Causes of Aortic Regurgitation
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Questions and Answers

What is the primary valvular defect associated with chronic aortic regurgitation due to a congenital cause?

  • Quadricuspid aortic valve
  • Monocuspid aortic valve
  • Tricuspid aortic valve
  • Bicuspid aortic valve (correct)

What is the most common cause of acute aortic regurgitation in young adults in high-income countries?

  • Rheumatic heart disease
  • Infective endocarditis
  • Calcific aortic valve disease (correct)
  • Chronic hypertension

What clinical condition is characterized by a regurgitation of blood from the aorta into the left ventricle?

  • Aortic stenosis
  • Pulmonary edema
  • Cardiogenic shock
  • Aortic regurgitation (correct)

What happens to left ventricular end-diastolic pressure in acute aortic regurgitation?

<p>It increases rapidly (D)</p> Signup and view all the answers

What type of heart failure occurs when there is an increase in left ventricular end-diastolic volume leading to LV enlargement and systolic dysfunction?

<p>Decompensated heart failure (A)</p> Signup and view all the answers

What is the characteristic sound heard over the femoral artery in chronic aortic regurgitation?

<p>Water hammer pulse (D)</p> Signup and view all the answers

Which sign is characterized by visible capillary pulse when pressure is applied to the tip of a fingernail in chronic aortic regurgitation?

<p>Quincke sign (D)</p> Signup and view all the answers

Where is the high-pitched, blowing, decrescendo early diastolic murmur due to aortic regurgitation best heard?

<p>Left sternal border (Erb point) (A)</p> Signup and view all the answers

What symptom might indicate the need for surgical aortic valve replacement in asymptomatic chronic severe aortic regurgitation?

<p>Exertional dyspnea (D)</p> Signup and view all the answers

In patients with prosthetic aortic valves, what determines the choice of antithrombotic therapy?

<p>Choice of valve replacement (mechanical or bioprosthetic) (B)</p> Signup and view all the answers

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