{"id":27040,"date":"2018-09-29T06:24:48","date_gmt":"2018-09-29T06:24:48","guid":{"rendered":"https:\/\/johnsonfrancis.org\/professional\/?p=27040"},"modified":"2018-09-29T06:24:48","modified_gmt":"2018-09-29T06:24:48","slug":"forty-year-old-person-with-esm-and-edm-medicine-mcq-cvs-answer","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/forty-year-old-person-with-esm-and-edm-medicine-mcq-cvs-answer\/","title":{"rendered":"Forty year old person with ESM and EDM &#8211; Medicine MCQ &#8211; CVS &#8211; Answer"},"content":{"rendered":"<h2><span style=\"color: #008000;\">Forty year old person with ESM and EDM &#8211; Medicine MCQ &#8211; CVS &#8211; Answer<\/span><\/h2>\n<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/Emhg9dOqbsM\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><br \/>\n<span style=\"color: #0000ff;\"><strong>Forty year old person is found to have an ejection systolic murmur (ESM) and early diastolic murmur (EDM) at the left sternal border. Character of his pulse is likely to be \u2013 Correct answer: b) Bisferiens pulse<\/strong><\/span><\/p>\n<p>Ejection systolic murmur and early diastolic murmur at the left sternal border can occur in aortic regurgitation with aortic stenosis or severe aortic regurgitation with an additional systolic flow murmur. The combination can also occur in pulmonary stenosis with regurgitation. But that combination is unlikely to produce any characteristic pattern of pulse.<\/p>\n<p>Bisferiens pulse can occur in a combination of aortic stenosis with regurgitation as well as in severe aortic regurgitation. It has <span style=\"color: #0000ff;\">two peaks in systole<\/span>.<\/p>\n<h2><span style=\"color: #0000ff;\">Other types of pulses<\/span><\/h2>\n<p><span style=\"color: #0000ff;\">Slow rising pulse (pulsus parvus et tardus &#8211; low volume and slow rising)<\/span> is seen in isolated severe aortic stenosis. <span style=\"color: #0000ff;\">Pulsus paradoxus<\/span> is seen in cardiac tamponade and obstructive lung disease with wide swings in intrathoracic pressure during respiration.&nbsp; <span style=\"color: #0000ff;\">Pulsus alternans<\/span> is seen in left ventricular failure. <span style=\"color: #0000ff;\">Dicrotic pulse<\/span> which may be seen in heart failure has <span style=\"color: #0000ff;\">one systolic and another diastolic peak<\/span>.<\/p>\n<p><a href=\"https:\/\/johnsonfrancis.org\/professional\/forty-year-old-person-with-esm-and-edm-medicine-mcq-cvs\/\"><strong>Back to question<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Forty year old person with ESM and EDM &#8211; Medicine MCQ &#8211; CVS &#8211; Answer Forty year old person is found to have an ejection systolic murmur (ESM) and early diastolic murmur (EDM) at the left sternal border. Character of his pulse is likely to be \u2013 Correct answer: b) Bisferiens pulse Ejection systolic murmur [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":26748,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[13],"tags":[],"class_list":["post-27040","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicine-mcq-cvs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Forty year old person with ejection systolic murmur and EDM - Answer<\/title>\n<meta name=\"description\" content=\"Forty year old person with ejection systolic murmur and early diastolic murmur - Medicine MCQ - CVS - Answer: b) Bisferiens pulse.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/forty-year-old-person-with-esm-and-edm-medicine-mcq-cvs-answer\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Forty year old person with ejection systolic murmur and EDM - Answer\" \/>\n<meta property=\"og:description\" content=\"Forty year old person with ejection systolic murmur and early diastolic murmur - Medicine MCQ - CVS - Answer: b) Bisferiens pulse.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/forty-year-old-person-with-esm-and-edm-medicine-mcq-cvs-answer\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2018-09-29T06:24:48+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/forty-year-old-person-with-esm-and-edm-medicine-mcq-cvs-answer\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/forty-year-old-person-with-esm-and-edm-medicine-mcq-cvs-answer\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Forty year old person with ESM and EDM &#8211; 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