2.2 Health Assessment
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Questions and Answers

Which of the following is NOT a goal of cardiac evaluation mentioned in the text?

  • Identify degree of impaired myocardial contractility
  • Identify primary causes of heart murmurs (correct)
  • Identify other organ involvement
  • Identify severity of cardiac disease
  • What is the most common cause of Mitral Stenosis as per the text?

  • Marfan's Syndrome
  • Rheumatic fever (correct)
  • Myocarditis
  • Lupus
  • At what size does a normal mitral valve orifice start to develop symptoms according to the text?

  • 2 cm2 (correct)
  • 6 cm2
  • 4 cm2
  • 5 cm2
  • Which symptom is NOT typically associated with Mitral Stenosis?

    <p>Paroxysmal nocturnal dyspnea (PND)</p> Signup and view all the answers

    What classic physical exam finding suggests Mitral Regurgitation?

    <p>Holosystolic murmur at the apex</p> Signup and view all the answers

    Which condition can Mitral Valve Prolapse be associated with?

    <p>Marfan's Syndrome</p> Signup and view all the answers

    True or False: Symptoms of mitral stenosis usually result from a rapid development of the disease.

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

    True or False: Mitral Regurgitation symptoms are often specific and easily elicited during patient interviews.

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

    True or False: Mitral stenosis can lead to pulmonary hypertension and right ventricular failure.

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

    Which symptom is typically seen in patients with Aortic Stenosis but without Coronary Artery Disease (CAD)?

    <p>Chest pain</p> Signup and view all the answers

    What is the most common cause of Aortic Stenosis?

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

    Why can many patients with Aortic Stenosis be asymptomatic?

    <p>As a result of adequate valve area</p> Signup and view all the answers

    Where is the murmur typically heard in patients with Aortic Stenosis?

    <p>2nd right intercostal space</p> Signup and view all the answers

    What additional heart sounds may be present in patients with significant Aortic Stenosis?

    <p>S3 and S4</p> Signup and view all the answers

    What does the contour of the diamond-shaped systolic murmur in Aortic Stenosis relate to?

    <p>The severity of pressure gradient across the valve</p> Signup and view all the answers

    Which diagnostic test is considered necessary if an echocardiogram yields inconclusive results in a suspected case of Aortic Stenosis?

    <p>Cardiac catheterization</p> Signup and view all the answers

    What range of pressure, in mmHg, is typically associated with symptoms in patients with Aortic Stenosis?

    <p>25-40 mmHg</p> Signup and view all the answers

    What specific feature on an EKG may indicate Aortic Stenosis?

    <p>Tall R waves in V1-V6</p> Signup and view all the answers

    Which patient population is most likely to have congenital bicuspid aortic valve leading to stenosis?

    <p>Young individuals with a family history of heart disease</p> Signup and view all the answers

    Which of the following symptoms is NOT typically seen in patients with Aortic Stenosis?

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

    What is the key difference between the presentation of Aortic Stenosis in elderly patients compared to younger patients?

    <p>Predominance of Angina</p> Signup and view all the answers

    What is the critical factor that determines the severity of the pressure gradient across the Aortic valve in Aortic Stenosis?

    <p>Contour of the Murmur</p> Signup and view all the answers

    Which diagnostic imaging technique is most appropriate for assessing LV function in Aortic Stenosis?

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

    What additional heart sound may be heard in patients with significant Aortic Stenosis if there is significant cardiac dysfunction?

    <p>S3 Gallop</p> Signup and view all the answers

    What range of pressure, in mmHg, is typically associated with symptoms in patients with Aortic Stenosis?

    <p>$20-40$ mmHg</p> Signup and view all the answers

    Which additional heart sound may be heard in patients with mild Aortic Stenosis but not in severe cases?

    <p>S4 Gallop</p> Signup and view all the answers

    In which location is the typical murmur of Aortic Stenosis best heard?

    <p>$2^{nd}$ left intercostal space</p> Signup and view all the answers

    Which of the following symptoms can be indicative of severe Aortic Stenosis?

    <p>$S3$ Sound</p> Signup and view all the answers

    What is the main risk factor for developing Aortic Stenosis in young individuals?

    <p>$ ext{Genetic Predisposition}$</p> Signup and view all the answers

    What is the classic sign of Mitral Stenosis observed on a point-of-care ultrasound (POCUS)?

    <p>Doming of anterior valve leaflet</p> Signup and view all the answers

    Which condition is often assumed in the presence of isolated Mitral Regurgitation until proven otherwise?

    <p>Ischemic heart disease</p> Signup and view all the answers

    What is a common symptom associated with Mitral Valve Prolapse that is related to complications such as embolic events?

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

    In Mitral Regurgitation, what happens to a portion of every stroke volume?

    <p>Regurgitated through an incompetent mitral valve back into the left atrium</p> Signup and view all the answers

    What is a typical physical exam finding associated with significant Mitral Regurgitation?

    <p>Holosystolic murmur at the apex</p> Signup and view all the answers

    What diagnostic test is considered the gold standard for evaluating Mitral Stenosis and its severity?

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

    'High pitched, blowing, loud S3 radiating to axilla' is a description typically associated with which cardiac condition?

    <p>Mitral Regurgitation</p> Signup and view all the answers

    'Decreased forward LV stroke volume and CO' are hallmarks of which type of heart valve disease?

    <p>Mitral Regurgitation</p> Signup and view all the answers

    Which symptom typically appears in Mitral Stenosis patients related to elevated left atrial pressure?

    <p>Dyspnea on exertion (DOE)</p> Signup and view all the answers

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