CARDIOLOGY OE MRCPII One exam part 2 by Dr Magdy exam questions and answers correct and verified 100% Fall 2024
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Course
Cardiology
Institution
Cardiology
CARDIOLOGY OE MRCPII One exam part 2 by Dr Magdy exam questions and answers correct and verified 100% Fall 2024
1-A 19-year-old woman was referred to a cardiologist by her general practitioner when she was found to have a murmur. She was entirely asymptomatic.
Following echocardiography, she und...
CARDIOLOGY OE MRCPII One exam part 2 by Dr M
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agdy exam questions and answers correct and ver
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fied 100% Fall 2024
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Onexamination MRCP II re re re
,1-A 19-year-
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old woman was referred to a cardiologist by her generalpractitioner
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when she was found to have a murmur. She was entirelyasymptomat
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ic.
Following echocardiography, she underwent cardiac catheterisation; the
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data obtained are shown below.
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Oxygen satur re Pressure (mmHg) End
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Anatomical site re
ation (%) re systolic/End diastolic re
Superior vena cava re re 68 -
Inferior vena cava re re 64 -
Right atrium (mean)
re re 79 7
Right ventricle re 80 28/3
Pulmonary artery re 81 25/7
Pulmonary capillary re er
- 9
wedge pressure re
Left ventricle
re 96 125/9
Aorta 97 120/70
What is the likely diagnosis
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?(Please select 1 option)
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Atrial septal defect re re
Mitral stenosis re
Patent ductus arteriosus re re
Pulmonary stenosis re
Ventricular septal defect re re
,A fairly straightforward question showing catheter data -
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and one that isfrequently asked in the examination.
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The oxygen saturation in the RA and SVC should be the same; however,th
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ere is a step-up in oxygen saturation at the level of the RA.
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This can only result from the addition of oxygenated blood to the de
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oxygenated blood in the right heart circulation, that is, an abnormalco
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nnection between the right and left sides of the heart.
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Since this is occurring in the atria, this must be due to an ASD.
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A…
, 2-A 17-year-
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old female consulted her general practitioner because she hadbecome slig
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htly breathless on exertion over the preceding six months.
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Examination was unremarkable apart from a soft systolic murmur at the lefts
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ternal edge. re
An echocardiogram was requested and she was subsequently referred fo
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ra cardiology opinion. The data obtained from cardiac catheterisation are
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shown below. re
Oxygen s re Pressure (mmHg) re er
Anatomical site re aturation( er End systolic/End
re re
%) diastolic
Superior vena cava re re 74 -
Inferior vena cava re re 70 -
Right atrium (high)
re re 72 7 (mean)
re
Right atrium (mid)re re 71 7 (mean)
re
Right atrium (low)re re 82 7 (mean)
re
Right ventricle re 79 44/12
Pulmonary artery re 81 42/15
Pulmonary capillary wedge re re er
- 9
pressure
Left ventricle
re 96 125/9
Aorta 97 120/70
What abnormalities are likely to be seen on her electrocardiogram?(P
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lease select 1 option)
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Lateral T wave inversion re re re
Left bundle branch block
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Left ventricular strain
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