The upper relative heart border is found
Along the lower margin of I rib
Along the lower margin of II rib
Along the lower margin of III rib
The right absolute heart border is found
Along the right sternal margin
Along the left sternal margin
Along linea mediana anterior
Which are the components of S1
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
Which statements, referring to SI and 52 are correct
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
Which statements, referring Io the gallop rhythm are correct
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
Features of pericardial friction rub are
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
Pericardial friction rub is heard
During systole
During diastole
During both phases
Pulsus defitiens is established in
Peripheral vasculitis
High frequent atrial fibrillation
Shock
Pulsus celer is defected in
Graves' disease
Mitral regurgitation
Aortic regurgitation
Pulsus parvus, tardus et rarus is detected
Aortic stenosis
Mitral stenosis
Pulsus celer, altus, magnus et frequens is met in
Which statements, referring to atrial fibrillation are correct
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
In atrial fibrillation the auscultated heart activity is
Rhythmic
Arrhythmic
Variable, depending on the presence of a constant or transitory AV block
Which are the typical physical findings in a patient with mitral stenosis
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
In which valve disease diastolic fremissement is palpated
In mitral stenosis on the apex one can auscultate
Diastolic rolling murmur, propagating to the left armpit
Diastolic rolling: murmur that does not propagate
Systolic murmur
In mitral regurgitation on the apex one can auscultate
Diastolic rolling murmur without any propagation
Pansystolic murmur, propagating to the left armpit
Presystolic murmur
Sound of mitral opening is typical for
Mitral stenosis is accepted when the mitral valve orifice is under
5 cm
3 cm
1 cm
Ictus cordis is dilated to left and downwards (in V1 or VII intercostals) in
Exudative pleuritis
Which heart disease is presented by a functional diastolic murmur in the left intercostals (Graham-Steel murmur)
Chronic constrictive pericarditis
Auscultatory findings in mitral regurgitation are
Weaker S1
Systolic murmur on the apex with axilar propagation
Diastolic murmur on the apex without propagation
Austin-Flint murmur is
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
The continuous (systolic-diastolic) Duroziers murmur over the femoral artery is auscultated i
Carey-Coombs murmur is
Systolic in relative mitral stenosis
Middiaatolic in relative mitral stenosis
Diastolic in organic mitral stenosis
Which are the typical physical findings in patients with aortic stenosis
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
Where is punctum maximum of the diastolic murmur in aortic regurgitation
Aortic place-II right intercostals
Botkin-Erb point
Ictus cordis
Which valve disease is presented by a rough systolic murmur with p. max. In II right intercostals, propagating to the carotids
In aortic regurgitation is auscultated
Accentuated S2, systolic murmur on aortic place
Weak A2, diastolic murmur with p. max. on Erb point
Apical systolic murmur
In aortic regurgitation the second sound (A2) is
Accentuated
Normal
Weaker
Musset's sign is met in
Muller's sign is
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
Which statements, referring to stable angina are correct
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
The duration of pain in myocardial infarction is
A few seconds
Up to 15 minutes
Over 30 min
Manifestations of right ventricle heart failure are
Orthopnoea
Gravitation oedemata
Hepatomegaly
Manifestations of left ventricle heart failure are
Cardiac asthma
Pulmonary oedema
Rheumatic fever is characterized by
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
Erythema marginatum is met in
Rheumatic fever
Migratory poly arthritis, carditis, erythema marginatum, chorea minor, subcutaneous nodules are major criteria for
Infectious endocarditis
Rheumatoid arthritis
In myocarditis are present
Sound of mitral opening (opening snap)
Tachycardia
Gallop rhythm
Which characteristics of the normal ECG are valid
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
In ECG with paper speed 25 mm/sec, 1mm in horizontal direction lasts
0.04 sec
0.02 sec
0.03 sec
ECG criteria of atrial fibrillation are
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
Which part of the ECG is prolonged in AV block
QRS complex
P wave
PQ interval
In left bundle branch block wide and deformed QRS complex is met in
I, aVL, V5, V6
I, III, V3
III, aVF, V1
P mitrale is
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
Right ECG type is present in
Arterial hypertension
Which heart disease is presented by Pardee wave
Acute myocardial infarction
Prolonged PQ interval is met in
AV block I grade
Liver cirrhosis
Wider than 0.04 sec, deep Q wave is typical for
Acute myocarditis
Heart function in complete AV block is
Slow and rhythmic
Slow and arrhythmic
Fast and rhythmic
ECG changes in unstable angina are met in
p wave
ST segment and T wave
Which diagnostic methods are used for diagnosing suspected coronaryartery disease (CAD)
ECG
Coronarography
Mediastinoscopy
Which diagnostic techniques are used to prove infectious endocarditis
Haemocultures
Transthoracic echocardiography
Transoesophageal echocardiography
On facial chest radiography the right heart border is formed by
Right atrium and right ventricle
Right atrium and vena cava superior
Right atrium, aortic arch and right ventricle
