Physical Examination CVS–III
Dicrotic pulse with peaks in systole and diastole. Seen in patients with sepsis or during IABP with inflation just after the dicrotic notch.
Contents
- 1 Positive abdominojugular reflux maneuver correlates with the pulmonary artery pressure and thus is a marker for
- 2 Left ventricular failure produces positive abdominojugular reflux when –
- 3 Which of the following doesn’t produce POSITIVE ABDOMINOJUGULAR REFLUX-
- 4 Presence of a right atrial pressure >10 mmHg suggests a pulmonary artery wedge pressure of –
- 5 Very low diastolic blood pressures may be recorded in patients with –
- 6 Bobbing motion of the patient's head with each heart beat seen in -
- 7 “White coat hypertension” is defined by at least ………………..separate clinic-based measurements >140/90 mmHg and at least ……………… non-clinic-based measurements <140/90 mmHg.
- 8 Orthostatic hypotension is defined by a fall in systolic pressure >……………..mmHg or in diastolic pressure >……………….. mmHg in response to assumption of the upright posture from a supine position within ………….. min.
- 9 Pulsus parvus et tardus is seen in –
Positive abdominojugular reflux maneuver correlates with the pulmonary artery pressure and thus is a marker for
ANSWER -A
A positive AJR test correlates with the pulmonary artery pressure and thus is a marker for right heart dysfunction, specifically right ventricular failure.
Left ventricular failure produces positive abdominojugular reflux when –
ANSWER -C
Left ventricular failure produces positive abdominojugular reflux sign when the PCWP is more than 15 mmHg.
Which of the following doesn’t produce POSITIVE ABDOMINOJUGULAR REFLUX-
ANSWER -D
• Left ventricular failure also produces POSITIVE ABDOMINOJUGULAR REFLUX , usually when the PCWP is more than 15 mmHg.
• Cardiac tamponade does not lead to a positive hepatojugular reflux.
• Constrictive pericarditis, right ventricular failure (commonly due to infarction), and restrictive cardiomyopathy are conditions that frequently produce a positive hepatojugular reflux.
Presence of a right atrial pressure >10 mmHg suggests a pulmonary artery wedge pressure of –
ANSWER -C
Presence of a right atrial pressure >10 mmHg (as predicted on bedside examination)
had a positive value of 88% for the prediction of a pulmonary artery
wedge pressure of >22 mmHg.
Very low diastolic blood pressures may be recorded in patients with –
ANSWER -C
Very low (even 0 mmHg) diastolic blood pressures may be
recorded in patients with chronic, severe AR or a large arteriovenous
fistula because of enhanced diastolic “run-off.”
Bobbing motion of the patient's head with each heart beat seen in -
ANSWER -D
de Musset sign - Bobbing motion of the patient's head with each heartbeat - Aortic Regurgitation
“White coat hypertension” is defined by at least ………………..separate clinic-based measurements >140/90 mmHg and at least ……………… non-clinic-based measurements <140/90 mmHg.
ANSWER -B
“White coat hypertension” is defined by at least three separate clinic-based measurements >140/90 mmHg and at least two non-clinic-based measurements <140/90 mmHg.
Orthostatic hypotension is defined by a fall in systolic pressure >……………..mmHg or in diastolic pressure >……………….. mmHg in response to assumption of the upright posture from a supine position within ………….. min.
ANSWER -C
Orthostatic hypotension is defined by a fall in systolic pressure >20 mmHg or in diastolic pressure >10 mmHg in response to assumption of the upright posture from a supine position within 3 min.
Pulsus parvus et tardus is seen in –
ANSWER -A
weak and delayed pulse - pulsus parvus et tardus - defines severe aortic stenosis.
