NURP 533 Exam 2 Questions With Complete Solutions
mitral stenosis causes
rheumatic fever
mitral stenosis stage 1
asymptomatic (20 yrs), then gradual reduction in exercise
tolerance
mitral stenosis stage 2
onset of pulmonary congstion
mitral stenosis stage 3
development of pulm HTN
mitral stenosis stage 4
severe state of low cardiac output
mitral stenosis symptoms
dyspnea most common
a-fib
hemoptysis
r ventricular hypertrophy
mitral stenosis physical exam
loud S1, apical diastolic murmur radiating toward the axilla
enlarged L atrium on CXR
a-fib
mitral regurgitation causes
,congenital condition
rheumatic heart disease
acute endocarditis
MVP
mitral regurg course
prolonged asymptomatic period
onset of CHF in 4th-6th decade
downhill course over 10 years, eventually LV fails
mitral regurg physical exam
PMI displaced laterally and is diffuse
apical murmur with transmission to axilla and sternum
LA and LV enlarged on CXR
a-fib common
mitral regurg murmur grade
grade 2 or higher
mitral valve prolapse course
most are asymptomatic
mitral valve prolapse symptoms
palpitations
PACs, PVCs more common with exercise
dyspnea
dizziness
numbness
mitral valve prolapse early findings
,midsystolic click best heard at apex and left sternal border
mitral valve prolapse late findings
late systolic click, accentuated with standing and quieter with
squatting
tricuspid regurgitation symptoms
usually asymptomatic
fatigue, exertional dyspnea, if severe enough, reduced cardiac
output
tricuspid regurg murmur
holosystolic murmur at LLSB, increases with inspiration,
decreases with expiration
tricuspid regurg consequences
r sided HF
tricuspid stenosis usually co-occurs with...
mitral stenosis
tricuspid stenosis symptoms
Fatigue, abdominal pain due to hepatic congestion
tricuspid stenosis murmur
LLSB near xiphoid, diastolic murmur
hypertrophic cardiomyopathy murmur
systolic
valsalva increases it to differentiate from other murmurs
, screening questions for hypertrophic cardiomyopathy
history of syncope with exercise
family history of sudden cardiac death
acyanotic congenital heart defects
VSD
ASD
PDA
coarctation of aorta
aortic stenosis
pulmonary stenosis
symptoms of coarctation of aorta
tachypnea
poor feeding
cool lower extremities
coarctation of aorta blood pressures
hypertension in upper extremities
hypotension in lower extremiteis
pulmonic stenosis murmur
grade 2-5 mid to late systolic murmur at upper left sternal border
tetralogy of fallot
congenital malformation involving four distinct heart defects:
pulm valve stenosis
RV hypertrophy
VSD
aorta overriding ventricular septum
mitral stenosis causes
rheumatic fever
mitral stenosis stage 1
asymptomatic (20 yrs), then gradual reduction in exercise
tolerance
mitral stenosis stage 2
onset of pulmonary congstion
mitral stenosis stage 3
development of pulm HTN
mitral stenosis stage 4
severe state of low cardiac output
mitral stenosis symptoms
dyspnea most common
a-fib
hemoptysis
r ventricular hypertrophy
mitral stenosis physical exam
loud S1, apical diastolic murmur radiating toward the axilla
enlarged L atrium on CXR
a-fib
mitral regurgitation causes
,congenital condition
rheumatic heart disease
acute endocarditis
MVP
mitral regurg course
prolonged asymptomatic period
onset of CHF in 4th-6th decade
downhill course over 10 years, eventually LV fails
mitral regurg physical exam
PMI displaced laterally and is diffuse
apical murmur with transmission to axilla and sternum
LA and LV enlarged on CXR
a-fib common
mitral regurg murmur grade
grade 2 or higher
mitral valve prolapse course
most are asymptomatic
mitral valve prolapse symptoms
palpitations
PACs, PVCs more common with exercise
dyspnea
dizziness
numbness
mitral valve prolapse early findings
,midsystolic click best heard at apex and left sternal border
mitral valve prolapse late findings
late systolic click, accentuated with standing and quieter with
squatting
tricuspid regurgitation symptoms
usually asymptomatic
fatigue, exertional dyspnea, if severe enough, reduced cardiac
output
tricuspid regurg murmur
holosystolic murmur at LLSB, increases with inspiration,
decreases with expiration
tricuspid regurg consequences
r sided HF
tricuspid stenosis usually co-occurs with...
mitral stenosis
tricuspid stenosis symptoms
Fatigue, abdominal pain due to hepatic congestion
tricuspid stenosis murmur
LLSB near xiphoid, diastolic murmur
hypertrophic cardiomyopathy murmur
systolic
valsalva increases it to differentiate from other murmurs
, screening questions for hypertrophic cardiomyopathy
history of syncope with exercise
family history of sudden cardiac death
acyanotic congenital heart defects
VSD
ASD
PDA
coarctation of aorta
aortic stenosis
pulmonary stenosis
symptoms of coarctation of aorta
tachypnea
poor feeding
cool lower extremities
coarctation of aorta blood pressures
hypertension in upper extremities
hypotension in lower extremiteis
pulmonic stenosis murmur
grade 2-5 mid to late systolic murmur at upper left sternal border
tetralogy of fallot
congenital malformation involving four distinct heart defects:
pulm valve stenosis
RV hypertrophy
VSD
aorta overriding ventricular septum
