General Medicine · Cardiology
1.An 18 years old male presented with exertional dyspnea, PND and palpitation. On examination his pulse was irregularly irregular with a pulse deficit of more than 10. Cardiac examination revealed loud first heart sound, opening snap with a mid diastolic murmur. Answer the following:
2.A 24 year old gentleman admitted with history of fever of 3 weeks duration. He was diagnosed as having heart disease in the past and is on some monthly injection. On examination there is Pan systolic murmur in mitral area, splenomegaly and splinter hemorrhages
3.38-year-old male presented with palpitations and breathlessness since 6 months. On examination, he had irregular pulse and a middiastolic murmur at mitral area.
4.A 20 years old young patient was admitted to emergency ward with history of prolonged fever and acute onset breathlessness. On examination systolic murmur heard at apex. Answer the following:
5.A 60 years lady presents with tingling, fatigue and passing dark tarry foul smelling stools. On examination, severe pallor was present and ejection systolic murmur at the pulmonary area. Answer the following
6.A 25 years old male presents with history of fever for 15 days. On examination patient is febrile. Pallor and clubbing are present. He has a pan systolic murmur at the apex. Answer the following:
7.18 years old male came to outpatient department with fever, joint pain and swelling of right knee and chest pain. On examination there is relative tachycardia, pansystolic murmur in mitral area and ECG shows prolongation of PR interval. Answer the following:
1.Chest X-ray findings in mitral stenosis
2.Draw and label a diagram of mitral valve apparatus
3.Latest revised Jones criteria for diagnosis of rheumatic fever
4.Four radiological features of mitral stenosis
5.Explain continuous murmur. List two causes
6.Prophylaxis for acute rheumatic fever
7.Jone’s criteria of rheumatic fever
8.Management of mitral regurgitation
9.Causes of aortic stenosis
1.Assertion (A): The Rheumatic fever mainly affects the mitral valve.
2.Assertion (A): Vegetations are found on atrial surface of mitral valves in Acute infective endocarditis.
3.Carey Coombs murmur is seen in
4.Kussmaul’s sign is seen in