Chronic Obstructive Pulmonary Disease (COPD) and Valvular Heart Disease
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Questions and Answers

Which of the following is a diagnostic criterion for Chronic Obstructive Pulmonary Disease (COPD)?

  • Absence of airway abnormalities
  • FEV1/FVC ratio less than 0.7 (correct)
  • History of less than 2 moderate exacerbations
  • Presence of fully reversible airflow limitation
  • What is a common risk factor for Valvular Heart Disease?

  • Mucopolysaccharidosis
  • Pulmonary stenosis
  • Marfan's syndrome (correct)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Which condition is characterized by a pink frothy sputum indicating heart failure?

  • Tricuspid insufficiency
  • Rheumatic heart disease
  • Chronic Obstructive Pulmonary Disease (COPD) (correct)
  • Aortic stenosis
  • What murmur timing is typically associated with Aortic insufficiency?

    <p>After S1</p> Signup and view all the answers

    Which condition is not a cause of Valvular Heart Disease?

    <p>Myocardial infarction</p> Signup and view all the answers

    What is the common classification method for Valvular Heart Disease?

    <p>By valve and then either stenosis or insufficiency</p> Signup and view all the answers

    What is considered a symptom of Aortic stenosis?

    <p>Exertional angina</p> Signup and view all the answers

    What is a possible cause of Tricuspid stenosis?

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

    What is characterized by left atrial myxoma?

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

    Which type of heart valve disorder typically presents with exertional dyspnea and signs of right heart failure?

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

    Which heart valve issue is usually asymptomatic but when severe can present with angina, dyspnea, and features of heart failure?

    <p>Aortic regurgitation</p> Signup and view all the answers

    What is De Musset's sign associated with in cardiac pathology?

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

    Which heart valve disorder may be diagnosed solely by echocardiogram due to being asymptomatic?

    <p>Tricuspid regurgitation</p> Signup and view all the answers

    In which type of valvular disorder would you typically find venous congestion due to hindrance of blood flow in the right atrium?

    <p>Tricuspid stenosis</p> Signup and view all the answers

    What is the most important cause of acquired heart disease in young adults in resource-limited countries?

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

    Which cardiac condition may lead to ventricular arrhythmias as a result of right ventricular enlargement?

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

    Which of the following signs refers to capillary pulsations and is associated with aortic regurgitation?

    <p>Quincke's sign</p> Signup and view all the answers

    What clinical sign involves uvula pulsation and is seen in patients with mitral insufficiency?

    <p>Muller's sign</p> Signup and view all the answers

    What is a characteristic feature of the Th2 high phenotype of asthma?

    <p>Late onset and predominantly allergic symptoms</p> Signup and view all the answers

    Which cell type is primarily targeted by Benralizumab in the treatment of asthma?

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

    What is a key effect of Mepolizumab in the treatment of asthma?

    <p>Reducing asthma exacerbations through eosinophil reduction</p> Signup and view all the answers

    Which inflammatory cell is NOT typically involved in the pathogenesis of asthma?

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

    Which characteristic distinguishes the Th2 low phenotype of asthma?

    <p>Sputum neutrophilia and IL-8 involvement</p> Signup and view all the answers

    What distinguishes the steroid responsiveness between the Th2 high and Th2 low phenotypes of asthma?

    <p>Th2 high is steroid-refractory, while Th2 low is more responsive to steroids</p> Signup and view all the answers

    Which treatment specifically targets IgE reduction in asthma?

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

    What is a common feature of both the early onset Th2 high and late onset Th2 high phenotypes of asthma?

    <p>Allergic symptoms and specific IgE elevation</p> Signup and view all the answers

    What is the primary target of Mepolizumab in the treatment of asthma?

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

    Which characteristic differentiates the Th2 high phenotype of asthma from the Th2 low phenotype?

    <p>Sputum eosinophilia</p> Signup and view all the answers

    What is the mechanism of action of Omalizumab in the treatment of asthma?

    <p>Forms soluble immune complexes by binding to Fc portion of IgE</p> Signup and view all the answers

    Which inflammatory cell type is NOT listed as involved in asthma pathogenesis?

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

    What is a key characteristic of the Th2 low phenotype of asthma?

    <p>Sputum neutrophilia</p> Signup and view all the answers

    Which treatment for asthma is specifically aimed at reducing IL5-responsive eosinophils?

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

    Which heart valve disorder is uncommon and rarely exists in isolation, with chronic manifestations of venous congestion due to hindrance of blood flow in the right atrium?

    <p>Tricuspid stenosis</p> Signup and view all the answers

    Which condition can cause pulmonary insufficiency as a manifestation of Valvular Heart Disease?

    <p>Congenital pulmonary stenosis</p> Signup and view all the answers

    What is the key symptom associated with pulmonary stenosis?

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

    What is the underlying cause of Ebstein anomaly, a form of Valvular Heart Disease?

    <p>Congenital defect of the tricuspid valve</p> Signup and view all the answers

    Which valve disorder can present with a murmur between S1 and S2, indicating a short systolic murmur?

    <p>Aortic insufficiency</p> Signup and view all the answers

    Which of the following signs is associated with aortic regurgitation and involves nodding of the head with heart beating?

    <p>De Musset's sign</p> Signup and view all the answers

    In Valvular Heart Disease, what can lead to right ventricular dilation and potentially ventricular arrhythmias?

    <p>Tricuspid stenosis</p> Signup and view all the answers

    In mitral valve prolapse, approximately what percentage of patients only have mild or no mitral regurgitation?

    <p>75%</p> Signup and view all the answers

    What is a characteristic feature of tricuspid regurgitation that helps diagnose the condition solely through echocardiogram?

    <p>Highly compliant</p> Signup and view all the answers

    Which cardiac condition may rarely present with haemoptysis as a symptom, along with features of heart failure?

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

    Which valve disorder may be asymptomatic for decades but presents severe symptoms such as angina, dyspnea, and features of heart failure when it becomes severe?

    <p>Aortic regurgitation</p> Signup and view all the answers

    What condition can result in the characteristic finding of pink frothy sputum, indicating signs of heart failure?

    <p>Myxomatous mitral valve prolapse (pMVP)</p> Signup and view all the answers

    Which type of asthma phenotype is most likely to present with sinusitis and less allergic symptoms?

    <p>Th2 high phenotype with late onset eosinophilic characteristics</p> Signup and view all the answers

    What is a key characteristic that distinguishes the Th2 low phenotype of asthma from the Th2 high phenotypes?

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

    Which treatment for asthma specifically targets IL5-responsive eosinophils?

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

    What is a key feature that differentiates the Th2 high phenotype of asthma from the Th2 low phenotype?

    <p>Eosinophil involvement</p> Signup and view all the answers

    Which inflammatory cell type is primarily targeted by Benralizumab in the treatment of asthma?

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

    What effect does Benralizumab have on blood eosinophil counts in patients with asthma?

    <p>Completely suppresses blood eosinophil counts</p> Signup and view all the answers

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