic fever produces all of the following features EXCEPT:
    A. Myocarditis
    B. Pericarditis
    C. Endocarditis
    D. Mural thrombus
A

D. Mural thrombus

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16
Q
  1. All of the following are the major Jones-Criteria of rheumatic fever EXCEPT:
    A. Carditis
    B. Arthralgia
    C. Arthritis
    D. Chorea
    E. Erythema marginatum
A

B. Arthralgia

17
Q
  1. What is the most common cause of myocarditis in the U.S.?
    A. Coxsackie B virus
    B. Hepatitis B virus
    C. Toxoplasmosis
    D. Cytomegalovirus E. Mycoplasma
A

A. Coxsackie B virus

18
Q
  1. Alcoholism may be causing ONE of the following heart diseases?
    A. Congestive cardiomyopathy
    B. Restrictive cardiomyopathy
    C. Hypertrophic cardiomyopathy
    D. Obliterative cardiomyopathy
A

A. Congestive cardiomyopathy

19
Q
  1. What is the most common cause of death in acute rheumatic fever?
    A. Pericarditis
    B. Endocarditis
    C. Myocarditis
    D. Mitral stenosis
    E. Mitral incompetence
A

C. Myocarditis

20
Q

What is the most common cause of chronic mitral valve stenosis?

A

Chronic rheumatic fever

21
Q

What do you hear when there is fibrinous pericarditis present?

A

Friction rub

22
Q

Acute bacterial endocarditis stays locally in the heart and primarily affects what valve?

A

Tricuspid