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Cardiovascular System- Internal Medicine 3rd Year PMU

Beschreibung

Cardiovascular System- Internal Medicine 3rd Year PMU
Med Student
Quiz von Med Student , aktualisiert more than 1 year ago
Med Student
Erstellt von Med Student vor etwa 6 Jahre
2043
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Zusammenfassung der Ressource

Frage 1

Frage
The upper relative heart border is found
Antworten
  • Along the lower margin of I rib
  • Along the lower margin of II rib
  • Along the lower margin of III rib

Frage 2

Frage
The right absolute heart border is found
Antworten
  • Along the right sternal margin
  • Along the left sternal margin
  • Along linea mediana anterior

Frage 3

Frage
Which are the components of S1
Antworten
  • Closure of mitral and tricuspid valves, isometric ventricular contraction, vibrations of chordae tendineae
  • Closure of aortic and pulmonary valves
  • Opening of mitral and tricuspid valves

Frage 4

Frage
Which statements, referring to SI and 52 are correct
Antworten
  • S1 is systolic and is louder on the apex, S2 is diastolic and is louder on the basis of the heart
  • S2 coincides with the beginning of the carotid pulse wave
  • Simultaneous weakening of 5 1 and 52 is found in myocarditis andexudative pericarditis

Frage 5

Frage
Which statements, referring Io the gallop rhythm are correct
Antworten
  • S3 is a protodiastolic gallop rhythm
  • S4 is presystolic
  • S4 might be heart in children i n and young people till 30 years of age

Frage 6

Frage
Features of pericardial friction rub are
Antworten
  • Heard best on the basis of the heart, does not vanish during apnoea
  • Auscultated best over the absolute heart dullness, it is not influenced by respiration and does not vanish during apnoea
  • Auscultated during systole and diastole, stronger in systole

Frage 7

Frage
Pericardial friction rub is heard
Antworten
  • During systole
  • During diastole
  • During both phases

Frage 8

Frage
Pulsus defitiens is established in
Antworten
  • Peripheral vasculitis
  • High frequent atrial fibrillation
  • Shock

Frage 9

Frage
Pulsus celer is defected in
Antworten
  • Graves' disease
  • Mitral regurgitation
  • Aortic regurgitation

Frage 10

Frage
Pulsus parvus, tardus et rarus is detected
Antworten
  • Aortic stenosis
  • Aortic regurgitation
  • Mitral stenosis

Frage 11

Frage
Pulsus celer, altus, magnus et frequens is met in
Antworten
  • Aortic stenosis
  • Aortic regurgitation
  • Mitral regurgitation

Frage 12

Frage
Which statements, referring to atrial fibrillation are correct
Antworten
  • Pulse deficit might be palpated
  • Ectopic atrial rhythm is concerned, atrial systole rate 350-600/min. ECG criteria: lack of p waves, absolute irregular RR intervals, f waves are replacing the isoline
  • Atrial ectopic regular rhythm with atrial rate 250-350/min. ECG criteria lack of p waves, regular RR intervals, F saw-like waves, replacing the isoline

Frage 13

Frage
In atrial fibrillation the auscultated heart activity is
Antworten
  • Rhythmic
  • Arrhythmic
  • Variable, depending on the presence of a constant or transitory AV block

Frage 14

Frage
Which are the typical physical findings in a patient with mitral stenosis
Antworten
  • On inspection facies hectica is observed
  • Apex cordis is shifted to the left in V intercostals space, due to dilated right ventricle; accentuated S1 and diastolic rolling murmur are heard on auscultation
  • Weak S1 and a systolic murmur are auscultated

Frage 15

Frage
In which valve disease diastolic fremissement is palpated
Antworten
  • Mitral stenosis
  • Mitral regurgitation
  • Aortic stenosis

Frage 16

Frage
In mitral stenosis on the apex one can auscultate
Antworten
  • Diastolic rolling murmur, propagating to the left armpit
  • Diastolic rolling: murmur that does not propagate
  • Systolic murmur

Frage 17

Frage
In mitral regurgitation on the apex one can auscultate
Antworten
  • Diastolic rolling murmur without any propagation
  • Pansystolic murmur, propagating to the left armpit
  • Presystolic murmur

Frage 18

Frage
Sound of mitral opening is typical for
Antworten
  • Mitral stenosis
  • Mitral regurgitation
  • Aortic stenosis

Frage 19

Frage
Mitral stenosis is accepted when the mitral valve orifice is under
Antworten
  • 5 cm
  • 3 cm
  • 1 cm

Frage 20

Frage
Ictus cordis is dilated to left and downwards (in V1 or VII intercostals) in
Antworten
  • Mitral stenosis
  • Mitral regurgitation
  • Exudative pleuritis

Frage 21

Frage
Which heart disease is presented by a functional diastolic murmur in the left intercostals (Graham-Steel murmur)
Antworten
  • Mitral stenosis
  • Chronic constrictive pericarditis
  • Aortic regurgitation

Frage 22

Frage
Auscultatory findings in mitral regurgitation are
Antworten
  • Weaker S1
  • Systolic murmur on the apex with axilar propagation
  • Diastolic murmur on the apex without propagation

Frage 23

Frage
Austin-Flint murmur is
Antworten
  • Functional diastolic, due to relative mitral stenosis in organic aortic regurgitation
  • Functional systolic, due to relative mitral regurgitation in organic aortic regurgitation
  • Organic diastolic in aortic regurgitation

Frage 24

Frage
The continuous (systolic-diastolic) Duroziers murmur over the femoral artery is auscultated i
Antworten
  • Mitral stenosis
  • Aortic stenosis
  • Aortic regurgitation

Frage 25

Frage
Carey-Coombs murmur is
Antworten
  • Systolic in relative mitral stenosis
  • Middiaatolic in relative mitral stenosis
  • Diastolic in organic mitral stenosis

Frage 26

Frage
Which are the typical physical findings in patients with aortic stenosis
Antworten
  • Ictus cordis is shifted to the left ; diastolic murmur on the apex
  • Systolic murmur on the apex, propagating to the left armpit
  • Ictus cordis is dilated to left and downwards, systolic rough murmur on aortic valve, propagating to the carotids

Frage 27

Frage
Where is punctum maximum of the diastolic murmur in aortic regurgitation
Antworten
  • Aortic place-II right intercostals
  • Botkin-Erb point
  • Ictus cordis

Frage 28

Frage
Which valve disease is presented by a rough systolic murmur with p. max. In II right intercostals, propagating to the carotids
Antworten
  • Mitral regurgitation
  • Aortic regurgitation
  • Aortic stenosis

Frage 29

Frage
In aortic regurgitation is auscultated
Antworten
  • Accentuated S2, systolic murmur on aortic place
  • Weak A2, diastolic murmur with p. max. on Erb point
  • Apical systolic murmur

Frage 30

Frage
In aortic regurgitation the second sound (A2) is
Antworten
  • Accentuated
  • Normal
  • Weaker

Frage 31

Frage
Musset's sign is met in
Antworten
  • Mitral regurgitation
  • Aortic regurgitation
  • Aortic stenosis

Frage 32

Frage
Muller's sign is
Antworten
  • Systolic pulsation of the uvula in organic aortic regurgitation
  • Nodding of the head synchronous with the heart contractions in organic aortic regurgitation
  • Loud systolic and diastolic sounds over the femoral artery in organic aortic regurgitation

Frage 33

Frage
Which statements, referring to stable angina are correct
Antworten
  • Newly appeared retrosternal pain in like tale 48h and/or at rest
  • Retrosternal pain, lasting 15-30 min, whose severity, provoking and relieving factors have worsened in the last week
  • Retrosternal pain, lasting 3-15 min, relieved by rest and nitroglycerin intake. Its severity, duration, provoking factors have remained stable during the last month

Frage 34

Frage
The duration of pain in myocardial infarction is
Antworten
  • A few seconds
  • Up to 15 minutes
  • Over 30 min

Frage 35

Frage
Manifestations of right ventricle heart failure are
Antworten
  • Orthopnoea
  • Gravitation oedemata
  • Hepatomegaly

Frage 36

Frage
Manifestations of left ventricle heart failure are
Antworten
  • Cardiac asthma
  • Gravitation oedemata
  • Pulmonary oedema

Frage 37

Frage
Rheumatic fever is characterized by
Antworten
  • Reactive poststreptococcal arthritis without any damage of other organs
  • Migratory polyarthritis is present without late joint deformities; carditis is often met, leading to a chronic valve disease
  • Chronic erosive arthritis is present, accompanied by high fever

Frage 38

Frage
Erythema marginatum is met in
Antworten
  • Mitral stenosis
  • Chronic constrictive pericarditis
  • Rheumatic fever

Frage 39

Frage
Migratory poly arthritis, carditis, erythema marginatum, chorea minor, subcutaneous nodules are major criteria for
Antworten
  • Infectious endocarditis
  • Rheumatic fever
  • Rheumatoid arthritis

Frage 40

Frage
In myocarditis are present
Antworten
  • Sound of mitral opening (opening snap)
  • Tachycardia
  • Gallop rhythm

Frage 41

Frage
Which characteristics of the normal ECG are valid
Antworten
  • PQ duration is 0.12-0.20 sec
  • QRS complex reflects ventricular depolarization on and lasts up to 0.15 sec
  • p wave reflects atrial depolarization, it is positive in I, II and negative in avR leads, its duration is 0.11 sec and its amplitude is 2.5 mm

Frage 42

Frage
In ECG with paper speed 25 mm/sec, 1mm in horizontal direction lasts
Antworten
  • 0.04 sec
  • 0.02 sec
  • 0.03 sec

Frage 43

Frage
ECG criteria of atrial fibrillation are
Antworten
  • Lack of p waves, wide, deformed QRS, changes in repolarisation
  • F waves of fibrillation, deformed, wide QRS, changes in repolarization
  • Lack of p waves, irregular RR intervals; f waves are present

Frage 44

Frage
Which part of the ECG is prolonged in AV block
Antworten
  • QRS complex
  • P wave
  • PQ interval

Frage 45

Frage
In left bundle branch block wide and deformed QRS complex is met in
Antworten
  • I, aVL, V5, V6
  • I, III, V3
  • III, aVF, V1

Frage 46

Frage
P mitrale is
Antworten
  • Reflects hypertrophy and dilatation of the right atrium, its height is 2.5 mm and above
  • Reflects hypertrophy and dilatation of the right atrium, its height is 2.5 mm and abovephy and dilatation of the left atrium, it is wide with two peaks and lasts over 0. 11 sec
  • Reflects left atrium hypertrophy, its height is 2. 5 mm and above paper speed 25 mm/sec) 1 mm in horizontal direction

Frage 47

Frage
Right ECG type is present in
Antworten
  • Mitral stenosis
  • Arterial hypertension
  • Aortic regurgitation

Frage 48

Frage
Which heart disease is presented by Pardee wave
Antworten
  • Mitral stenosis
  • Acute myocardial infarction
  • Aortic regurgitation

Frage 49

Frage
Prolonged PQ interval is met in
Antworten
  • AV block I grade
  • Liver cirrhosis
  • Rheumatic fever

Frage 50

Frage
Wider than 0.04 sec, deep Q wave is typical for
Antworten
  • Acute myocardial infarction
  • Acute myocarditis
  • Arterial hypertension

Frage 51

Frage
Heart function in complete AV block is
Antworten
  • Slow and rhythmic
  • Slow and arrhythmic
  • Fast and rhythmic

Frage 52

Frage
ECG changes in unstable angina are met in
Antworten
  • p wave
  • QRS complex
  • ST segment and T wave

Frage 53

Frage
Which diagnostic methods are used for diagnosing suspected coronaryartery disease (CAD)
Antworten
  • ECG
  • Coronarography
  • Mediastinoscopy

Frage 54

Frage
Which diagnostic techniques are used to prove infectious endocarditis
Antworten
  • Haemocultures
  • Transthoracic echocardiography
  • Transoesophageal echocardiography

Frage 55

Frage
On facial chest radiography the right heart border is formed by
Antworten
  • Right atrium and right ventricle
  • Right atrium and vena cava superior
  • Right atrium, aortic arch and right ventricle
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