Cardiovascular Clinic: Extended Matching Questions Formative Self Assessment

Description

This quiz will help you to formulate your clinical reasoning and differential diagnosis skills in relation to cardiovascular presentations
Chris Mulryan
Quiz by Chris Mulryan, updated more than 1 year ago
Chris Mulryan
Created by Chris Mulryan almost 8 years ago
496
2

Resource summary

Question 1

Question
A 74-year-old man presents with a painful right lower limb. There is no radio-radial delay, or radio-femoral delay but there is a reduction in volume on the right side when comparing both femoral vessels. There is a femoral bruit present bilaterally. There is an absence of hair on the right limb when compared to the left and his right limb feels colder than the left.
Answer
  • Coarctation of the abdominal aorta
  • Carotid artery dissection
  • Aortic regurgitation
  • Mitral regurgitation
  • Abdominal aortic aneurysm
  • Renal artery stenosis
  • Aortic stenosis
  • Endocarditis of late onset
  • Endocarditis of early onset
  • Essential hypertension

Question 2

Question
A 23-year-old man presents with lethargy. You note that he has Osler’s nodes present and he has a murmur heard loudest at the 2nd right-intercostal space and also at the mid-left sternal border. The murmur is continuous. He has tattoos on both arms and his chest.
Answer
  • Coarctation of the abdominal aorta
  • Coarctation of the aortic arch
  • Hypertrophic obstructive cardiomyopathy
  • Renal artery stenosis
  • Long Standing Endocarditis
  • Endocarditis of recent onset
  • Abdominal aortic aneurysm
  • Tricuspid regurgitation
  • Aortic stenosis
  • Critical limb ischemia

Question 3

Question
A 52-year-old man has reduced exercise tolerance. On examination you discover that he has a tapping character to his apex beat which is located in the 5th intercostal space in his mid clavicular line. He also has a mid-diastolic murmur which is associated with an opening snap. This murmur is heard loudest at the 5th intercostal space in the mid clavicular line.
Answer
  • Coarctation of the abdominal aorta
  • Coarctation of the aortic arch
  • Unstable angina
  • Mitral stenosis
  • Mitral
  • Aortic stenosis
  • Aortic regurgitation
  • Hypertrophic obstructive cardiomyopathy
  • Carotid artery dissection
  • Arrhythmogenic syncope

Question 4

Question
A 15-year-old male found to be hypertensive 160/93 mmHg in the right arm and 140/71 mmHg in the left arm was also found to have radio-radial delay as well absent femoral pluses. Other symptoms reported include having frequent headaches and poor performance in sports.
Answer
  • Carotid artery dissection
  • Aortic stenosis
  • Bicuspid aortic valve
  • Arrhythmogenic syncope
  • Abdominal aortic aneurysm
  • Coarctation of the aortic arch
  • Coarctation of the abdominal aorta
  • Hypertrophic obstructive cardiomyopathy
  • Renal artery stenosis
  • Essential hypertension

Question 5

Question
A 63-year-old lady presents with a pulsatile swelling on the left side of neck. She also has signs of left-sided Horner’s syndrome.
Answer
  • Myocardial infarct
  • Aortic regurgitation
  • Mitral regurgitation
  • Stable angina
  • Coarctation of the aortic arch
  • Coarctation of the abdominal aorta
  • Carotid artery dissection
  • Hypertrophic obstructive cardiomyopathy
  • Renal artery stenosis
  • Critical limb ischemia

Question 6

Question
A week after experiencing a myocardial infarction a 57-year-old man presents with a pan-systolic murmur. This murmur is heard loudest in the 5th intercostal space in the midclavicular line; it radiates to the axilla. He has crackles present in the lower lobes in his lungs.
Answer
  • Coarctation of the abdominal aorta
  • Myocardial infarct
  • Unstable angina
  • Mitral regurgitation
  • Mitral stenosis
  • Aortic stenosis
  • Aortic regurgitation
  • Tricuspid regurgitation
  • Arrhythmogenic syncope
  • Hypertrophic obstructive cardiomyopathy

Question 7

Question
A 25-year-old very physically fit man presents with a sensation of dizziness on exertion. You appreciate a heave on the left of his chest. There is a systolic murmur present at the second intercostal space on the right of his chest.
Answer
  • Coarctation of the abdominal aorta
  • Coarctation of the aortic arch
  • Abdominal aortic aneurysm
  • Arrhythmogenic syncope
  • Tricuspid regurgitation
  • Hypertrophic obstructive cardiomyopathy
  • Mitral regurgitation
  • Stable angina
  • Critical limb ischemia
  • Carotid artery dissection

Question 8

Question
A 71-year-old man presents with erectile dysfunction, requesting Viagra. On examination you note that he has a carotid, renal, aortic and femoral bruit. His abdominal aorta is easily palpable and this has an expansile sensation.
Answer
  • Coarctation of the abdominal aorta
  • Myocardial infarct
  • Carotid artery dissection
  • Stable angina
  • Unstable angina
  • Tricuspid regurgitation
  • Coarctation of the aortic arch
  • Abdominal aortic aneurysm
  • Arrhythmogenic syncope
  • Renal artery stenosis

Question 9

Question
A 72-year-old man has a diastolic murmur which is audible most clearly at the left sternal border. The patient is also found to have a collapsing pulse.
Answer
  • Coarctation of the abdominal aorta
  • Coarctation of the aortic arch
  • Tricuspid regurgitation
  • Abdominal aortic aneurysm
  • Mitral regurgitation
  • Mitral stenosis
  • Aortic stenosis
  • Aortic regurgitation
  • Unstable angina
  • Endocarditis of late onset
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