Cardiovascular Diagnosis: Interpreting CXR and ECG Results
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Questions and Answers

What does a prominent upper lobe vein indicate in a chest X-ray?

  • Ventricular hypertrophy
  • Cardiac tamponade
  • Congestion (correct)
  • Pulmonary embolism

What is the significance of a double shadow in the right cardiac border on a chest X-ray?

  • Enlargement of the right atrium
  • Thickening of the ventricular wall
  • Enlargement of the left atrium (correct)
  • Pulmonary embolism

What is the purpose of measuring the mitral valve orifice by planimetry?

  • To assess the severity of mitral regurgitation
  • To diagnose pulmonary hypertension
  • To detect atrial fibrillation
  • To determine the severity of mitral stenosis (correct)

What is the role of continuous-wave Doppler in echocardiography?

<p>To assess the severity of mitral stenosis (D)</p> Signup and view all the answers

What is the significance of Kerley B lines on a chest X-ray?

<p>Interstitial edema (B)</p> Signup and view all the answers

What is the purpose of transesophageal echocardiography (TEE) in mitral stenosis?

<p>To detect thrombi in the left atrium (A)</p> Signup and view all the answers

What is the characteristic of the pulse in a patient with severe stenosis?

<p>Small volume and may be irregular (A)</p> Signup and view all the answers

What is the physical sign associated with compression of the left recurrent laryngeal nerve?

<p>Hoarse voice (D)</p> Signup and view all the answers

What is the characteristic of the apex beat in a patient with mitral stenosis?

<p>Tapping apex beat (C)</p> Signup and view all the answers

What is the reason for increased dyspnea in a patient with right heart failure?

<p>Increased pulmonary hypertension (C)</p> Signup and view all the answers

What is the palpable pulmonic closure sound associated with?

<p>Pulmonary hypertension (A)</p> Signup and view all the answers

What is the characteristic of the apex beat in a patient with a pliable mitral valve?

<p>Undisplaced apex beat (C)</p> Signup and view all the answers

What is the characteristic of the murmur in mitral stenosis?

<p>It is heard best at the apex with the patient in the left lateral position (A)</p> Signup and view all the answers

What is the significance of a short S2-OS interval in mitral stenosis?

<p>It indicates severe stenosis (D)</p> Signup and view all the answers

What is the characteristic of the first heart sound in mitral stenosis with a heavily calcified valve?

<p>It is inaudible (D)</p> Signup and view all the answers

What is the ECG finding in a patient with severe pulmonary hypertension due to mitral stenosis?

<p>Right axis deviation (D)</p> Signup and view all the answers

What is the auscultatory finding in pulmonary regurgitation due to pulmonary hypertension?

<p>Early diastolic murmur at the base (D)</p> Signup and view all the answers

What is the characteristic of the ECG in a patient with mitral stenosis and atrial fibrillation?

<p>Absent P wave and an irregular rhythm (B)</p> Signup and view all the answers

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