Chapter 11 MC
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Questions and Answers

What does a heart murmur sound like?

  • A clicking noise
  • A thumping noise
  • A swishy noise (correct)
  • A buzzing noise

How are heart murmurs graded?

  • From A to F
  • On a one (I) to six (VI) scale (correct)
  • By small, medium, and large
  • Based on their pitch

What is usually the cause of a grade III systolic murmur in adults?

  • Benign valvular heart disease
  • Organic pathology (correct)
  • Mitral valve prolapse with regurgitation
  • Innocent murmur in childhood

What is a grade IV systolic murmur commonly accompanied by?

<p>A palpable vibration called a thrill (A)</p> Signup and view all the answers

What typically accompanies a short grade II systolic murmur that can be considered normal?

<p>A systolic ejection click (A)</p> Signup and view all the answers

What may not produce an easily heard murmur despite its presence?

<p>Aortic valve stenosis (D)</p> Signup and view all the answers

What is the underlying cause of Aortic Sclerosis valve patients requiring surgery?

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

Which symptom is commonly associated with Aortic Stenosis?

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

Where is the abnormal systolic murmur typically heard in patients with Aortic Stenosis?

<p>Aortic area (second intercostal space) (D)</p> Signup and view all the answers

What is the key factor that the gradient in echocardiogram is dependent on in evaluating Aortic Stenosis severity?

<p>Valve area and velocity (A)</p> Signup and view all the answers

In Aortic Stenosis, what Peak Gradient range indicates Severe stenosis?

<p>&gt; 4.5 (A)</p> Signup and view all the answers

Where is the murmur typically heard in a patient with Lesion Aortic Stenosis?

<p>Upper sternum radiating to carotid (C)</p> Signup and view all the answers

In which heart sound phase is the murmur of Mitral Stenosis commonly heard?

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

Where is the blowing systolic murmur of Mitral Stenosis typically heard?

<p>Apex, radiating to axilla (D)</p> Signup and view all the answers

Where is the rumbling diastolic murmur of Mitral Stenosis commonly heard?

<p>Apex with opening snap (A)</p> Signup and view all the answers

What type of valve disease can be assessed using Transthoracic Echocardiography (TTE)?

<p>Valve stenosis and valve regurgitation (D)</p> Signup and view all the answers

When should Transesophageal Echocardiography (TEE) be used for better visualization?

<p>To assess aortic root disease (B)</p> Signup and view all the answers

What is a potential consequence of congenital aortic stenosis?

<p>Sudden death (B)</p> Signup and view all the answers

What is a characteristic feature of pulmonary valve replacement in a good case?

<p>Low gradients at rest or exercise (B)</p> Signup and view all the answers

Which condition can potentially necessitate surgical intervention in Aortic Regurgitation?

<p>Valve area &gt; 50 mm (C)</p> Signup and view all the answers

Why is the use of Transcatheter Aortic Valve Implantation (TAVI) controversial?

<p>Its effectiveness is debatable and decreasing (C)</p> Signup and view all the answers

What is an important diagnostic tool for Aortic Regurgitation?

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

Which of the following conditions is NOT mentioned as a cause of Aortic Regurgitation?

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

What can an exercise test reveal about individuals with potential complications from MS?

<p>Their limitations despite decreased activities (B)</p> Signup and view all the answers

Which surgical procedure for MS has largely replaced closed valvotomy since 1985?

<p>Open valvotomy with valve repair (A)</p> Signup and view all the answers

What is a consideration for underwriting individuals with mild MS at older ages who are otherwise healthy?

<p>Valve areas over 1.5 cm2 (D)</p> Signup and view all the answers

What is a potential cause of MS besides complications like stroke and endocarditis?

<p>Ischemic heart disease with papillary muscle cardiomyopathy (D)</p> Signup and view all the answers

What is a characteristic of the valve areas in individuals over age 50 with no pulmonary hypertension?

<p>&gt; 2.0 cm2 in area (B)</p> Signup and view all the answers

Why is the approach to take in an asymptomatic individual regarding mitral stenosis considered controversial?

<p>Variability in disease progression (C)</p> Signup and view all the answers

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