{"id":787,"date":"2020-05-15T10:50:53","date_gmt":"2020-05-15T10:50:53","guid":{"rendered":"http:\/\/app.rguc.co.uk\/?p=787"},"modified":"2024-11-18T08:02:03","modified_gmt":"2024-11-18T08:02:03","slug":"cardiovascular-examination","status":"publish","type":"post","link":"https:\/\/vapp.rguc.co.uk\/?p=787","title":{"rendered":"Cardiovascular Examination"},"content":{"rendered":"<p>This episode provides a detailed step-by-step guide to performing the cardiovascular examination. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This episode provides a detailed step-by-step guide to performing the cardiovascular examination. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[],"class_list":["post-787","post","type-post","status-publish","format-standard","hentry","category-ceip","entry"],"youtubeVideo":"435724487\/1533e307d2","question1":"A radio-radial delay is indicative of aortic dissection.","answers1":"True| False","correctAnswer1":"0","correctAnswerText1":"","question2":"A collapsing pulse is consistent with:","answers2":"Thyrotoxicosis| Aortic stenosis | Coarctation of the aorta | Aortic regurgitation","correctAnswer2":"3","correctAnswerText2":"A collapsing pulse is a result of the incompetent aortic valve and is a feature of character. Thyrotoxicosis may be associated with a bounding pulse - a feature of volume.  Aortic stenosis is associated with a slow-rising pulse - a feature of character. Coarctation is associated with radio-femoral delay \u2013 a feature of volume.","question3":"Two examples of diastolic murmurs include:","answers3":"Mitral regurgitation and aortic regurgitation | Mitral stenosis and aortic regurgitation | Mitral regurgitation and aortic stenosis | Mitral stenosis and aortic stenosis","correctAnswerText3":"Mitral stenosis and aortic regurgitation are diastolic murmurs. \r\nMitral regurgitation and aortic stenosis are systolic murmurs.","correctAnswer3":"1","question4":"The diastolic blood pressure is represented by:","answers4":"Korotkoff sounds phase III | Korotkoff sounds phase IV | Korotkoff sounds phase V\r\n| Korotkoff sounds phase VI","correctAnswer4":"2","correctAnswerText4":"Phase V represents the time when the sounds completely disappear. There is no phase VI Korotkoff sounds.","question5":"Which of the following is not a common cause of atrial fibrillation?","answers5":"Hypertension | Alcohol | Post-operatively | Lung cancer","correctAnswer5":"3","correctAnswerText5":"Atrial fibrillation can be caused by lung cancer, although this is documented as a rare occurrence.","question6":"Tendon xanthomata, xanthelasma and corneal arcus are associated with hyperglycaemia.","answers6":"True| False","correctAnswer6":"1","correctAnswerText6":"These signs are associated with hypercholesterolaemia\/hyperlipidaemia. Corneal arcus can occur in advancing age in the absence of hypercholesterolaemia.","question7":"Which of the following is an ejection systolic murmur?","answers7":"Mitral stenosis | Aortic stenosis | Mitral regurgitation | Aortic regurgitation","correctAnswer7":"1","correctAnswerText7":"Aortic stenosis is an ejection systolic murmur caused by the stenosis of the valve. It is heard over the right sternal edge, can radiate to the carotids and can be heard all over the precordium. It is usually loud and high pitched. Mitral stenosis is a mid-diastolic murmur. Mitral regurgitation is often a pan-systolic murmur \u2013 loud, best heard at the apex and often radiates into the axilla. Aortic regurgitation is an early diastolic murmur \u2013 it lasts throughout diastole but is loudest at the start.","question8":"Koilonychia is a sign of:","answers8":"Hypoalbuminaemia | Psoriasis | Chronic iron deficiency | Infective endocarditis","correctAnswer8":"2","correctAnswerText8":"Nails become brittle, flat and eventually spoon-shaped.","question9":"Heart failure, pulmonary embolism and pericardial effusion can all cause a rise in jugular venous pressure.","answers9":"True| False","correctAnswer9":"0","correctAnswerText9":"","question10":"Regarding Osler\u2019s nodes, which of the following statements is false?","answers10":"Are classically painless macular lesions of the palms and soles of the feet | Are associated with infective endocarditis | Are a direct result of immune complex deposition | Have also been associated with systemic lupus erythematosis (SLE)","correctAnswer10":"0","correctAnswerText10":"Osler\u2019s nodes are generally painful raised red lesions due to immune complex deposition and subsequent inflammatory response. They can be found on both the hands and feet. Janeway lesions are classically flat and painless.","question11":"","answers11":"","correctAnswer11":"","correctAnswerText11":"","question12":"","answers12":"","correctAnswer12":"","correctAnswerText12":"","question13":"","answers13":"","correctAnswer13":"","correctAnswerText13":"","question14":"","answers14":"","correctAnswer14":"","correctAnswerText14":"","question15":"","answers15":"","correctAnswer15":"","correctAnswerText15":"","icon":"mid","parentId":"","recapId":"","_links":{"self":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/787"}],"collection":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=787"}],"version-history":[{"count":2,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/787\/revisions"}],"predecessor-version":[{"id":789,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/787\/revisions\/789"}],"wp:attachment":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=787"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=787"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=787"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}