Long standing hypertension auscultation - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 01-08-2012
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 790
Threads: 76
Thanked 672 Times in 316 Posts
Reputation: 690
Stethoscope Long standing hypertension auscultation

A 50 year old man with a 10 year old history of poorly controlled hypertension. Vital signs are pulse-96/min, Respirations- 16/min, Blood pressure left arm-226/120 mmHg and Blood pressure right arm-218/118 mmHg.

With the patient in left decubitus postion, a late diastolic sound is heard best with the bell at the apex. Which is the most likely explanation for this auscultatory finding?

A) Aortic insufficiency
B) Aortic stenosis
C) Mitral insufficiency
D) Mitral stenosis
E) Opening snap
F) S3
G) S4


Answers with explanation!!!!!
__________________

To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.

To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Matched!!!
Reply With Quote Quick reply to this message
The above post was thanked by:
drortho (01-16-2012), jinni (01-08-2012)



  #2  
Old 01-08-2012
USMLE Forums Addict
 
Steps History: Not yet
Posts: 175
Threads: 18
Thanked 63 Times in 48 Posts
Reputation: 73
Default

G) S4
Long standing hypertension causing LV wall stiffness causing LA to contract against stiff wall of LV causing S4
Pls label it as NBME Q
So that people who have solved it only post the answers to these qns.

Last edited by jinni; 01-08-2012 at 09:14 PM.
Reply With Quote Quick reply to this message
The above post was thanked by:
shine4ever (01-11-2014), step_enhancer (01-08-2012)
  #3  
Old 01-08-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 851
Threads: 88
Thanked 706 Times in 379 Posts
Reputation: 716
Default

if its a nbme Q .please please label it as one .
Reply With Quote Quick reply to this message
  #4  
Old 01-08-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 851
Threads: 88
Thanked 706 Times in 379 Posts
Reputation: 716
Default

D)

u made me read nbme question. now when i see this i will go with D)

late diatolic murmur left decubitus position is MS.pt will have S4 but question us specifically asking about 'this auscultatory finding'
Reply With Quote Quick reply to this message
  #5  
Old 01-08-2012
USMLE Forums Addict
 
Steps History: Not yet
Posts: 175
Threads: 18
Thanked 63 Times in 48 Posts
Reputation: 73
Default

Quote:
Originally Posted by step_enhancer View Post
D)

u made me read nbme question. now when i see this i will go with D)

late diatolic murmur left decubitus position is MS.pt will have S4 but question us specifically asking about 'this auscultatory finding'
Dont worry dude its an NBME 1 which is no more available
Reply With Quote Quick reply to this message
The above post was thanked by:
step_enhancer (01-08-2012)
  #6  
Old 01-08-2012
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 196
Threads: 9
Thanked 97 Times in 64 Posts
Reputation: 107
Default

S4 due to diastolic dysfunction, probably resulting from left ventricular hypertrophy from long standing hypertension.

Sent from my Desire HD using Tapatalk
Reply With Quote Quick reply to this message
  #7  
Old 01-09-2012
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 790
Threads: 76
Thanked 672 Times in 316 Posts
Reputation: 690
Default

Guys i dint know that im supposed to label it as NBME q.....ill do from next time...hope im not going against the forums rules!!!!!!

s it ok if i post questions from previous NBME forms??????

Thanks jinni
__________________

To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.

To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Matched!!!
Reply With Quote Quick reply to this message
The above post was thanked by:
jinni (01-09-2012), step_enhancer (01-09-2012)
  #8  
Old 01-09-2012
USMLE Forums Addict
 
Steps History: Not yet
Posts: 175
Threads: 18
Thanked 63 Times in 48 Posts
Reputation: 73
Default

Quote:
Originally Posted by anomali View Post
Guys i dint know that im supposed to label it as NBME q.....ill do from next time...hope im not going against the forums rules!!!!!!

s it ok if i post questions from previous NBME forms??????

Thanks jinni
No problem for form 1 and 2.
Just label it as nbme concept for others.
Reply With Quote Quick reply to this message
  #9  
Old 01-09-2012
Dr. Mexito's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 662
Threads: 72
Thanked 363 Times in 202 Posts
Reputation: 373
Listening What...

Quote:
Originally Posted by jinni View Post
Dont worry dude its an NBME 1 which is no more available
Sorry, what do you mean with "no more available"... means that those questions no longer apply for the new way of step 1 examination.

Sorry to ask...
__________________
"Disease is very old, and nothing about it has changed. It is we who change as we learn to recognize what was formerly imperceptible." JMC
Reply With Quote Quick reply to this message
  #10  
Old 01-09-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 851
Threads: 88
Thanked 706 Times in 379 Posts
Reputation: 716
Default

i am curious ......what is the answer ?
Reply With Quote Quick reply to this message
  #11  
Old 01-09-2012
USMLE Forums Addict
 
Steps History: Not yet
Posts: 175
Threads: 18
Thanked 63 Times in 48 Posts
Reputation: 73
Default

Quote:
Originally Posted by Dr. Mexito View Post
Sorry, what do you mean with "no more available"... means that those questions no longer apply for the new way of step 1 examination.

Sorry to ask...
Actually form 1 and 2 has been removed from NBME website.
Reply With Quote Quick reply to this message
  #12  
Old 01-09-2012
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 790
Threads: 76
Thanked 672 Times in 316 Posts
Reputation: 690
Default

The correct answer is S4........
__________________

To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.

To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Matched!!!
Reply With Quote Quick reply to this message



Reply

Tags
Cardiovascular-, Clinical-Signs, Physiology-, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Primary Hypertension as Benign Hypertension gear2d USMLE Step 1 Forum 1 12-05-2011 02:59 PM
Long standing Rhematoid Arthritis. sunny USMLE Step 2 CK Forum 4 09-23-2011 06:56 AM
urine on standing ricko335 USMLE Step 1 Forum 3 08-16-2011 08:16 AM
Lung Auscultation For USMLE Kelvin USMLE Step 1 Forum 4 01-19-2011 10:09 AM
Auscultation Sounds for your iPhone! Hokolesqua USMLE Apps 0 01-19-2011 10:08 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)