NEW
Font size
WorksheetsCardiology Quiz on Valvular Heart Diseases
Total questions: 25
Worksheet time: 13mins
Which of the following valves normally has two leaflets supported by chordae tendineae and papillary muscles?
Aortic
Pulmonic
Mitral
Tricuspid
The normal orifice area of the aortic valve is approximately:
1–2 cm²
3–4 cm²
4–6 cm²
7–9 cm²
The left heart operates at higher pressures because:
It pumps blood into the pulmonary circulation
It has larger valve orifice areas
It must perfuse the systemic circulation
Its valves lack chordae tendineae
Which factor primarily drives valve opening and closure?
Heart rate
Papillary muscle contraction
Pressure gradients
Autonomic tone
Which murmur type is described as a high-frequency blowing sound?
Innocent murmur
Regurgitant murmur
Ejection murmur
Mid-diastolic rumble
Which lesion produces pressure overload with concentric hypertrophy?
Aortic regurgitation
Mitral regurgitation
Mitral stenosis
Tricuspid regurgitation
Which lesion produces volume overload of both the left atrium and left ventricle?
Aortic stenosis
Mitral regurgitation
Mitral stenosis
Tricuspid stenosis
In aortic stenosis, the physiologic triad of symptoms includes:
Angina, syncope, dyspnea
Edema, cyanosis, palpitations
Cough, hemoptysis, orthopnea
Ascites, fatigue, jaundice
Bounding pulses and wide pulse pressure are most characteristic of:
Aortic stenosis
Aortic regurgitation
Mitral stenosis
Tricuspid regurgitation
Which valve disease produces giant v-waves in the jugular venous pulse?
Aortic stenosis
Mitral stenosis
Tricuspid regurgitation
Tricuspid stenosis
Which lesion typically produces a mid-systolic click?
Aortic stenosis
Mitral regurgitation
Mitral valve prolapse
Tricuspid regurgitation
Giant a-waves with a slow y-descent in the JVP are most consistent with:
Tricuspid regurgitation
Tricuspid stenosis
Mitral stenosis
Aortic stenosis
Which systolic murmurs are remembered by the mnemonic “MR. PASS wins the MVP”?
MR, AS, Innocent, MVP
MR, PR, AR, TS
MR, AR, MS, TS
AR, MS, PR, TS
Which diastolic murmurs are remembered by the mnemonic “ARMS rest”?
AR, MR
AR, MS
AS, MR
TR, TS
Aortic stenosis is best heard at the:
Apex → radiates to axilla
Right upper sternal border → radiates to carotids
Left lower sternal border → no radiation
Left upper sternal border → radiates to back
Mitral stenosis is best heard:
With diaphragm at apex
With bell at apex in LLDP
At RUSB
At LUSB
Which maneuver makes right-sided murmurs louder?
Expiration
Inspiration
Standing
Valsalva
Which maneuver decreases preload and makes MVP murmur longer with earlier click?
Squatting
Handgrip
Standing
Passive leg raise
Handgrip increases afterload and makes which murmurs louder?
AS, HCM
MR, AR, VSD
MS, TS
Innocent murmurs
Which maneuver makes most murmurs softer but makes HCM and MVP louder?
Handgrip
Squatting
Valsalva
Inspiration
In aortic stenosis, a late-peaking murmur suggests:
Mild disease
Severe disease
Innocent murmur
Tricuspid pathology
In mitral stenosis, an earlier opening snap after S2 suggests:
Mild MS
Severe MS
Tricuspid stenosis
Innocent murmur
In acute severe MR, the murmur may be:
Harsh and late-peaking
Shorter and softer
Rumbling mid-diastolic
Crescendo-decrescendo
Severe tricuspid regurgitation is suggested by:
Giant a-waves
Giant v-waves and hepatic systolic reversal
Narrow pulse pressure
Wide pulse pressure
Aortic regurgitation severity is suggested by:
Early peaking systolic murmur
Wide pulse pressure and holodiastolic flow reversal
Opening snap after S2
Giant a-waves
