A 63-year-old woman develops exertional angina and has had two episodes of syncope. Examination shows systolic ejection murmur with radiation to the carotids Which of the following physical signs might you expect in this patient?
سؤال مجاني 9 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
المصادر مختلفة. ملفات الدفعة فيها إجابتين، وما نرجّح وحدة على الثانية. سبب كل وحدة في الشرح تحت:
- إجابة: A. Pulsus parvus et tardus
- إجابة ثانية: C. Soft A2
Exertional angina and syncope with a systolic ejection murmur radiating to the carotids = aortic stenosis. Its pulse is parvus et tardus (diminished, delayed carotid upstroke). A prominent carotid pulse and collapsing (water-hammer) pulse belong to aortic regurgitation; the source also lists a soft S2 in AS (the aortic component may be delayed), so C is defensible, but the classic expected pulse sign is parvus et tardus.
ليش كل خيار صح أو غلط
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A
ليش صح
The Valvular disease slides list pulsus parvus et tardus (with exertional chest pain and exertional syncope) among the signs of aortic stenosis, which this patient's picture fits.
✓ Valvular disease ...pdf · p. 7 -
B
ليش غلط
A prominent, rapidly rising and falling carotid pulse (Corrigan pulse) is a sign of aortic regurgitation, not aortic stenosis.
✓ CARDIOLOGY- VHD+IE.pdf · p. 10 -
C
ليش صح
Step Up To Medicine also lists a soft S2 in aortic stenosis (the aortic component may be delayed and merge into P2), so this sign is supported by that source.
✓ Step Up To Medicine 6th (Valvular Heart Disease).pdf · p. 3 -
D
ليش غلط
A collapsing water-hammer pulse is listed under aortic regurgitation in the Valvular disease slides, not aortic stenosis.
✓ Valvular disease ...pdf · p. 13
- المصدر
- Step Up To Medicine 6th (Valvular Heart Disease).pdf · p. 3
- المحاضرة
- Valvular Heart Disease · Cardiology · Module B
- ظهر في
- Cardio bank