Valvular Disease

34 Questions | By Dolatahera19 | Updated: Mar 22, 2022 | Attempts: 3530

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Questions and Answers

1.

Less than what cm is considered in Mitral stenosis where hemodynamic changes becomes clinically appearant?
- A.
  
  2
- B.
  
  4
- C.
  
  5
- D.
  
  7
2.

Which of the following is associated with increase in LA pressure, pulmonary venous capillary pressure, transudation of plasma into the lung interstitum and alveoli. Pt is in risk for Pulmonary HTN, CHF, and LA enlargement
- A.
  
  True
- B.
  
  False
3.

Left Atrium enlargement in mitral stenosis can cause this time of arrythmia (most common)?
- A.
  
  A fib
- B.
  
  Ischemia
- C.
  
  V-tach
4.

Myxomatus degenration of MV, rheumatic fever, infective endocarfitis, calcification of mitral annulus associated with HTN/DM, and hypertrophic cardiomyopathy, can cause this kind of valvular problem
- A.
  
  , mitral stenosis
- B.
  
  Mitral regurgitation chronic
- C.
  
  Aortic stenosis
- D.
  
  Tricuspid steonis
- E.
  
  Mitral regurgitaytion acute
5.

What kind of symptom can chronic MR present?
- A.
  
  Decreased CO
- B.
  
  Fatigue and weakness with exertion
- C.
  
  LV failure causing dyspnea
- D.
  
  RV failure causing peripheral edema
- E.
  
  Pulmonary edema which is a medical emergency
- F.
  
  All of the above except D
6.

What are the consequences of MR?
- A.
  
  Elevation of LA and pressure
- B.
  
  Reduction of forward CO
- C.
  
  Volume related stress on the LV because the regurgitated volume returns to the LV during diastole with normal venous return
- D.
  
  LV stroke volume increases to eject the volume
- E.
  
  All of the above
7.

All of the following can impact forward CO except
- A.
  
  Size of mitral orifice
- B.
  
  Systolic pressure gradient between LA and LV
- C.
  
  Systemic vascular resistance opposing LV flow
- D.
  
  LA compliance
- E.
  
  RA compliance
- F.
  
  Duration of regurgitation with each systolic contraction
8.

This is often seen with chronic MR
- A.
  
  RA dilation
- B.
  
  LA dilatation
- C.
  
  RA dilatation
- D.
  
  None of the above
9.

In chronic MR which of the following is most commonly heard?
- A.
  
  An ejection click
- B.
  
  An apical holosystolic murmer that radiates to the axilla
- C.
  
  A crescende decrescendo murmer that radiates to the carotid
- D.
  
  Diastolic rumble
- E.
  
  All of the above
10.

Clenched fist will intensify this kind of murmur
- A.
  
  MR
- B.
  
  MS
- C.
  
  AS
- D.
  
  AR
11.

In chronic MR, the LV undergos gradual compensatory dilatation in response to the volume overload, through eccentric hypertrophy.
- A.
  
  True
- B.
  
  False
12.

What is the best treat for chronic MR?
- A.
  
  Vasodilator
- B.
  
  Diuretics
- C.
  
  Reconstruction of native valve
- D.
  
  Mitral valve replacement
13.

This is sometimes accompanied by MR
- A.
  
  AS
- B.
  
  Tricuspid Stenosis
- C.
  
  MV prolapse
14.

Functional capacity is a measurement of structural lesions in the heart
- A.
  
  True
- B.
  
  False
15.

Select the true statement
- A.
  
  Mitral and tricuspid stenosis is part of diastolic murmer
- B.
  
  Mitral abd tricuspid regurgitation is part of diastolic mumer
- C.
  
  Aortic and oulmonic stenosis is part of diastolic murmer
- D.
  
  Aortic and pulmonic regurgitation is part of systolic murmer
16.

This Imaging is best for evaluting valcular diseases
17.

The following describes which of the following?A common and usually asymptomatic condition consisting of billowing of the mitral leaflets into the LA during systole
- A.
  
  MR
- B.
  
  Mitral valve Prolapse
- C.
  
  AS
18.

What are the possible causes of mitral valve prolapse?
- A.
  
  Autosomal dominant disorder
- B.
  
  Myxomatous degeration of the valve
- C.
  
  In association with CT disorder
- D.
  
  All of the above
19.

What kind of murmer is associated with mitral valve prolapse
- A.
  
  Mid systolic click and late systolic murmer heard at apex
- B.
  
  Mid diastolic click and late diastolic murmer heard at apex
- C.
  
  Only mid diastolic click
- D.
  
  Diastolic rumble
- E.
  
  Holosystolic murmer
20.

There is no treatment indicated for this valvular disease.
- A.
  
  MR
- B.
  
  AS
- C.
  
  Mitral Valve Prolapse
21.

This valve is most likely to get calcified due to aging and cause this kind of valvular disease.
- A.
  
  MS
- B.
  
  AS
- C.
  
  MR
- D.
  
  TS
22.

Aortic valve stenosis can occur due to calcified valve due to aging, rheumatic fever, bicuspid aortic valve
- A.
  
  True
- B.
  
  False
23.

This weight loss drug promoted a lot of valvular disease
24.

Both LV and LA hypertrophy is seen in this kind of valve disease
- A.
  
  MS
- B.
  
  AS
- C.
  
  MR
25.

AS can cause the followng
- A.
  
  Angina
- B.
  
  Syncope
- C.
  
  Congestive Heart Failure
- D.
  
  All of the above