MRCP PART 1: CARDIOLOGY COMPREHENSIVE EXAM
QUESTIONS WITH DETAILED VERIFIED AND 100%
ACCURATE ANSWERS BRAND NEW EXAM ALREADY
GRADED A+ PASS
Pulsus Paradoxus Ans✓✓✓Greater than the normal (10mmHg) fall in
SBP during inspiration -> faint or absent pulse in inspiration
1) Severe Asthma
2) Cardiac Tamponade
Slow Rising Pulse Ans✓✓✓Aortic Stenosis
Collapsing Pulse Ans✓✓✓1) Aortic Regurgitation
2) Patent Ductus Arteriosus
3) Hyperkinetic States e.g. anaemia, pregnancy
Pulsus Alternans Ans✓✓✓Regular alternation of the force of the arterial
pulse
1) Severe LVF
Bisferiens Pulse Ans✓✓✓'Double pulse' - two systolic peaks
1) Mixed Aortic Valve Disease
Jerky Pulse Ans✓✓✓HOCM
,Loud S2 Ans✓✓✓1) HTN - systemic (loud A2) or pulmonary (loud P2)
2) Hyperdynamic States
3) ASD without Pulmonary HTN
Soft S2 Ans✓✓✓1) Aortic Stenosis
Fixed Split S2 Ans✓✓✓1) ASD
Widely Split S2 Ans✓✓✓1) Deep Inspiration
2) RBBB
3) Pulmonary Stenosis
4) Severe Mitral Regurgitation
Reversed Split S2 Ans✓✓✓P2 occurs before A2
1) LBBB
2) Severe Aortic Stenosis
Pulmonary Stenosis Ans✓✓✓ESM
Louder on Inspiration
ASD Ans✓✓✓ESM
Louder on Inspiration
,Aortic Stenosis Ans✓✓✓ESM
Louder on Expiration
HOCM Ans✓✓✓ESM
Louder on Expiration
Mitral Regurgitation Ans✓✓✓Pansystolic
High-pitched
'Blowing' in character
Mitral Valve Prolapse - LATE Systolic
Aortic Regurgitation Ans✓✓✓Early Diastolic Murmur
Quincke's Sign
Head-Bobbing
rIght sided murmur Ans✓✓✓heard best on Inspiration
lEft sided murmur Ans✓✓✓heard best on Expiration
Pulmonary Regurgitation Ans✓✓✓Early Diastolic Murmur
High-pitched
, 'Blowing' in character
'Graham-Steel' Murmur
Loud S1 Ans✓✓✓1) Mitral Stenosis
2) Left to Right Shunt
3) Short PR Interval
Quiet S1 Ans✓✓✓1) Mitral Regurgitation
S3 Ans✓✓✓Caused by diastolic filling of the ventricle
- normal if <30yo
1) LVF e.g. dilated cardiomyopathy
2) Constrictive Pericarditis
3) Mitral Regurgitation
S4 Ans✓✓✓Caused by atrial contraction against a stiff ventricle
1) Aortic Stenosis - marker of severity
2) HOCM
3) HTN
Tetralogy of Fallot Ans✓✓✓1) Ventricular septal defect (VSD)
2) Overriding aorta
3) Pulmonary valve stenosis
QUESTIONS WITH DETAILED VERIFIED AND 100%
ACCURATE ANSWERS BRAND NEW EXAM ALREADY
GRADED A+ PASS
Pulsus Paradoxus Ans✓✓✓Greater than the normal (10mmHg) fall in
SBP during inspiration -> faint or absent pulse in inspiration
1) Severe Asthma
2) Cardiac Tamponade
Slow Rising Pulse Ans✓✓✓Aortic Stenosis
Collapsing Pulse Ans✓✓✓1) Aortic Regurgitation
2) Patent Ductus Arteriosus
3) Hyperkinetic States e.g. anaemia, pregnancy
Pulsus Alternans Ans✓✓✓Regular alternation of the force of the arterial
pulse
1) Severe LVF
Bisferiens Pulse Ans✓✓✓'Double pulse' - two systolic peaks
1) Mixed Aortic Valve Disease
Jerky Pulse Ans✓✓✓HOCM
,Loud S2 Ans✓✓✓1) HTN - systemic (loud A2) or pulmonary (loud P2)
2) Hyperdynamic States
3) ASD without Pulmonary HTN
Soft S2 Ans✓✓✓1) Aortic Stenosis
Fixed Split S2 Ans✓✓✓1) ASD
Widely Split S2 Ans✓✓✓1) Deep Inspiration
2) RBBB
3) Pulmonary Stenosis
4) Severe Mitral Regurgitation
Reversed Split S2 Ans✓✓✓P2 occurs before A2
1) LBBB
2) Severe Aortic Stenosis
Pulmonary Stenosis Ans✓✓✓ESM
Louder on Inspiration
ASD Ans✓✓✓ESM
Louder on Inspiration
,Aortic Stenosis Ans✓✓✓ESM
Louder on Expiration
HOCM Ans✓✓✓ESM
Louder on Expiration
Mitral Regurgitation Ans✓✓✓Pansystolic
High-pitched
'Blowing' in character
Mitral Valve Prolapse - LATE Systolic
Aortic Regurgitation Ans✓✓✓Early Diastolic Murmur
Quincke's Sign
Head-Bobbing
rIght sided murmur Ans✓✓✓heard best on Inspiration
lEft sided murmur Ans✓✓✓heard best on Expiration
Pulmonary Regurgitation Ans✓✓✓Early Diastolic Murmur
High-pitched
, 'Blowing' in character
'Graham-Steel' Murmur
Loud S1 Ans✓✓✓1) Mitral Stenosis
2) Left to Right Shunt
3) Short PR Interval
Quiet S1 Ans✓✓✓1) Mitral Regurgitation
S3 Ans✓✓✓Caused by diastolic filling of the ventricle
- normal if <30yo
1) LVF e.g. dilated cardiomyopathy
2) Constrictive Pericarditis
3) Mitral Regurgitation
S4 Ans✓✓✓Caused by atrial contraction against a stiff ventricle
1) Aortic Stenosis - marker of severity
2) HOCM
3) HTN
Tetralogy of Fallot Ans✓✓✓1) Ventricular septal defect (VSD)
2) Overriding aorta
3) Pulmonary valve stenosis
