Family Medicine EOR Study Guide Exam And Actual Answers.
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Module
Family Medicine EOR
Institution
Family Medicine EOR
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...
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
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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