Valvular Heart Disease (VHD) TR/TS Flashcards

1
Q

a diastolic rumble that varies with respiration and has an opening snap, is most likely ______.

A

TS

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2
Q

_______ is the most common cause of TS

A

Rheumatic fever

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3
Q

similar to MS, the severity of TS can be assessed with the pressure-half time; however, it has been proposed that the constant 220 be replaced with the constant ______

A

190

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4
Q

the patient must likely to has mild TS if the Doppler exam reveals TVA = 1 cm2, pressure-half time = 200 ms, and mean PG = 8mmHg. T or F ?

A

F

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5
Q

TR is a holosystolic murmur that decreases with inspiration. T or F ?

A

F

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6
Q

significant TR may lead to enlargement of the RA, RV, IVC, hepatic veins, SVC, and neck veins. T or F ?

A

T

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7
Q

what is the RVSP/SPAP if the peak TRV = 3 m/s with a normal IVC diameter and > 50% inspiratory collapse ?

A

39 mmHg ???

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8
Q

if the patient has a central venous line, the central venous pressure can be used to estimate the RAP. T or F ?

A

T

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9
Q

PH is an elevation in the pressure of the pulmonary arteries caused by another disease such as diastolic heart failure or left heart disease. T or F ?

A

T

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10
Q

echo provides a noninvasive assessment of PH and an accurate systolic pulmonary artery pressure. T or F ?

A

T

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11
Q

______ is the most cause of PS

A

congenital heart disease ??

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12
Q

PS creates a harsh diastolic ejection murmur and a thrill may also be present. T or F ?

A

F

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13
Q

echo findings include a PV “a” wave of 10 mm; what is most likely the diagnosis ?

A

severe PS

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14
Q

the patient presents with congenital PS with a peak velocity of 3.5 m/s; what is most likely the diagnosis ?

A

peak PG = 49

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15
Q

_____ is an indication of PS ?

A

thickening of the pulmonic leaflets with systolic doming

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16
Q

a Graham-Steele murmur is a high-pitched blowing diastolic murmur may that may be heard in cases of PS with PH. T or F ?

A

F

17
Q

calculate the _____ with the end-diastolic PR velocity and Bernoulli equation

A

EDPR gradient