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

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

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

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

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

    Which symptom is commonly associated with Aortic Stenosis?

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

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

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

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

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

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

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

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

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

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

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

    What is a potential consequence of congenital aortic stenosis?

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

    Which condition can potentially necessitate surgical intervention in Aortic Regurgitation?

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

    What is an important diagnostic tool for Aortic Regurgitation?

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

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

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

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