Endo- 2019 test
Aortic and Cardiac Assessment Quiz
Test your knowledge on important concepts related to aortic stenosis, chest examinations, and heart murmurs with our comprehensive quiz. Designed for medical students and professionals alike, this quiz covers a multitude of topics from auscultation techniques to identification of abnormalities.
Key Features:
- 22 carefully crafted questions
- Explore various aspects of cardiac assessment
- Engaging and educational
In aortic stenosis:
Patient may report dyspnea
The most typical is a murmur in II left intercostal space
The most typical is a murmur in II right intercostal space
There is strict correlation between loudness of murmur and severity of the disease
In physical examination of the chest, you find dull percussion note over the right lower lung with crackles and increased tactile fremitus, the most likely case is:
Hydrothroax
Pneumothorax
Pericardiac effusion
Hemophilus influenza
Obturation related to asthma
The area of the auscultation of the aortic valve:
Second intercostal space, left sternal border
Left lower sternal border
Cardiac apex (5ICS-MCL)
Second intercostal space, right sternal border
Third left intercostal space
Which one of them can be cause of the chest pain:
Angina pectoralis
Myocardial infarction
Pericarditis
Reflux esophagitis
In which order we conduct the abdominal examination:
A. Inspection-palpation-percussion-auscultation
B. Auscultation-inspection-percussion-palpation
C. Inspection-auscultation-percussion-palpation
D. Auscultation-inspection-palpation-percussion
E. Auscultation-inspection-palpation-percussion
Choose the INCORRECT answer. Percussion of the chest.
We percuss over the intercostal spaces
You have to keep the middle finger of one hand firmly over the ribs and tap with the middle finger
The movement of tapping should come from the elbow
Do not leave fingers on the chest, otherwise you will dampen the sound
During lung percussion, it is essential to assess the lungs border & lung extension
Which kind of pathological breathing is characteristic of ketoacidosis
Kussmaul Breathing
Cheyne-Stokes respiration
Biot's Respiration
Normal breathing
All are correct
On percussion: choose the correct answer:
Dullness is physiological over the stomach
Hyperresonance is a pathological symptom over the riven pulmonary sacks
Flat sound can be physiological or pathological
Dullness is characteristic for COPD
A positive splenic percussion sign - correct answer
Is a change in percussion note from tympany to dullness on inspiration
Is a change in percussion note from tympany to dullness on expiration
Suggest splenic enlargement
Spleen size is normal
Is not related to Traube´s space
A 70-year-old woman with a history of smoking is referred to Emergency Department after examination reveals a systolic murmur loudest in 2nd right intercostal space, radiating to (carotid arteries?) probable diagnosis:
Mitral valve prolapse
Aortic stenosis
Aortic regurgitation
Pulmonary valve stenosis
Tricuspid regurgitation
S3 sound:
Is heard just before S1 and is typically in heart failure
Is heard just after S2 and is typically heard in heart failure
Is typical in young adults
Is usually physiological
Is found just after S2 and is typically heard in pulmonary embolism
Choose the WRONG answer
Tracheal deviation can suggest tension pneumothorax
Barrel chest-chest wall increased anterior-posterior; typical of hyperinflation seen in COPD
Pectus Excavatum - sternum sunken into the chest
Pectus Carinatum - sternum protruding from the chest
Kyphosis curvature of spine – left or right
Aphasia is characterized by
Speech disorders caused by organic changes in brain
Speech disorders caused by functional changes in the brain
Is a change in percussion note from tympany to dullness on expiration
Suggest splenic enlargement
Speech disorders without changes in the brain
Movement disorders caused by organic changes in the brain
Movement disorders caused by functional changes in the brain
Clubbing of the nails is most commonly associated with:
Lack of iron in body
Lack of vitamin B12 in the body
Presence of psoriasis limited only toenails
Subacute bacterial endocarditis
Chronic lack of oxygen in tissue
Lack of symmetry of the neck could have origin from:
Lymph nodes enlargement
Thyroid tumors
Salivary gland tumors
Parathyroid tumors
Continuous murmur (continuous through both in systole and diastole):
A. PDA
B. Pericardial friction rub
C. Venous hum
A + B
A + B +C
Systolic murmur localized on the apex of the heart could be:
A murmur of the mitral insufficiency
An aortic stenosis murmur radiation to the apex
A murmur of mitral stenosis
An aortic regurgitation murmur radiating to the apex
E.And innocent murmur
When you shall NOT expect diminished S1
Pericardial effusion
Mitral stenosis
Obesity
COPD
1st degree heart block
Opening snap:
Is typical for mitral stenosis
Is typical for mitral regurgitation
Is another name for ventricular gallop-S3
Is typical for PDA
Is accompanied by venous hum
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