Chapter 11 TF
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Questions and Answers

A heart murmur is a hissing noise produced by the heart.

False

Murmurs heard with the naked ear are generally graded as II murmurs.

False

A grade III systolic murmur in adults is usually normal.

False

Mild mitral valve regurgitation is commonly reported but rarely requires surgical intervention.

<p>True</p> Signup and view all the answers

A grade IV systolic murmur is always considered normal.

<p>False</p> Signup and view all the answers

A systolic ejection click is a clinical clue to the diagnosis of aortic valve replacement.

<p>True</p> Signup and view all the answers

Aortic regurgitation always presents with a heart murmur.

<p>False</p> Signup and view all the answers

Mitral Stenosis is characterized by a diastolic rumbling murmur heard at the apex with an opening snap.

<p>True</p> Signup and view all the answers

Mitral Valve Prolapse is more commonly seen in adults than in children.

<p>False</p> Signup and view all the answers

Transesophageal Echocardiography provides better visualization to assess the aortic root when there is aortic regurgitation.

<p>False</p> Signup and view all the answers

Transthoracic Echocardiography with Doppler is used to assess valve stenosis, valve regurgitation, and cardiac availability.

<p>True</p> Signup and view all the answers

Echocardiography is not useful in assessing any valvular, myocardial, pericardial, or congenital heart diseases.

<p>False</p> Signup and view all the answers

Aortic sclerosis is the underlying cause of Aortic Stenosis.

<p>False</p> Signup and view all the answers

Symptoms of Aortic Stenosis may include dyspnea, decreased exercise tolerance, syncope or dizziness, and angina.

<p>True</p> Signup and view all the answers

An abnormal systolic murmur heard best in the aortic area indicates aortic regurgitation.

<p>False</p> Signup and view all the answers

The gradient in echocardiogram for severe stenosis is greater than 50.

<p>True</p> Signup and view all the answers

The natural history of valve lesions in symptomatic individuals is well studied.

<p>False</p> Signup and view all the answers

Symptomatic individuals with valve lesions have an ominous prognosis until age 60.

<p>True</p> Signup and view all the answers

Rheumatic damage to the tricuspid valve can cause mild, moderate, or severe intolerance.

<p>True</p> Signup and view all the answers

It is essential to perform a postoperative echocardiogram after valve replacement surgery.

<p>True</p> Signup and view all the answers

Mitral stenosis can be caused by congenital stenosis and systemic lupus erythematosus.

<p>True</p> Signup and view all the answers

Symptoms of mitral stenosis may include cough and chest regurgitation.

<p>False</p> Signup and view all the answers

Doppler echo measures only the gradient across the valve but not the pressures.

<p>False</p> Signup and view all the answers

Mitral stenosis is a progressive disease with the most common course being stable.

<p>False</p> Signup and view all the answers

Mitral regurgitation cases coming to surgery in the last 10 years have had myxomatous disease as the most common cause.

<p>False</p> Signup and view all the answers

Bioprosthetic valves require long-term anticoagulation therapy.

<p>False</p> Signup and view all the answers

Survival rates with bioprosthetic valves are slightly worse compared to mechanical valves in the older age groups.

<p>False</p> Signup and view all the answers

Mitral valve prolapse mostly affects females and may require mitral valve repair by age 58.

<p>True</p> Signup and view all the answers

An apical click without a murmur could be an indicator of mitral valve prolapse.

<p>True</p> Signup and view all the answers

A mitral valve area greater than 0.3cm2 is always indicative of symptoms in patients with MVP.

<p>False</p> Signup and view all the answers

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