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Clinical Medicine > Ultimate Reviewer Cardio > Flashcards

Ultimate Reviewer Cardio Flashcards

1
Q

Systolic ejection murmur of chronic severe aortic regurgitation is accompanied by which sound

A

Austin flint murmur

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2
Q

Mid-‐diastolic murmur heard over the pulmmonic area is ASD is accompanied by which sound

A

Persistent splitting of s2

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3
Q

Increased loudness of holosystolic murmur of tricuspid regurgitation upon inspiration

A

Caravallos sign

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4
Q

Heard in aortic stenosis

A

Paradoxical splitting of s2

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5
Q

Apex beat is displaced at the 6th ICS LAAL, (+) para sterna heave, (+) lift

A

Eccentric

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6
Q

40 year old female, with apical beat that retracts during systole

A

Right ventricular hypertrophy

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7
Q

Hardly palpable

A

Left ventricular dilatation

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8
Q

40 year old female with chronic hypertension complained of chest pain, PE revealed apex beat at the 5th ICS LMCL with a (+) apical lift

A

Concentric

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9
Q

A 52 year old, Male, chronic hypertensive and DM2 complained of chest pain and SOB (DOB?), PE revealed (+) murmur of AR and MR, apex beat is displaced at 5th ICS left anteroaxillary line with (+) lift

A

Eccentric

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10
Q

Pulmonary Hypertension

A

Loud P2

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11
Q

Mitral stenosis

A

Loud s1

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12
Q

Atrial Fibrillation

A

Soft s1

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13
Q

BP 220/120

A

Loud s1

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14
Q

Pulmonic stenosis

A

Paradoxical splitting of s2

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15
Q

Sinus Tachycardia

A

Loud s1

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16
Q

Chronic aortic regurgitation

A

Loud a2

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17
Q

LBBB

A

Paradoxical splitting of S2

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18
Q

Severe aortic stenosis

A

Loud A1

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19
Q

Normal PE findings

A

Splitting of S2 upon inspiration

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20
Q

Chronic aortic regurgitation and aortic Stenosis

A

Pulsus bisfierens

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21
Q

Aortic regurgitation

A

Coorrigan’s pulse

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22
Q

Constructive pericarditis

A

Pulses paradoxus

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23
Q

Severe aortic Stenosis

A

Pulses parvus et tardus

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24
Q

CHF

A

Pulses alterans

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25
Q

Diastolic blowing murmur

A

Aortic regurgitation

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26
Q

4th ICS parasternal line

A

Tricuspid regurgitation

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27
Q

Ejection systolic murmur transmitted to carotid

A

Aortic stenosis

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28
Q

Ejection systolic murmur loud on expiration

A

Pulmonic stenosis

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29
Q

Holosystolic murmur displaced to left axilla, diminished S1

A

Mitral regurgitation

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30
Q

Important physical examination finding in CHF

A

Hepatojugular reflex

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31
Q

Mid diastolic murmur heard over the pulmonic area in ASD is accompanied by what sound

A

Persistent splitting of S2

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32
Q

Loudness of holosystolic murmur of tricuspid regurgitation upon inspiration

A

Carvallos sign

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33
Q

Apex beat is displaced at the 6th ICS LAAL, faint heart sound, (+) parasternal heave, (+) lift

A

Eccentric hypertrophy

34
Q

40 year old female, with apical beat that retracts during systole

A

RVH

35
Q

SOB, apex at 6th ICS left midaxillary line..faint heart sound, alcoholic and elicit drug use

A

Eccentric

36
Q

40 year old with chronic hypertension complained of chest pain. PE revealed apex beat @ 5th ICS LMCL with a (+) apical lift

A

Concentric

37
Q

A 52 year old Male, chronic hypertension & DM2 complained of chest pain and SOB. PE revealed (+) murmur of AR & MR. Apex beat is displaced @ 5th ICS left anteroaxillary line with (+) lift

A

Eccentric

38
Q

Pulmonary hypertension

A

Loud P2

39
Q

Atrial fibrillation

A

Soft s1

40
Q

BP 220/120

A

Loud S1

41
Q

Sinus Tachycardia

A

Loud S1

42
Q

LBBB

A

Paradoxical splitting of S2

43
Q

Severe Aortic Stenosis

A

Paradoxical splitting of S2

44
Q

Normal PE findings

A

Split S2 on inspiration

45
Q

Chronic aortic regurgitation and aortic stenosis

A

Pulses bisfirens

46
Q

CHF

A

Pulsus alterans

47
Q

A 27 year old female, worried about ECG finding of RBBB. Auscultation revealed presence of ejection systolic murmur which became louder during forceful expiration

A

Pulmonic stenosis

48
Q

65 year old patient with DM, HPN, has a holosystolic murmur displaced to the left axilla, has a diminished S1

A

Mitral regurgitation

49
Q

Machinery-‐like murmur

A

PDA

50
Q

Greater BP in the upper extremities compared to the lower extremities

A

Coarctation of aorta

51
Q

Characteristics peripheral pulse in CHF

A

Pulsus alterans

52
Q

DM hypertensive 64 year old experienced pain in right calf muscle on walking for 20 mins and relived by rest

A

Intermittent claudication

53
Q

PDA

A

2nd left ICS

54
Q

Aortic Stenosis

A

2nd right ICS

55
Q

S3 & S4

A

5th ICS LMCl

56
Q

Fixed splitting of S2

A

ASD

57
Q

Holosystolic murmur at the left parasternal area are transmitted to the right sternal border

A

VSD

58
Q

Sail Sound

A

Ebstain anomaly

59
Q

BP elevated in the upper extremities markedly lower in the lower extremities

A

Coarctation of aorta

60
Q

Machinery-‐like murmur

A

PDA

61
Q

Pulmonary Stenosis

A

2nd left ICS

62
Q

Ventricular Septal Defect

A

Apex

63
Q

Very loud S1

A

Apex

64
Q

Opening Snap

A

Pulmonic area

65
Q

Apical mid-‐diastolic rumbling murmur

A

Apex

66
Q

Chronic Aortic Regurgitation

A

Erbs point

67
Q

Acute Severe Mitral Regurgitation w/ s3 Gallop

A

3rd LICS

68
Q

Right–Bundle Branch Block

A

Persistent wide S2 splitting

69
Q

Non-‐Systolic Click

A

Erbs point

70
Q

Less Prolapse

A

Squat

71
Q

More prolapse

A

Stand

72
Q

Ejection Systolic Murmur

A

Base

73
Q

Atrial Septal defect

A

2nd LICS

74
Q

Concentric L-‐ventricular Hypertrophy

A

5thICS LAAL

75
Q

Restrictive Hypertrophy Cardiomyopathy

A

Standing squatting position

76
Q

CAUSE BY INABILITY OF THE (R) HEART TO ACCOMODATE INCREASE VENOUSE RETURN

A

Kussmull sign

77
Q

Loud/accentuated S1

A

Hypertension

78
Q

Physiologic Splitting

A

2-3 Left ICS

79
Q

Paradoxical Splitting of S2u

A

L) BUNDLE BRANCHING BLOCK

80
Q

Important physical examination finding in CHF

A

Positive hepatojugular reflux

Clinical Medicine (6 decks)

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