Valvular Disorders of the Heart – Post Test

During the examination of a 29-year-old previously healthy woman with chest pain, a mid systolic murmur is heard.

All the following are supportive of the murmur being innocent and not needing further investigation except:

All of the following statements are correct about valvular heart disease in adults except:

A 65-year-old man with a known heart murmur presents after an episode of collapse after chasing a man who stole his wallet. He describes increasing breathlessness in the last couple of months and some chest tightness. You suspect critical aortic stenosis.

Which one of the following findings would not be consistent with this diagnosis?

An eight month pregnant Asian 27-year-old woman presents with breathlessness and palpitations.

Which of the following heart valve disorders is most likely to be the cause of her symptoms?

All the following valve disorders and signs are correctly matched except:

A 70-year-old woman with known aortic stenosis presents with acute breathlessness and chest pain. Her ECG shows atrial fibrillation and a left ventricular strain pattern.

All of the following may be needed/useful in her management except:

Which of the following is not a recognised risk factor for aortic root dilatation and aortic regurgitation?

There are risks associated with valvular heart disease that an EM Physician should be aware of. All of the following are significant risks to the patient except:

All of the following are high risk factors for developing infective endocarditis except:

A 52-year-old man attends the emergency department acutely unwell. He had an episode of chest pain lasting 40 minutes 3 days ago, which he self treated with antacids, bed rest and fasting. In the last 3 hours he has become acutely SOB. His BP is 90/45 and his CXR shows pulmonary oedema. His ECG shows a completed inferior MI.

What is the most likely explanation of his presentation?