Clinical Medicine – JVP and Pulse January 5, 2022January 5, 2022 by pgcracked 6 Created on January 05, 2022 By pgcracked Medicine - JVP and Pulse MCQs 1 / 21 Long and peaked ‘a’ waves are seen in all except- Tricuspid atresia Ebstein’s anomaly Hyperkalemia Right atrial enlargement 2 / 21 Which of the following murmur increases on standing: HOCM MR MS VSD 3 / 21 Which of the following does not produce systolic murmur: Hypertrophic cardiomyopathy Hyperthyroidism VSD Pulmonary regurgitation 4 / 21 Pulsus bisferiens is seen in all except: Advanced aortic regurgitation AS with AR Left ventricular dysfunction Hypertrophic cardiomyopathy 5 / 21 A 40-year-old male patient comes to the clinic with complaints of weakness, restlessness and chest pain. On examination his blood pressure is found to be 90/60 mmHg, his heart sounds are muffled and his neck veins are distended. What is the typical JVP finding in this patient? Absent a wave Prominent a wave Rapid y descent Absent y descent 6 / 21 Internal jugular vein pressure determines the pressure of: RA RV LA LV 7 / 21 Jugular venous pressure (JVP) is usually read: At the beginning of inspiration At the end of inspiration At the beginning of expiration At the end of expiration 8 / 21 Electric alternans is seen in? Cardiac tamponade Restrictive cardiomyopathy Constrictive pericarditis Right Ventricular MI (RVMI) 9 / 21 A 30-year male patient presents to the emergency department with a history of acute breathless Ness. On examination, JVP is increased and an inspiratory decline in systolic blood pressure of 14mm Hg is observed. Which of the following statements about the condition is true: Kussmaul’s sign Low ECG voltage Prominent ‘y’ descent Thickened pericardium 10 / 21 Pulsus paradoxus is a characteristic feature of: Constrictive pericarditis Cardiac Tamponade HOCM Restrictive cardiomyopathy 11 / 21 All are features, seen in cardiac tamponade, except: Raised JVP Ewart sign Rapid y descent Pulsus paradoxus 12 / 21 Pulsus alterans is seen in? (PGMEE 2014-15) Anterior wall MI Bronchial asthma Critical aortic stenosis Constrictive pericarditis 13 / 21 Dicrotic pulse is seen in? (PGMEE 2014-15) HOCM DCM RCM Left ventricular failure 14 / 21 C wave in JVP is due to? Atrial contraction Right atrial filling Rapid ventricular filling Tricuspid valve bulging into right atrium 15 / 21 Which of the following is the correct statement regarding findings in JVP: Cannon wave: Complete hearth block Slow v-y descent: Tricuspid regurgitation Giant c wave: Tricuspid stenosis Increased JVP with prominent pulsations: SVC obstruction 16 / 21 All of the following phases of the jugular venous pulse and their causes are correctly matched except: c wave- Onset of atrial systole a-x descent – Atrial relaxation v-y – Emptying of blood from right atrium into right ventricle y-a ascent- Filling of the right atrium from the venacava 17 / 21 C- wave in jugular venous pressure curve Is formed due to (PGMEE 2018) Contraction of atria against resistance Bulging of tricuspid valve into Rt atrium during isovolumetric contraction Due to venous filling Atria relaxed and tricuspid valve moves down 18 / 21 Canon 'a' waves are seen in: (PGMEE 2015-16) Atrial fibrillation Complete heart block Constrictive pericarditis Cardiac tamponade 19 / 21 'a wave' in JVP is absent in: (PGMEE 2015-16) Atrial fibrillation Heart block Tricuspid regurgitation Complete heart block 20 / 21 Internal jugular vein pressure determines pressure of: (PGMEE 2015-16) RA RV LA LV 21 / 21 In JVP 'y' descent is absent and 'x' wave Is prominent? This is suggestive of: (PGMEE 2015-16) Restictive cardiomyopathy Cardiac tamponade Constrictive pericarditis Right Ventricular Failure Your score is The average score is 16% LinkedIn Facebook Twitter VKontakte 0% Restart quiz Post navigation Surgery – Hernia