Murmur and valvular Abnormalities
Heart failure
Cardio-
surgery
Arrhyth mias
ACS
100

Which murmur is associated with a continuous machine-like sound?

Patent Ductus Arteriosus (PDA)

100

This percentage value indicates how much blood the heart pumps out with each beat

Ejection Fraction

100

 This post-operative complication results from blood accumulation in the pericardial sac, compressing the heart and impairing cardiac filling

Cardiac tamponade

100

This heart rhythm sounds like a jazz solo — irregularly irregular, with no P waves in sight.

Atrial fibrillation

100

This pathophysiological difference distinguishes NSTEMI from unstable angina

Presence of myocardial necrosis (elevated troponins)

200

A decrease in which cardiac parameter would increase the intensity of the murmur of hypertrophic cardiomyopathy? 

Decreased preload/venous return

200

This parameter is most sensitive for diagnosing heart failure

B-type natriuretic peptide (BNP) or N-terminal pro-BNP

200

During cardiopulmonary bypass, this great vessel is commonly cannulated to deliver oxygenated blood back to the systemic circulation.

Aorta

200

If this electrolyte is off, your heart might start "Torsading" its way into trouble.

Mg2+ / K+ 

200

ST elevation in leads II, III, and aVF on an ECG points to an infarction in this region of the heart

Inferior wall infarction

300

In carcinoid heart disease, which valvular lesion typically occurs first due to serotonin-induced fibrosis?



Tricuspid Regurgitation 

300

 This gene, encoding a sarcomeric protein, is most commonly mutated in familial dilated cardiomyopathy.

Titin (TTN)

300

What is the primary reason for administering cold cardioplegia during open-heart surgery?

A) To reduce infection risk

B) To increase myocardial oxygen demand

C) To preserve the heart muscle

D) To improve visibility

 C) To preserve the heart muscle 

300

Known as the "party crasher" arrhythmia, this one often shows up after too many energy drinks or stress, and can present with a rate of over 150 bpm and a narrow QRS.

Supraventricular tachycardia (SVT)?

300

 In infarctions involving this location in the heart, volume resuscitation is preferred over fluid restriction

Right ventricle

400

A patient with systemic lupus erythematosus presents with a holosystolic murmur at the apex. What is the most likely diagnosis?

Mitral regurgitation – Libman–Sacks endocarditis

400

In HFrEF, this mechanism explains functional mitral regurgitation due to LV dilation.

Leaflet displacement / annular dilation

400

To prevent spinal cord ischemia during Type A aortic dissection repair, this critical artery—also known as the greater anterior segmental medullary artery—must be preserved

Artery of Adamkiewicz

400

This arrhythmia, named after a famous radio term, In ECGs, it gives you a delta wave.



Wolff-Parkinson-White (WPW) syndrome



400

This life-threatening condition is the one major reason to withhold aspirin administration in a suspected ACS case

Aortic dissection

500

A 20-year-old tall, thin male presents with occasional palpitations and mild exertional dyspnea. He has no chest pain or syncope. Cardiac auscultation reveals—---    

(audio will be played)

Mitral Valve prolapse

500

This class of drug improves survival in HFrEF but should not be started during acute decompensation.

Beta-blockers

500

In Tetralogy of Fallot, which surgical repair is typically done first?

A) Aortic valve replacement

B) Right ventricular outflow tract reconstruction

C) Blalock-Taussig (aortopulmonary) shunt

D) Left atrial appendage resection

C) Blalock-Taussig shunt

500

This eerie rhythm can trick even experienced clinicians — the monitor shows organized electrical activity, but the heart isn't actually doing any useful pumping.

Pulseless electrical activity

500

 Name one condition considered a coronary artery disease risk equivalent.

Diabetes mellitus (or chronic kidney disease, or noncoronary atherosclerotic disease)

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