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Chronic Obstructive Pulmonary Disease (COPD) and Valvular Heart Disease

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50 Questions

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

FEV1/FVC ratio less than 0.7

What is a common risk factor for Valvular Heart Disease?

Marfan's syndrome

Which condition is characterized by a pink frothy sputum indicating heart failure?

Chronic Obstructive Pulmonary Disease (COPD)

What murmur timing is typically associated with Aortic insufficiency?

After S1

Which condition is not a cause of Valvular Heart Disease?

Myocardial infarction

What is the common classification method for Valvular Heart Disease?

By valve and then either stenosis or insufficiency

What is considered a symptom of Aortic stenosis?

Exertional angina

What is a possible cause of Tricuspid stenosis?

Carcinoid syndrome

What is characterized by left atrial myxoma?

Mucopolysaccharidosis

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

Pulmonary stenosis

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

Aortic regurgitation

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

Mitral stenosis

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

Tricuspid regurgitation

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

Tricuspid stenosis

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

Rheumatic heart disease

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

Pulmonary regurgitation

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

Quincke's sign

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

Muller's sign

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

Late onset and predominantly allergic symptoms

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

Eosinophils

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

Reducing asthma exacerbations through eosinophil reduction

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

Macrophages

Which characteristic distinguishes the Th2 low phenotype of asthma?

Sputum neutrophilia and IL-8 involvement

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

Th2 high is steroid-refractory, while Th2 low is more responsive to steroids

Which treatment specifically targets IgE reduction in asthma?

Omalizumab

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

Allergic symptoms and specific IgE elevation

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

Eosinophils

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

Sputum eosinophilia

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

Forms soluble immune complexes by binding to Fc portion of IgE

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

Neutrophils

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

Sputum neutrophilia

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

Mepolizumab

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?

Tricuspid stenosis

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

Congenital pulmonary stenosis

What is the key symptom associated with pulmonary stenosis?

Exertional dyspnea

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

Congenital defect of the tricuspid valve

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

Aortic insufficiency

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

De Musset's sign

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

Tricuspid stenosis

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

75%

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

Highly compliant

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

Mitral insufficiency

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?

Aortic regurgitation

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

Myxomatous mitral valve prolapse (pMVP)

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

Th2 high phenotype with late onset eosinophilic characteristics

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

Predominance of neutrophils

Which treatment for asthma specifically targets IL5-responsive eosinophils?

Mepolizumab

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

Eosinophil involvement

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

Eosinophils

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

Completely suppresses blood eosinophil counts

Learn about the diagnostic criteria, exacerbations management, and causes & risk factors of Chronic Obstructive Pulmonary Disease (COPD) as well as Valvular Heart Disease. Understand the heterogenous lung condition and heart valve issues associated with these medical conditions.

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