Cv 2 8/9 Takubo Valvular Disease

Front 1

What are some signs that point to right sided congestion

Back 1

ascites, jugular venous distention, peripheral edema, cardiac cirrhosis

Front 2

whats a sign of left sided congestion

Back 2

pulmonary edema

Front 3

findings of endocarditis 5 gimme it

Back 3

roth spots, splinter hem, janeway lesions, osler nodes, mucocutaneous petechiae

Front 4

pulsus paradoxus can be caused by

Back 4

tamponade, pericardial dz

Front 5

pulsus bisiferens can be caused by

Back 5

aortic regurge, hypertrophic cardiomyopathy

Front 6

Pulsus alterans can be caused by

Back 6

PVC, left ventricular disease

Front 7

Pulsus tardus can be caused by

Back 7

aortic stenosis

Front 8

asymmetrical pulses can be caused by

Back 8

aortic dissection, PVD, vasculitis, subclavian steal syndrome

Front 9

what sided valves usually close first?

Back 9

left becuase of the increased pressure

Front 10

You hear an s3 gallop in a pregant lady who's pretty far along, what do you suspect

Back 10

nothing, its a normal variant

Front 11

when does an S3 worry you

Back 11

present after 40 yrs of age or decreased left heart fx

Front 12

S4 gallop is usually indicative of...

Back 12

stiff ventricle, stemming from HCM or LVH

Front 13

Usually, most murmurs increase when you _____ preload, but the exceptions are....

Back 13

increase; MVP and HCM

Front 14

a sustained 30 second handgrip should be able to help you to differentiate between what, and how

Back 14

it doesn't change the murmur of MVP, but does soften the murmur in HCM(increase afterload i.e. widens outflow tract)

Front 15

right sided mumurs with ____ and left sided increase with_____

Back 15

inspiration; expiration

Front 16

what position would you put a patient in to best hear a s3/4 gallop

Back 16

left lateral recumbent

Front 17

a fixed S2 split is associated with...

Back 17

ASD

Front 18

whats the most common congenital valve abnormality

Back 18

aortic stenosis (bicuspid)

Front 19

systolic ejection murmur at RUSB that radiates into carotids is indicative of...

Back 19

aortic stenosis

Front 20

A pt presents with mid-systolic click and is unaffected by sustained handgrip, what cha thinkin?

Back 20

Mitral valve prolapse, common in teenagers, dx with echo

Front 21

when should you use antibiotics with mitral valve prolapse?

Back 21

if you hear a murmur

Front 22

what valves replacements are never seen on x-rays?

Back 22

right sided, they are never replaced

Front 23

3 things should pop into mind when you dx tricuspid stenosis/regurgitation?

Back 23

rheumatic heart disease, staph endocarditis, carcinoid syndrome

Front 24

Gimme some sx of trsicuspid stenosis...

Back 24

systemic venous congestion (edema, dyspnea) adominal pain secondary to liver congestion, fluttering in neck secondary to increased JV pressure,
Diastolic murmur at LSB, giant a wave, EKG with RAH w/o RVH

Front 25

pt is on fenfluramine for anorexia, what is associated with this, valve

Back 25

tricuspid regurgitation

Front 26

You see large R in V1, 7 causes of it?

Back 26

RVH
RBBB
posterior wall mi
misplaced leads
muscular dystrophy
dextrocardia
WPW

Front 27

Pulmonic stenosis is always...

Back 27

CONGENITAL

Front 28

Whats the good thing about Porcine valve and when would you use them

Back 28

less durable dont require anticoagulation,
use in
pts over 65, contras exist for anticoag, female of child bearing age

Front 29

when do you not wanna give antibiotics prophylaxis (congenital)

Back 29

isolated secundum atrial septal defect