ED-10 CARDIO(515-524)

1. What is the most specific finding for severe MS?

2. A 71-year-old man with a history of ischaemic heart disease is brought to the Emergency Department following a 'collapse'. He now feels back to normal. The ECG shows sinus rhythm, 94/min with left bundle branch block. Given the ECG findings, which one of the following is most likely to be found on auscultation of the heart?

3.Which one of the following is least associated with aortic regurgitation?

4.A 66-year-old man presents with shortness-of-breath on exertion. On examination his blood pressure is 128/76 mmHg, pulse 78 / min and regular. Auscultation of his chest reveals an early diastolic murmur. Which one of the following conditions is most associated with this kind of murmur?

5.Following are major criteria of RF except?

6.A 35-year-old man who is an intravenous drug user is admitted to hospital. He has had three previous admissions with infective endocarditis but presents on this occasion feeling generally unwell, complaining of upper abdominal discomfort and leg swelling. On examination he has an elevated jugular venous pressure, tender hepatomegaly and peripheral oedema. A diagnosis of tricuspid regurgitation is suspected. Which one of the following additional features would be most supportive of this diagnosis?

7.A 13-year-old male immigrant from India presents to his primary care physician with a gradually worsening shortness of breath worse on physical exertion as well as widespread joint pain. His past medical history includes a severe throat infection which was untreated. His vaccination record is complete. On physical examination, there is a high-pitch holosystolic murmur loudest at the apex with radiation to the axilla. Hb 135 g/l Platelets 150 * 109/l WBC 9.5 * 109/l Anti-streptolysin O titres >200units/mL What is the most likely histological finding in his heart?

8. Which one of the following clinical signs would best indicate severe calcified aortic stenosis?

9.Which murmur is not present In AR?

10. Ejection Click is present in?