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Family Medicine EOR Study Guide Exam And Actual Answers.
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This form of infectious diarrhea presents with abdominal pain that mimics appendicitis and diarrhea that begins watery and then becomes bloody - Answer Campylobacter What position accentuates aortic murmurs? - Answer Sitting up and leaning forward What position accentuates mitral murmur...

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  • October 16, 2024
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  • 2024/2025
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Family Medicine EOR Study Guide
Exam And Actual Answers.
This form of infectious diarrhea presents with abdominal pain that mimics appendicitis and diarrhea that
begins watery and then becomes bloody - Answer Campylobacter



What position accentuates aortic murmurs? - Answer Sitting up and leaning forward



What position accentuates mitral murmurs? - Answer Lying on left side



Think __________ when you hear "blowing" murmur.... - Answer Regurgitation



Think _________ when you hear "harsh" murmur - Answer Stenosis



Most common cause of aortic stenosis and the population it affects. - Answer Calcification of the valve
d/t wear and tear in patients over 70 y/o



Most common presenting symptom of a patient with aortic stenosis - Answer Dyspnea



Three main symptoms of Aortic stenosis - Answer Angina

Exertional syncope

Congestive heart failure (dyspnea and pulmonary edema)



Systolic crescendo-decrescendo murmur at the right upper sternal border that radiates to the carotid -
Answer Aortic stenosis



Narrowed pulse pressure and pulsus parvus et tardus are two sign associated with which valvular
disease? - Answer Aortic stenosis

,What is pulsus parvus et tardus? - Answer small, delayed carotid pulse



Management of aortic stenosis - Answer Aortic valve replacement



ECG changes associated with aortic stenosis - Answer Left ventricular hypertrophy



Medical therapy for severe aortic stenosis - Answer avoid physical exertion

vasodilators



Causes of aortic regurgitation/insufficiency - Answer Rheumatic heart disease

Endocarditis



Acute clinical manifestations of aortic regurgitation - Answer Pulmonary edema

Hypotension



Clinical manifestations of chronic aortic regurgitation - Answer Congestive Heart Failure



Diastolic, decrescendo, blowing murmur maximal at the left upper sternal border. May be described as
"high-pitched" - Answer Aortic regurgitation



Mid-late diastolic rumble - Answer Austin-Flint murmur



Austin-Flint murmur is associated with which valvular disease? - Answer Aortic regurgitation



Physical examination findings associated with aortic regurgitation - Answer Bounding pulse

Wide pulse pressure



Management of aortic regurgitation - Answer Vasodilators to decrease afterload

Surgical replacement for definitive treatment

,Most common cause of mitral stenosis - Answer Rheumatic heart disease



Clinical manifestations of mitral stenosis - Answer Dyspnea

Hemoptysis

Pulmonary hypertension

A-fib

Ruddy cheeks with facial pallor (mitral facies)



Early mid-diastolic rumble at the apex with an opening snap and a prominent S1 - Answer Mitral
stenosis



EKG changes that may be present in mitral stenosis - Answer A-fib

Left atrial enlargement



Management of mitral stenosis - Answer Percutaneous balloon valvuloplasty in younger patients

Mitral valve replacement

Diuretics to relieve congestion

Rate control if A-fib is present



Causes of mitral regurgitation - Answer Mitral valve prolapse - most common

Endocarditis

Rheumatic heart disease



Clinical manifestations of acute mitral regurgitation - Answer Dyspnea

Hypotension

Fatigue

Pulmonary edema

, Clinical manifestations of chronic mitral regurgitation - Answer A-fib

CHF

Hemoptysis

Pulmonary hypertension



Blowing, high-pitched, holosystolic murmur at the apex with radiation to the axilla with a widely split S2 -
Answer Mitral regurgitation



Management of mitral regurgitation - Answer Surgical repair over replacement

Vasodilators to reduce afterload



Mid-late systolic ejection click best heard at the apex; may or may not have a mid-late systolic murmur -
Answer Mitral valve prolapse



Most common presentation of mitral valve prolapse - Answer Asymptomatic



Harsh midsystolic ejection crescendo-decrescendo murmur maximal at the left upper sternal border with
radiation to the neck - Answer Pulmonic stenosis



Treatment of pulmonic stenosis - Answer balloon valvuloplasty



Brief decrescendo earyl diastolic murmur at LUSB with full inspiration - Answer Graham Steell murmur
indicative of pulmonic regurgitation



Mid-diastolic murmur at LLSB - Answer Tricuspid stenosis



Treatment of pulmonic regurgitation/Graham Steell murmur - Answer No treatment needed



Holosystolic blowing high-pitched murmur at the subxyphoid area - Answer Tricuspid regurgitation

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