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Kaplan Qbank USMLE



Author14 Posts
  #1

Match 1-10 with A-J

1) Continuous murmur

2) Left parasternal heave

3) Midsystolic click

4) Paradoxical spliting of S2

5) paradoxical pulse

6) Canon a waves

7) Low ejection fraction

8) Normal ejection fraction

9) Pitting edema

10) Improves stroke volume


A) digoxin
B) LBBB
C) Status asthmaticus
D) Systolic dysfunction
E) Dialysis pt.
F) R vent. hypertrophy
G) Mitral valve prolapse
H) Complete heart block
I) Diastolic dysfunction
J) left heart failure

  #2

1) Continuous murmur -dialysis
2) Left parasternal heave -right ventricular hypertrophy

3) Midsystolic click -mitral valve prolapse

4) Paradoxical spliting of S2 -LBBB

5) paradoxical pulse -status asthamaticus

6) Canon a waves - complete heart block

7) Low ejection fraction - systolic dysfunction

Normal ejection fraction -diastolic dysfunction

9) Pitting edema -left heart failure

10) Improves stroke volume- digoxin

  #3

You r right. Good job

1=e
2=f
3=g
4=b
5=c
6=h
7=d
8=i
9=j
10=a

  #4

thank you,why dont u post more
infact discussion is a good way to study

  #5

yeah i will try to post more. i just make up questions from whatever i am reviewing so that makes it easy. if everyone start posting stuff with quick responses, that will be great. i have just joined the forum recently so i was expecting more posts which is not the case. its only coupla ppl that r active here.
P.S. the answers posted by 'guest' is me as it wont let me log on at that time for some reason grin

  #6

Sorry, it is my fault regarding the login problem because I changed some settings.
I was not able to login also ... :wink:

Now, members don't have to enter username/password at every visit.
Hope it works for you!

Regards!

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  #7

Wait Pitting edema and left heart failure......??????

that is number 9........??????!!!!!!
surely someone made a mistake there......unless u mean left heart failure ....then raised pulmonary capillary pressures ....then right sided heart failure........then fluid overload.....raised right ventricular end diastolic volume......then raised systemic venous pressures........then transudation.....then pitting edema

i am not sure that is what anybody wld mean......it probably was meant to be right heart failure...

sorry for sounding so corny.......

Someone reply to this......

Rearrange the following inthe order as they would appear in the patient..


A patient with Ischemic Heart Disease subjected to stress wld have all of the following:

1...systolic dysfunction ( stress ECHO)
2....EKG changes of ischemia (Stress EKG)
3...chest pain (subjective)
4....diastolic dysfucntion (stress ECHO)

  #8

2314...

  #9

No Toma

I doubt very much ur stress Echo or stress EKG wld be useful if ur patient gets chest pain before he gets ECHO or EKG findings......

SO chest pain is definitely the last thing......
it starts like this....

diastolic dysfunction
systolic dysfunction
EKG changes
Chest pain

  #10

I am bit skeptical about Systolic dysfunction preceding Ischemic changes.
I have evaluated many patients who have an EF > 65 and have ischemic changes on the ECG
I would DIastolic dysfunction --> ECG changes --> Systolic Dys OR Chest pain
Can you explain, please?

  #11

Hello

I am not talking about established Systolic dysfucntion in a patient...

I am talking about ....When ur doing a stress test......to a Patient who is apparently normal ... those are the cahnges you would see on the Echo and EKG....in that order and obviously reversible.....

  #12

I disagree with the matching of pitting edema against left heart failure. Pitting edema is caused by right heart failure not left or were you thinking of CCF?

  #13

I agree, pitting oedema along with elevated JVP and tender hepatomegaly are assoc with R heart failure.

  #14

well this one is so old but i was just finally reviewing differnt Int Med posts n arranging them in questions for myself n i came across this one. Anyways where the choice says 'pitting edema', it was suppose to say 'pulmonary edema' which is associated with L vent failure







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