Académique Documents
Professionnel Documents
Culture Documents
37
38
39
40 PDA 2nd LICS
41 Aortic stenosis 2nd RICS
42 S3 & S4 5th ICS LMCL
43 Mitral regurgitation
44
45
46 Fixed splitting of S2 ASD
47 Holosystolic murmur at the left parasternal area transmitted to the right sternal
border VSD
48 sail sound Ebstein's Anomaly
49 BP elevated in the upper extremities markedly lower in the lower extremities Coarctation of Aorta
50 machinery-like murmur PDA
KP
CVS – Post-Test Medicine I a. Mild Mitral Regurgitation
Match the ff PE findings with their corresponding clinical b. Mild Aortic Stenosis
condition: c. Moderate to severe mitral regurgitation
1. A 42-yearold male known hypertensive for 10 d. Moderate to severe aortic stenosis
years with BP 160/110mmHg on both arsms. Apex Matching Type
beat at 5th ICS LMCL but with (-)??? apical lift. LV 11. Mitral Stenosis:
Hypertrophy E- Apical diastolic rumbling murmur
2. A severely dyspneis, orthopneic patient with 12. Aortic Stenosis
distended jugular vein which becomes more D – Ejection systolic murmur at the 2nd ICS RSB
distended upon pressure on the lower area. transmitted to the neck
Hepatojugular Reflex 13. VSD
3. A chronic hypertensive and diabetic patient with A – Holosystolic murmur ar the Erb’s point
easy fatigability and orthopnea and bilateral pedal transmitted to the right.
edema. Apex beat is hardly palpable at the 6th ICS 14. Aortic Regurgutation
LMAL. LV Dilatation C – Diastolic blowing murmur at the Erb’s point
4. A patient diagnosed with pericardial effusion due transmitted to the apex
to long standing SLE. The patient presents 15. Mitral Regurgitation
persistent distention of jugular vein on deep B – Apical holosystolic murmur
inspiration. Kussmaul sign
Mutliple Choice Type: 16. Chronic Hypertension with LVH
5. Persistent splitting of S2 is seen in which of the C – Atrial Gallop
following condition? 17. Congestive Heart Failure
a. ASD B – Ventricular Gallop
b. VSP 18. Chronic Aortic Regurgitation
c. Pulmonic stenosis E – Soft S1
d. Ebstein Anomaly 19. Mitral Stenosis
6. Paradoxical splitting of S2 is seen in which of the A – Loud S1
following condition? 20. Pulmonary Hypertension
a. CRBB D- Loud P2 – S2
b. LV failure
c. Pulmonic stenosis 21. Ebstein Anomaly
d. Tricuspid regurgitation A- Sail Sound
7. Accentuation of A-2 component of S2 is seen in: 22. Coronary Artery Disease
a. Pulmonary Hypertension E – Levine’s sign
b. Systemic Hypertension 23. Pulmonic Regurgitation 2nd RHD
c. Pulmonic Stenosis D – Graham Steele murmur
d. Tricuspid Stenosis 24. Pulmonic stenosis
8. A ( + ) parasternal lift is seen in which of the C – Expiratory Splitting of S2
following? 25. PDA
a. LVH B – Machinery like murmur
b. RVH
c. VSD
d. ASD
9. A ( + ) apical diastolic thrill is seen in which of the
following?
a. Aortic stenosis
b. Mitral stenosis
c. Mitral Regurgitation
d. Aortic Regurgitation
10. A ( + ) systolic thrill at the base of the heart is seen
in:
CVS Post-Test Medicine 1 - KP; CML Page 1
CLINICAL MEDICINE I !
2012
!
For 1 to 5, choices are: a. Paradoxical
a. concentric d. RVH B. Wide
b. eccentric e. LVH C. Loud
c. LV dilatation D. Negative hepatojugular reflex
!
1. Not palpable in PE
!
36. Mitral stenosis
2. Forceful apical beat but not displaced 37. Hypertensive urgency
3. Markedly displaced at the left axillary line, hardly palpable. 38. Pulmonary hypertension
4. Displaced to axillary line 5th or 6th ICS anterior axillary. 39. Severe aortic stenosis
5. Palpable parasternally but retract in systole. 40. Pulmonary hypertension
!
For 6 to 20, choices are:
!
For 41 to 45, choices are:
a. 2nd LEFT ICS d. 4th ICS PS a. pulsusparvus et tardus d. (-) hepatojugular reflex
b. 2nd RIGHT ICS e. 5th ICS MCL b. Corrigan's pulse e. neck vein distention at 60°
c. Erb's point
!
6. Pulmonic stenosis
c. pulsusbisfiriens
!
41. normal PE finding
7. VSD 42. pulmonary edema
8. 43. aortic stenosis
9 44. combined aortic regurgitation and aortic stenosis
10 45. chronic aortic regurgitation
11. Aortic valve regurgitation
12. Mitral valve regurgitation
!
For 46 to 50, choices are:
13. Mitral prolapse a. ejection systolic murmur best heard at
14. Aortic stenosis b. persistent splitting
15. Mitral stenosis c. diastolic murmur
16. Loud S1 d. rumbling
17. Opening snap e. blowing
18. Loud P2
19. Hypertrophic cardiomyopathy
!
46.
20. LV hypertrophy
! 47. aortic stenosis
!
Multiple choice itona super haba, etoyung summary:
48. mitral stenosis
49. aortic regurgitation
50. pulmonic stenosis
21. mitral stenosis - diastolic rumbling.
22. aortic stenosis - transmitted to the carotid
23. aortic regurgitation - diastolic rumbling murmur
24. VSD - pansystolic
!
For 25 to 30, choices are:
a. Caravallo's d. Gallavardin's
b. Kussmaul's e. Austin-Flint
c. + hepatojugular f. machinery-like
!
25. aortic stenosis
26. tricuspid regurgitation
27. PTA
28. chronic aortic regurgitation
29. CHF
30. constrictive pericarditis
!
For 31 to 35, choices are:
a. loud P2 d. opening snap
b. loud A2 e. ejection click
c. non-ejection sound
!
31. mitral stenosis
32. Mitral valve prolapse
33. Constrictive pericarditis
34. pulmonary hypertension
35 chronic uncontrolled hypertension
!!
!!
!
For 36 to 40, choices are: