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

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

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

Which valve disease is the least common in adults?

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

Which syndrome is often associated with pulmonary valve stenosis?

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

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

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

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

<p>Pulmonary valve (D)</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 (B)</p> Signup and view all the answers

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

<p>Carcinoid syndrome (D)</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 (C)</p> Signup and view all the answers

What is a possible cause of severe tricuspid insufficiency?

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

Which condition may lead to aortic stenosis?

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

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

<p>Ventricular septal defects (B)</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 (C)</p> Signup and view all the answers

What is the most common cause of acute aortic regurgitation?

<p>Infective endocarditis (A)</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 (B)</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 (D)</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 (B)</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 (C)</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 (C)</p> Signup and view all the answers

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

<p>Myxomatous degeneration (B)</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 (A)</p> Signup and view all the answers

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

<p>S3 gallop rhythm (B)</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) (C)</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 (A)</p> Signup and view all the answers

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