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Valvular Heart Disease

ابدأ من أول سؤال

مرتبة من الأكثر تكراراً في امتحانات الدفعات.

  1. A 23 year old woman come to IM clinic complaining of palpitations during pericardial examination there is a click systol and late systolic murmur gets… B-070MED43تكرر ×2
  2. A 62-year-old man with hypertension. On auscultation: a diastolic decrescendo murmur was heard at the left lower sternal area, decreased by Valsalva m… B-075MED43تكرر ×2
  3. A 43-year-old man presented to the ER with persistent fever. He is an IV drug user. On examination: temperature was 39.3°C, a painful pink nodule was … B-178MED43تكرر ×2
  4. A 68-year-old man with long-standing hypertension presents with exertional dyspnea. On auscultation, you detect an extra heart sound just before S1. H… B-076MED43
  5. A 33-year-old man comes to the clinic complaining of mild exertional shortness of breath and a "pounding" heart over the last 5 months. He is uncomfor… B-069تكرر ×5
  6. A 28-year-old woman has had a significant past medical history of rheumatic heart disease. On physical examination, she had mid-diastolic rumbling mur… B-071تكرر ×2
  7. Patient with signs and symptoms of Tricuspid Regurgitation (SOB, pansystolic murmur in left lower sternal border + intermittent S3 increased with insp… B-072تكرر ×2
  8. A 53-year-old man felt increasingly tired for the last month. He had mild pain in his abdomen, which he feels is slightly fuller than normal. There is… B-073تكرر ×2
  9. A 72-year-old woman has an acute onset of dyspnea and hypotension and requires immediate intubation 5 days after being admitted for an anterior ST-ele… B-074تكرر ×2المصادر مختلفة
  10. A 25-year-old male presented to the emergency department complaining of fever associated with shortness of breath for 3 days. He is an active smoker w… B-177تكرر ×2
  11. Man has community acquired pneumonia (CAD), on examination there is a murmur. What is the characteristic of mitral regurgitation? B-077
  12. A 35-year-old woman known to have rheumatic heart disease for 15 years is evaluated for worsening exertional dyspnea. Her vitals are within normal ran… B-078
  13. A 63-year-old woman develops exertional angina and has had two episodes of syncope. Examination shows systolic ejection murmur with radiation to the c… B-079المصادر مختلفة
  14. A 67-year-old woman with hypertension is complaining of shortness of breath. Her blood pressure is 140/40 mmHg and she has an early diastolic murmur a… B-080
  15. A 75-year-old man reports chest pain while climbing stairs. On physical examination, there is a II/IV systolic ejection murmur that radiates to the ne… B-081
  16. A 72-year-old male comes to the office with intermittent symptoms of dyspnea on exertion, palpitations, and cough occasionally productive of blood. On… B-082
  17. A 65-year-old female has had an MI 6 days ago now complains of SOB, cough and frothy sputum. On physical examination she had harsh pan-systolic murmur… B-083
  18. A 63-year-old woman develops exertional angina and has two episodes of syncope. Examination shows a systolic ejection murmur with radiation to the car… B-084
  19. A 42-year-old man with known valvular heart disease develops a fever for 1 week. He appears unwell; and has pansystolic murmur at the apex that radiat… B-085المصادر مختلفة
  20. A 23-year-old man who is asymptomatic and exercises daily is found to have on routine assessment: BP 160/50, HR 60, there is pulsus bisferiens. Cardia… B-086
  21. Patient is having a problem in his valve. Murmur increases with squatting. B-087المصادر مختلفة
  22. Which of the following clinical signs would best indicate severe calcified aortic stenosis? B-088غير محسوم
  23. Patient with symptoms of infective endocarditis K/C of RHD and mitral stenosis, with new onset murmur. What will confirm the diagnosis? B-089
  24. What is the murmur in VSD? B-090
  25. You are called to assess a 55-year-old man in the coronary care unit for sudden onset shortness of breath. He was admitted 2 days ago with STEMI and r… B-091
  26. A 49-year-old woman presents with increasing shortness of breath on exertion developing over the past three months. She has no chest pain or cough and… B-092
  27. A 41-year-old man comes to the emergency department with a 2-week history of fever, anorexia, weight loss, and fatigue. He is otherwise healthy; he re… B-093
  28. A 48-year-old woman presents with dyspnea. She has a history of dyspnea for the past several years and has worsened over the last 6 months. There is a… B-094
  29. 35 years old female came to cardiology office for check up and murmur heard diagnosed as mitral stenosis. Which of the following is characteristic for… B-095
  30. A 38-year-old Hajji patient presented to ER complaining of exertional dyspnea upon minimal activity, his past medical history is significant for Acute… B-096
  31. 32-year-old female presented with dyspnea, edema, and malaise. She complains of breathlessness at rest. She also had episode of paroxysmal nocturnal d… B-097
  32. A 75-year-old patient presents to the ER after a sudden syncopal episode. He is again alert and in retrospect describes occasional substernal chest pr… B-158
  33. A 50-year-old man with 4 weeks history of persistent documented fever and fatigue. He is known to have aortic stenosis with no other comorbidities. Ex… B-160
  34. A 27-year-old man has fever, chills, malaise, and joint discomfort in his hands and knees. He looks unwell, his Temp is 39.4 C, BP 115/70 mmHg, HR 110… B-179
  35. A 26-year-old has acute onset of non-productive cough and right sided pleuritic chest pain for 2 days. He is an IV drug user, with his last use approx… B-180
  36. A 37-year-old male presents to the emergency department with fever. Chest x-ray shows multiple patchy infiltrates in both lungs. Echocardiography and … B-181
  37. A 41-year-old intravenous drug abuser has shortness of breath and pleuritic chest pain. He is febrile with a temperature of 39.5, He has no skin lesio… B-182
  38. A 22-year-old male patient presented with several days history of fever and fatigue. On examination temperature 39, heart rate 120, bipod pressure 100… B-183
  39. A 70-year-old man is brought to the emergency department because of fever and shortness of breath for 2 days. He underwent an oral surgical procedure … B-184
  40. A 40-year-old female presented in the clinic with painful erythematous subcutaneous nodules on the tips of digits, nontender hemorrhagic macules on th… B-185
  41. Patient with signs and symptoms of infective endocarditis (Osler nodes, bleeding under the nails…) he is an IV drug abuser, what is most likely diagno… B-186
  42. A 42-year-old man has had breathlessness for 2 months, worse lying down. No cough or fever. He is vitally stable. There is a grade 3/6 systolic murmur… B-660
  43. A 45-year-old woman who injects unprescribed drugs has fever and malaise. She is tachycardic with a new systolic murmur. Blood culture grows MSSA. Wha… B-662
  44. A 52-year-old man with known mitral valve prolapse has 2 weeks of fever, malaise and night sweats. He had a tooth extraction shortly before the sympto… B-670
  45. A 40-year-old man who injects drugs has fever, chills and breathlessness. He is febrile and tachycardic, with a pansystolic murmur at the left lower s… B-671
  46. A patient with IE features: vegetations on echo, pansystolic murmur, Osler nodes and Janeway lesions. What is the best next step? B-719
  47. A 72-year-old woman 5 days after an anterior STEMI has sudden dyspnoea and hypotension needing intubation. BP 90/60, HR 120. Grade 4/6 harsh pansystol… B-720
  48. A 25-year-old man with a prosthetic aortic valve (2 years ago, bicuspid valve) needs a dental extraction. He had anaphylaxis to penicillin. What is th… B-721
  49. A 55-year-old has exertional dyspnoea, leg oedema and increased abdominal girth. HR 120, BP 90/70. Echo: severe aortic stenosis, valve area 0.7 cm². W… B-722
  50. A 20-year-old man who injects drugs has fever 39.3, painful pink nodules on both palms, grade 3 pansystolic murmur at the 4th left parasternal space; … B-729
  51. A 20-year-old man who injects drugs with IE features; blood cultures grow MSSA. What is the drug of choice? B-730