QUESTIONS AND ANSWERS 100

MRCP Part 1: Cardiology EXAM

QUESTIONS AND ANSWERS 100%

SOLVED (Newest 2025) Pulsus Paradoxus - Correct Answers ✅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 - Correct Answers ✅Aortic Stenosis Collapsing Pulse - Correct Answers ✅1) Aortic Regurgitation 2) Patent Ductus Arteriosus 3) Hyperkinetic States e.g. anaemia, pregnancy Pulsus Alternans - Correct Answers ✅Regular alternation of the force of the arterial pulse 1) Severe LVF Bisferiens Pulse - Correct Answers ✅'Double pulse' - two systolic peaks 1) Mixed Aortic Valve Disease Jerky Pulse - Correct Answers ✅HOCM 1 / 4

MRCP Part 1: Cardiology EXAM

QUESTIONS AND ANSWERS 100%

SOLVED (Newest 2025) Loud S2 - Correct Answers ✅1) HTN - systemic (loud A2) or pulmonary (loud P2) 2) Hyperdynamic States 3) ASD without Pulmonary HTN Soft S2 - Correct Answers ✅1) Aortic Stenosis Fixed Split S2 - Correct Answers ✅1) ASD Widely Split S2 - Correct Answers ✅1) Deep Inspiration

2) RBBB

3) Pulmonary Stenosis 4) Severe Mitral Regurgitation Reversed Split S2 - Correct Answers ✅P2 occurs before A2

1) LBBB

2) Severe Aortic Stenosis Pulmonary Stenosis - Correct Answers ✅ESM Louder on Inspiration ASD - Correct Answers ✅ESM 2 / 4

MRCP Part 1: Cardiology EXAM

QUESTIONS AND ANSWERS 100%

SOLVED (Newest 2025) Louder on Inspiration Aortic Stenosis - Correct Answers ✅ESM Louder on Expiration HOCM - Correct Answers ✅ESM Louder on Expiration Mitral Regurgitation - Correct Answers ✅Pansystolic High-pitched 'Blowing' in character Mitral Valve Prolapse - LATE Systolic Aortic Regurgitation - Correct Answers ✅Early Diastolic Murmur Quincke's Sign Head-Bobbing rIght sided murmur - Correct Answers ✅heard best on Inspiration lEft sided murmur - Correct Answers ✅heard best on Expiration 3 / 4

MRCP Part 1: Cardiology EXAM

QUESTIONS AND ANSWERS 100%

SOLVED (Newest 2025) Pulmonary Regurgitation - Correct Answers ✅Early Diastolic Murmur High-pitched 'Blowing' in character 'Graham-Steel' Murmur Loud S1 - Correct Answers ✅1) Mitral Stenosis 2) Left to Right Shunt 3) Short PR Interval Quiet S1 - Correct Answers ✅1) Mitral Regurgitation S3 - Correct Answers ✅Caused by diastolic filling of the ventricle

• normal if <30yo

1) LVF e.g. dilated cardiomyopathy 2) Constrictive Pericarditis 3) Mitral Regurgitation S4 - Correct Answers ✅Caused by atrial contraction against a stiff ventricle 1) Aortic Stenosis - marker of severity

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