Transcript Jeopardy - Blogs @ Butler

Jeopardy
Secondary
HTN
Angina
Pectoris
Heart
Failure
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Pulses
Congenital Heart
Disease
Final Jeopardy
$100 Question from Pulses
A physical finding with arterial pulse
waveform showing alternating strong and
weak beats
$100 Answer from Pulses
What is Pulsus Alternans
$200 Question from Pulses
A pulse with two
peaks during systole
$200 Answer from Pulses
What is Bisferiens Pulsus
$300 Question from Pulses
Inspiratory weakening of the pulse
$300 Answer from Pulses
What is Pulses Paradoxus
$400 Question from Pulses
Reflects the open tricuspid valve and the
relatively passive filling of the ventricles
$400 Answer from Pulses
What is a rapid y descent
$500 Question from Pulses
Failure of the JVP to fall
with inspiration
$500 Answer from Pulses
What is Kussmaul Sign
$100 Question from Secondary
Hypertension
Clinical findings of central
obesity with moon facies,
buffalo hump,
supraclavicular fat pads,
protuberant abdomen, and
thin extremities
$100 Answer from Secondary
Hypertension
What is Cushing Syndrome
$200 Question from Secondary
Hypertension
Unilateral adrenal adenoma is
Known as…
$200 Answer from Secondary
Hypertension
What is Conn syndrome
$300 Question from Secondary
Hypertension
Most common cause of
secondary hypertension
$300 Answer from Secondary
Hypertension
What is Renal Parenchymal Disease
$400 Question from Secondary
Hypertension
Two findings on CXR
found in coarctation
of the aorta?
$400 Answer from Secondary
Hypertension
What are Scalloping of ribs and 3
or backward E sign?
$500 Question from Secondary
Hypertension
Rule of Tens in found in this form
of Secondary Hypertension
$500 Answer from Secondary
Hypertension
What is pheochromocytoma?
$100 Question from Angina
Pectoris
Clenching a fist over the mid chest
$100 Answer from Angina
Pectoris
What is Levine Sign
$200 Question from Angina
Pectoris
Coronary vasospasm that tends to
involve right coronary artery.
There may be no fixed stenoses.
$200 Answer from Angina
Pectoris
What is prinzmetal (variant) angina
$300 Question from Angina
Pectoris
Diagnosis of angina pectoris is strongly
supported if it promptly and invariably
shortens the attack
$300 Answer from Angina
Pectoris
What is sublingual nitroglycerin
$400 Question from Angina
Pectoris
Angina Pectoris with normal coronary
arteries and without other identifiable
causes
$400 Answer from Angina
Pectoris
What is Syndrome X
$500 Question from Angina
Pectoris
Known as increasing the elevation and speed of a
treadmill every 3 minutes until limited by symptoms
$500 Answer from Angina
Pectoris
What is Bruce Protocol
$100 Question from Heart
Failure
The most common complaint
of left sided heart failure
$100 Answer from Heart Failure
What is shortness of breath
$200 Question from Heart
Failure
Structural heart disease
that is strongly associated with the
development of heart failure
but no symptoms or sign
$200 Answer from Heart Failure
What is Stage B Heart Failure
$300 Question from Heart
Failure
Expressed or elevated when
ventricular filling pressures are high
$300 Answer from Heart Failure
B-type natriuretic peptide (BNP)
$400 Question from Heart
Failure
Ejection fraction is the fraction of blood
pumped out of a ventricle with each beat.
This is the lower limits of a normal value…
$400 Answer from Heart Failure
What is considered a Normal
Ejection Fraction > 50 to 55%
$500 Question from Heart
Failure
The most useful diagnostic
modality for Heart Failure.
$500 Answer from Heart Failure
Echocardiography
$100 Question from Congenital
Heart Disease
Atrial Septal Defect associated with
atrioventricular septal defect
$100 Answer from Congenital
Heart Disease
Ostium Primum
$200 Question from Congenital
Heart Disease
In ASD, a patient may develop a right to left
shunt that results in cyanosis
$200 Answer from Congenital
Heart Disease
Eisenmenger Syndrome
$300 Question from Congenital
Heart Disease
Most common congenital heart disease
$300 Answer from Congenital
Heart Disease
VSD
$400 Question from Congenital
Heart Disease
1. VSD
2. RV outflow obstruction from infundibular stenosis
Pulmonic stenosis
3. RVH
4. Overriding aorta
$400 Answer from Congenital
Heart Disease
What is Tetralogy of Fallot
$500 Question from Congenital
Heart Disease
Keeps ductus arteriosus patent
$500 Answer from Congenital
Heart Disease
Prostaglandins—likely maternal
Final Jeopardy
Harsh, ejection crescendo-decrescendo murmur primarily
at URSB (aortic area) but transmits to (carotids) neck and
LLSB (apex)
+/- Thrill
+/- S4
+/- early ejection click
Loudness is not related to its severity
+/-Paradoxically splitting of A2 and P2 with expiration
Final Jeopardy Answer
What is Aortic Stenosis