Cardiovascular Valve Disorders Quiz
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Questions and Answers

What is the reason for the presence of a prominent 'a' wave in jugular venous pulsations in right heart failure?

  • Decreased pulmonary pressure
  • Left ventricular hypertrophy
  • Elevated systemic pressure
  • Pulmonary hypertension and right ventricular hypertrophy (correct)
  • In severe Mitral Stenosis (MS), what physical exam finding may be observed on the cheeks of the patient?

  • Greenish discoloration
  • Yellow tint
  • Pinkish-purple patches (correct)
  • Blue spots
  • Which heart sound is described as a loud opening S1 snap in Mitral Stenosis?

  • Occurs during diastole at the base of the heart
  • Heard during systole at the base of the heart
  • Associated with atrial fibrillation
  • Heard at the apex when leaflets are still mobile (correct)
  • What does a shorter S2 to opening snap interval indicate in Mitral Stenosis?

    <p>More severe disease</p> Signup and view all the answers

    Which diagnostic modality is considered the GOLD STANDARD for diagnosing Mitral Stenosis?

    <p>Echocardiography (ECHO)</p> Signup and view all the answers

    What might an ECG show in a patient with Mitral Stenosis?

    <p>Atrial fibrillation and left atrial enlargement</p> Signup and view all the answers

    Which valve disease is the least common in adults?

    <p>Pulmonary valve stenosis</p> Signup and view all the answers

    Which syndrome is often associated with pulmonary valve stenosis?

    <p>Noonan syndrome</p> Signup and view all the answers

    Why are diseases of the aortic and mitral valves termed left heart diseases?

    <p>Due to higher pressures experienced by the left heart</p> Signup and view all the answers

    What is a common outcome for individuals with mild pulmonary valve stenosis?

    <p>Excellent outcomes without intervention</p> Signup and view all the answers

    In which valve is insufficiency common in healthy individuals to a very mild extent?

    <p>Pulmonary valve</p> Signup and view all the answers

    What makes diseases of the aortic and mitral valves more prevalent than those of the pulmonary or tricuspid valves?

    <p>Higher pressures experienced by the left heart</p> Signup and view all the answers

    Which condition may result in tricuspid valve stenosis without concurrent regurgitation?

    <p>Carcinoid syndrome</p> Signup and view all the answers

    What is a common cause of minor tricuspid insufficiency in healthy individuals?

    <p>Dilation of the right ventricle</p> Signup and view all the answers

    What is a possible cause of severe tricuspid insufficiency?

    <p>Eisenmenger syndrome</p> Signup and view all the answers

    Which condition may lead to aortic stenosis?

    <p>Eisenmenger syndrome</p> Signup and view all the answers

    What can cause tricuspid insufficiency as a result of displacement of papillary muscles?

    <p>Ventricular septal defects</p> Signup and view all the answers

    What is a potential cause of tricuspid valve insufficiency related to surgical manipulations?

    <p>Aortic balloon pump insertion</p> Signup and view all the answers

    What is the most common cause of acute aortic regurgitation?

    <p>Infective endocarditis</p> Signup and view all the answers

    Which physical exam finding is considered the most sensitive for diagnosing aortic regurgitation?

    <p>Hyperdynamic and displaced apical impulse</p> Signup and view all the answers

    What is the compensatory mechanism in aortic regurgitation that eventually leads to heart failure?

    <p>Left ventricular dilation</p> Signup and view all the answers

    Which imaging modality is considered the cornerstone for decision making and follow-up evaluation in aortic regurgitation?

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

    What is the management recommendation for patients with aortic regurgitation who are asymptomatic or normotensive?

    <p>Observation with serial echocardiograms</p> Signup and view all the answers

    Which murmur in aortic regurgitation is caused by the regurgitant jet impinging on the anterior mitral valve leaflet?

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

    What is the most common underlying cause of chronic mitral regurgitation?

    <p>Myxomatous degeneration</p> Signup and view all the answers

    Which compensatory mechanism occurs in response to pure volume overload in chronic mitral regurgitation?

    <p>Left atrial enlargement</p> Signup and view all the answers

    What physical exam finding is typically associated with chronic mitral regurgitation?

    <p>S3 gallop rhythm</p> Signup and view all the answers

    Which imaging study is most useful for estimating left atrial size and function in mitral regurgitation?

    <p>Echocardiography (ECHO)</p> Signup and view all the answers

    What is a typical auscultatory finding in chronic mitral regurgitation?

    <p>Soft first heart sound (S1) and a holosystolic murmur at the apex radiating to the axilla</p> Signup and view all the answers

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