Cardiology

OSCE
(1)
‫)‪Cardiology OSCE (1‬‬

‫ُﻳﺸﺎﻫﺪ اﻟﻨﺒﺾ ﻓﻲ اﻟﺸﻜﻞ اﻟﻤﺠﺎور ﻓﻲ‪:‬‬

‫‪ ‬ﺻﺪﻣﺔ ﻧﻘﺺ اﻟﺤﺠﻢ‬
‫‪ ‬ﺧﻮارج اﻻﻧﻘﺒﺎض اﻟﺘﻮأﻣﻴﺔ‬
‫‪ ‬اﻟﺘﻬﺎب اﻟﺘﺎﻣﻮر اﻟﻌﺎﺻﺮ‬
‫‪ ‬ﻓﺮط ﻧﺸﺎط اﻟﺪرق‬
‫‪ ‬اﻧﺘﻔﺎخ اﻟﺮﺋﺔ اﻟﺸﺪﻳﺪ‬
‫)‪Cardiology OSCE (1‬‬

‫ُﻳﺸﺎﻫﺪ اﻟﻨﺒﺾ ﻓﻲ اﻟﺸﻜﻞ اﻟﻤﺠﺎور ﻓﻲ‪:‬‬

‫‪ ‬ﺻﺪﻣﺔ ﻧﻘﺺ اﻟﺤﺠﻢ‬
‫‪ ‬ﺧﻮارج اﻻﻧﻘﺒﺎض اﻟﺘﻮأﻣﻴﺔ‬
‫‪ ‬اﻟﺘﻬﺎب اﻟﺘﺎﻣﻮر اﻟﻌﺎﺻﺮ‬
‫‪ ‬ﻓﺮط ﻧﺸﺎط اﻟﺪرق‬
‫‪ ‬اﻧﺘﻔﺎخ اﻟﺮﺋﺔ اﻟﺸﺪﻳﺪ‬
‫)‪Cardiology OSCE (1‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (1‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫)‪Cardiology OSCE (1‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (1‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫)‪Cardiology OSCE (1‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (4‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫)‪Cardiology OSCE (1‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (4‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫)‪Cardiology OSCE (1‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (5‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫)‪Cardiology OSCE (1‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (5‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫)‪Cardiology OSCE (1‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (3‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫)‪Cardiology OSCE (1‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (3‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫)‪Cardiology OSCE (1‬‬

‫ﻳﻤﻜﻦ أن ﻳﻜﻮن اﻟﻤﺮﻳﺾ اﻟﻤﻮﺿﺢ ﻓﻲ‬

‫اﻟﺼﻮرة اﻟﻤﺠﺎورة ﻣﺼﺎﺑ ًﺎ ﺑﻜﻞ ﻣﻤﺎ ﻳﻠﻲ ﻣﺎ‬
‫ﻋﺪا‪:‬‬
‫‪ ‬رﺑﺎﻋﻲ ﻓﺎﻟﻮ‬
‫‪D-TGA ‬‬
‫‪ ‬ﺷﺬوذ اﻧﺼﺒﺎب اﻷوردة اﻟﺮﺋﻮﻳﺔ اﻟﺠﺰﺋﻲ‬
‫‪ VSD ‬ﻣﻊ آﻳﺰﻧﻤﻨﻐﺮ‬
‫‪ ‬إﺑﺸﺘﺎﻳﻦ ﻣﻊ ‪ASD‬‬
‫)‪Cardiology OSCE (1‬‬

‫ﻳﻤﻜﻦ أن ﻳﻜﻮن اﻟﻤﺮﻳﺾ اﻟﻤﻮﺿﺢ ﻓﻲ‬

‫اﻟﺼﻮرة اﻟﻤﺠﺎورة ﻣﺼﺎﺑ ًﺎ ﺑﻜﻞ ﻣﻤﺎ ﻳﻠﻲ ﻣﺎ‬
‫ﻋﺪا‪:‬‬
‫‪ ‬رﺑﺎﻋﻲ ﻓﺎﻟﻮ‬
‫‪D-TGA ‬‬
‫‪ ‬ﺷﺬوذ اﻧﺼﺒﺎب اﻷوردة اﻟﺮﺋﻮﻳﺔ اﻟﺠﺰﺋﻲ‬
‫‪ VSD ‬ﻣﻊ آﻳﺰﻧﻤﻨﻐﺮ‬
‫‪ ‬إﺑﺸﺘﺎﻳﻦ ﻣﻊ ‪ASD‬‬
Cardiology OSCE (1)

‫اﻟﺘﺸﺨﻴﺺ ﻓﻲ ﺻﻮرة اﻟﻤﺮﻧﺎن اﻟﻘﻠﺒﻲ‬

:‫اﻟﻤﺠﺎورة‬
VSD 
RA ASD 
TOF 
D-TGA 
LA Ebstein’s Anomaly 
Cardiology OSCE (1)

‫اﻟﺘﺸﺨﻴﺺ ﻓﻲ ﺻﻮرة اﻟﻤﺮﻧﺎن اﻟﻘﻠﺒﻲ‬

:‫اﻟﻤﺠﺎورة‬
VSD 
RA ASD 
TOF 
D-TGA 
LA Ebstein’s Anomaly 
‫)‪Cardiology OSCE (1‬‬

‫ﻃﻔﻞ ﻟﺪﻳﻪ زرﻗﺔ ﻣﻨﺬ اﻟﻮﻻدة‪ ,‬اﻟﺘﺸﺨﻴﺺ‪:‬‬

‫‪ ‬ﺗﺴﻠﺦ أﺑﻬﺮ‬
‫‪D-TGA ‬‬
‫‪ ‬ﺷﺬوذ اﻧﺼﺒﺎب اﻷوردة اﻟﺮﺋﻮﻳﺔ اﻟﺘﺎم‬
‫‪Ebstein’s Anomaly ‬‬
‫‪TOF ‬‬
‫)‪Cardiology OSCE (1‬‬

‫ﻃﻔﻞ ﻟﺪﻳﻪ زرﻗﺔ ﻣﻨﺬ اﻟﻮﻻدة‪ ,‬اﻟﺘﺸﺨﻴﺺ‪:‬‬

‫‪ ‬ﺗﺴﻠﺦ أﺑﻬﺮ‬
‫‪D-TGA ‬‬
‫‪ ‬ﺷﺬوذ اﻧﺼﺒﺎب اﻷوردة اﻟﺮﺋﻮﻳﺔ اﻟﺘﺎم‬
‫‪Ebstein’s Anomaly ‬‬
‫‪TOF ‬‬
Cardiology OSCE (1)

:‫ﻣﺤﻮر اﻟﻘﻠﺐ ﻓﻲ اﻟﺘﺨﻄﻴﻂ اﻟﻤﺠﺎور‬

Normal 
RAD 
LAD 
Extreme 
Cardiology OSCE (1)

:‫ﻣﺤﻮر اﻟﻘﻠﺐ ﻓﻲ اﻟﺘﺨﻄﻴﻂ اﻟﻤﺠﺎور‬

Normal 
RAD 
LAD 
Extreme 
‫)‪Cardiology OSCE (1‬‬

‫ﻳﻌﺒﺮ اﻟﺘﺨﻄﻴﻂ اﻟﻤﺠﺎور ﻋﻦ‪:‬‬

‫‪ ‬ﺗﺴﺮع ﻗﻠﺐ ﺟﻴﺒﻲ‬
‫‪ ‬رﺟﻔﺎن أذﻳﻨﻲ‬
‫‪ ‬رﻓﺮﻓﺔ أذﻳﻨﻴﺔ‬
‫‪ ‬ﻧﻈﻢ ﺟﻴﺒﻲ ﻃﺒﻴﻌﻲ‬
‫‪ ‬ﺑﻂء ﻗﻠﺐ ﺟﻴﺒﻲ‬
‫)‪Cardiology OSCE (1‬‬

‫ﻳﻌﺒﺮ اﻟﺘﺨﻄﻴﻂ اﻟﻤﺠﺎور ﻋﻦ‪:‬‬

‫‪ ‬ﺗﺴﺮع ﻗﻠﺐ ﺟﻴﺒﻲ‬
‫‪ ‬رﺟﻔﺎن أذﻳﻨﻲ‬
‫‪ ‬رﻓﺮﻓﺔ أذﻳﻨﻴﺔ‬
‫‪ ‬ﻧﻈﻢ ﺟﻴﺒﻲ ﻃﺒﻴﻌﻲ‬
‫‪ ‬ﺑﻂء ﻗﻠﺐ ﺟﻴﺒﻲ‬
Cardiology
OSCE
(2)
‫)‪Cardiology OSCE (2‬‬

‫ﺷﻜﻞ اﻟﻨﺒﺾ اﻟﻤﺠﺎور‪:‬‬

‫‪ ‬اﻟﻨﺒﺾ اﻟﻨﺸﻴﻂ‬
‫‪ ‬اﻟﻨﺒﺾ اﻟﺘﻮأﻣﻲ‬
‫‪ ‬اﻟﻨﺒﺾ اﻟﻤﺘﻨﺎوب‬
‫‪ ‬اﻟﻨﺒﺾ اﻟﺨﻴﻄﻲ‬
‫‪ ‬اﻟﻨﺒﺾ اﻟﻌﺠﺎﺋﺒﻲ‬
‫)‪Cardiology OSCE (2‬‬

‫ﺷﻜﻞ اﻟﻨﺒﺾ اﻟﻤﺠﺎور‪:‬‬

‫‪ ‬اﻟﻨﺒﺾ اﻟﻨﺸﻴﻂ‬
‫‪ ‬اﻟﻨﺒﺾ اﻟﺘﻮأﻣﻲ‬
‫‪ ‬اﻟﻨﺒﺾ اﻟﻤﺘﻨﺎوب‬
‫‪ ‬اﻟﻨﺒﺾ اﻟﺨﻴﻄﻲ‬
‫‪ ‬اﻟﻨﺒﺾ اﻟﻌﺠﺎﺋﺒﻲ‬
‫)‪Cardiology OSCE (2‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (2‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫)‪Cardiology OSCE (2‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (2‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫)‪Cardiology OSCE (2‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (5‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫)‪Cardiology OSCE (2‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (5‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫)‪Cardiology OSCE (2‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (3‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬اﻟﻔﺘﺤﺔ ﺑﻴﻦ اﻟﺒﻄﻴﻨﻴﻦ‬
‫)‪Cardiology OSCE (2‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (3‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬اﻟﻔﺘﺤﺔ ﺑﻴﻦ اﻟﺒﻄﻴﻨﻴﻦ‬
‫)‪Cardiology OSCE (2‬‬

‫إذا ﻛﺎن ﻣﺨﻄﻂ ‪ CVP‬اﻟﺴﻮي ﻓﻲ اﻟﺸﻜﻞ‬

‫اﻷﻋﻠﻰ‪ ،‬ﻓﺈن اﻟﻤﺨﻄﻂ ﻓﻲ اﻟﺸﻜﻞ‬
‫اﻷﺳﻔﻞ ﻳﺸﻴﺮ إﻟﻰ وﺟﻮد‪:‬‬
‫‪ ‬ﺗﻀﻴﻖ ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ ﺗﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﻗﺼﻮر ﺗﺎﺟﻲ‬
‫‪ ‬رﺟﻔﺎن أذﻳﻨﻲ‬
‫)‪Cardiology OSCE (2‬‬

‫إذا ﻛﺎن ﻣﺨﻄﻂ ‪ CVP‬اﻟﺴﻮي ﻓﻲ اﻟﺸﻜﻞ‬

‫اﻷﻋﻠﻰ‪ ،‬ﻓﺈن اﻟﻤﺨﻄﻂ ﻓﻲ اﻟﺸﻜﻞ‬
‫اﻷﺳﻔﻞ ﻳﺸﻴﺮ إﻟﻰ وﺟﻮد‪:‬‬
‫‪ ‬ﺗﻀﻴﻖ ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ ﺗﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﻗﺼﻮر ﺗﺎﺟﻲ‬
‫‪ ‬رﺟﻔﺎن أذﻳﻨﻲ‬
‫)‪Cardiology OSCE (2‬‬

‫ُﻳﺸﺎﻫﺪ ﻓﻲ اﻟﻤﺘﻼزﻣﺔ اﻟﻤﻮﺿﺤﺔ ﻓﻲ‬

‫اﻟﺼﻮرة اﻟﻤﺠﺎورة ﻛﻞ ﻣﺎ ﻳﻠﻲ ﻣﺎ ﻋﺪا‪:‬‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬اﺿﻄﺮاﺑﺎت ﻧﻘﻠﻴﺔ ﻋﻠﻰ ‪ECG‬‬
‫‪Ocular Hypertelorism ‬‬
‫‪ ‬ﺗﻀﻴﻖ ﻓﻮق اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﺻﻤﻢ‬
‫)‪Cardiology OSCE (2‬‬

‫ُﻳﺸﺎﻫﺪ ﻓﻲ اﻟﻤﺘﻼزﻣﺔ اﻟﻤﻮﺿﺤﺔ ﻓﻲ‬

‫اﻟﺼﻮرة اﻟﻤﺠﺎورة ﻛﻞ ﻣﺎ ﻳﻠﻲ ﻣﺎ ﻋﺪا‪:‬‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬اﺿﻄﺮاﺑﺎت ﻧﻘﻠﻴﺔ ﻋﻠﻰ ‪ECG‬‬
‫‪Ocular Hypertelorism ‬‬
‫‪ ‬ﺗﻀﻴﻖ ﻓﻮق اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﺻﻤﻢ‬
Cardiology OSCE (2)

‫ﻣﺮﻳﺾ ﻳﻌﺎﻧﻲ ﻣﻦ أﻟﻢ ﺻﺪري ﺣﺎد ﻣﻨﺬ‬

:‫ اﻟﺘﺸﺨﻴﺺ‬,‫ﺳﺎﻋﺔ ﻣﻊ ﺗﻌﺮق‬
D-TGA 
VSD 
Ebstein’s Anomaly 
TOF 
Aortic Dissection 
Cardiology OSCE (2)

‫ﻣﺮﻳﺾ ﻳﻌﺎﻧﻲ ﻣﻦ أﻟﻢ ﺻﺪري ﺣﺎد ﻣﻨﺬ‬

:‫ اﻟﺘﺸﺨﻴﺺ‬,‫ﺳﺎﻋﺔ ﻣﻊ ﺗﻌﺮق‬
D-TGA 
VSD 
Ebstein’s Anomaly 
TOF 
Aortic Dissection 
Cardiology OSCE (2)

:‫اﻟﺘﺸﺨﻴﺺ ﻓﻲ ﺻﻮرة اﻹﻳﻜﻮ اﻟﻤﺠﺎورة‬

D-TGA 
VSD 
Ebstein’s Anomaly 
TOF 
PS 
Cardiology OSCE (2)

:‫اﻟﺘﺸﺨﻴﺺ ﻓﻲ ﺻﻮرة اﻹﻳﻜﻮ اﻟﻤﺠﺎورة‬

D-TGA 
VSD 
Ebstein’s Anomaly 
TOF 
PS 
Cardiology OSCE (2)

:‫ﻣﺤﻮر اﻟﻘﻠﺐ ﻓﻲ اﻟﺘﺨﻄﻴﻂ اﻟﻤﺠﺎور‬

Normal 
RAD 
LAD 
Extreme 
Cardiology OSCE (2)

:‫ﻣﺤﻮر اﻟﻘﻠﺐ ﻓﻲ اﻟﺘﺨﻄﻴﻂ اﻟﻤﺠﺎور‬

Normal 
RAD 
LAD 
Extreme 
Cardiology OSCE (2)

:‫ﻳﻌﺒﺮ اﻟﺘﺨﻄﻴﻂ اﻟﻤﺠﺎور ﻋﻦ‬

Sinus Tachycardia 
SSS 
Atrial Flutter 
Normal ECG 
Ventricular Fibrillation 
Cardiology OSCE (2)

:‫ﻳﻌﺒﺮ اﻟﺘﺨﻄﻴﻂ اﻟﻤﺠﺎور ﻋﻦ‬

Sinus Tachycardia 
SSS 
Atrial Flutter 
Normal ECG 
Ventricular Fibrillation 
Cardiology
OSCE
(3)
‫)‪Cardiology OSCE (3‬‬

‫ُﻳﺸﺎﻫﺪ اﻟﻨﺒﺾ ﻓﻲ اﻟﺸﻜﻞ اﻟﻤﺠﺎور ﻓﻲ‪:‬‬

‫‪HOCM ‬‬
‫‪ ‬ﺻﺪﻣﺔ ﻧﻘﺺ اﻟﺤﺠﻢ‬
‫‪ ‬ﻓﺮط ﻧﺸﺎط اﻟﺪرق‬
‫‪ ‬اﻧﺘﻔﺎخ اﻟﺮﺋﺔ اﻟﺸﺪﻳﺪ‬
‫‪ ‬اﻟﺘﻬﺎب اﻟﺘﺎﻣﻮر اﻟﻌﺎﺻﺮ‬
‫)‪Cardiology OSCE (3‬‬

‫ُﻳﺸﺎﻫﺪ اﻟﻨﺒﺾ ﻓﻲ اﻟﺸﻜﻞ اﻟﻤﺠﺎور ﻓﻲ‪:‬‬

‫‪HOCM ‬‬
‫‪ ‬ﺻﺪﻣﺔ ﻧﻘﺺ اﻟﺤﺠﻢ‬
‫‪ ‬ﻓﺮط ﻧﺸﺎط اﻟﺪرق‬
‫‪ ‬اﻧﺘﻔﺎخ اﻟﺮﺋﺔ اﻟﺸﺪﻳﺪ‬
‫‪ ‬اﻟﺘﻬﺎب اﻟﺘﺎﻣﻮر اﻟﻌﺎﺻﺮ‬
‫)‪Cardiology OSCE (3‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (3‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫)‪Cardiology OSCE (3‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (3‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫)‪Cardiology OSCE (3‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (4‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫)‪Cardiology OSCE (3‬‬

‫‪1‬‬ ‫‪2‬‬
‫ﺗُﺸﺎﻫﺪ اﻟﻨﻔﺨﺔ اﻟﻤﺒﻴﻨﺔ ﻓﻲ اﻟﺸﻜﻞ ﻓﻲ‬
‫‪3‬‬
‫اﻟﺒﺆرة اﻹﺻﻐﺎﺋﻴﺔ )‪ (4‬ﻓﻲ‪:‬‬
‫‪4‬‬ ‫‪5‬‬ ‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫)‪Cardiology OSCE (3‬‬

‫إذا ﻛﺎن ﻣﺨﻄﻂ ‪ CVP‬اﻟﺴﻮي ﻓﻲ اﻟﺸﻜﻞ‬

‫اﻷﻋﻠﻰ‪ ،‬ﻓﺈن اﻟﻤﺨﻄﻂ ﻓﻲ اﻟﺸﻜﻞ‬
‫اﻷﺳﻔﻞ ﻳﺸﻴﺮ إﻟﻰ وﺟﻮد‪:‬‬
‫‪ ‬ﺗﻀﻴﻖ أﺑﻬﺮي‬
‫‪ ‬ﺗﻀﻴﻖ ﺗﺎﺟﻲ‬
‫‪ ‬ﺣﺼﺎر ﻗﻠﺐ ﺗﺎم‬
‫‪ ‬ﻗﺼﻮر ﺗﺎﺟﻲ‬
‫‪ ‬رﺟﻔﺎن أذﻳﻨﻲ‬
‫)‪Cardiology OSCE (3‬‬

‫إذا ﻛﺎن ﻣﺨﻄﻂ ‪ CVP‬اﻟﺴﻮي ﻓﻲ اﻟﺸﻜﻞ‬

‫اﻷﻋﻠﻰ‪ ،‬ﻓﺈن اﻟﻤﺨﻄﻂ ﻓﻲ اﻟﺸﻜﻞ‬
‫اﻷﺳﻔﻞ ﻳﺸﻴﺮ إﻟﻰ وﺟﻮد‪:‬‬
‫‪ ‬ﺗﻀﻴﻖ أﺑﻬﺮي‬
‫‪ ‬ﺗﻀﻴﻖ ﺗﺎﺟﻲ‬
‫‪ ‬ﺣﺼﺎر ﻗﻠﺐ ﺗﺎم‬
‫‪ ‬ﻗﺼﻮر ﺗﺎﺟﻲ‬
‫‪ ‬رﺟﻔﺎن أذﻳﻨﻲ‬
‫)‪Cardiology OSCE (3‬‬

‫ﻟﺪى اﻟﻤﺮﻳﻀﺔ اﻟﻤﻮﺿﺤﺔ ﻓﻲ اﻟﺼﻮرة‬

‫اﻟﻤﺠﺎورة ﻛﻞ ﻣﺎ ﻳﻠﻲ ﻣﺎ ﻋﺪا‪:‬‬
‫‪ ‬ﻋﻨﻖ ﻣﺠﻨﺤﺔ‬
‫‪ ‬ﻣﺒﻴﻀﻴﻦ ﺷﺮﻳﻄﻴﻴﻦ‬
‫‪ ‬ﻗﺼﺮ ﻗﺎﻣﺔ‬
‫‪ ‬ﻧﺒﺾ اﻟﺸﺮﻳﺎن اﻟﻔﺨﺬي ﻏﻴﺮ‬
‫ﻣﺠﺴﻮس‬
‫‪ ‬ﻧﺒﺾ اﻟﺸﺮﻳﺎن اﻷﺑﻬﺮ اﻟﺒﻄﻨﻲ‬
‫ﻣﺠﺴﻮس‬
‫)‪Cardiology OSCE (3‬‬

‫ﻟﺪى اﻟﻤﺮﻳﻀﺔ اﻟﻤﻮﺿﺤﺔ ﻓﻲ اﻟﺼﻮرة‬

‫اﻟﻤﺠﺎورة ﻛﻞ ﻣﺎ ﻳﻠﻲ ﻣﺎ ﻋﺪا‪:‬‬
‫‪ ‬ﻋﻨﻖ ﻣﺠﻨﺤﺔ‬
‫‪ ‬ﻣﺒﻴﻀﻴﻦ ﺷﺮﻳﻄﻴﻴﻦ‬
‫‪ ‬ﻗﺼﺮ ﻗﺎﻣﺔ‬
‫‪ ‬ﻧﺒﺾ اﻟﺸﺮﻳﺎن اﻟﻔﺨﺬي ﻏﻴﺮ‬
‫ﻣﺠﺴﻮس‬
‫‪ ‬ﻧﺒﺾ اﻟﺸﺮﻳﺎن اﻷﺑﻬﺮ اﻟﺒﻄﻨﻲ‬
‫ﻣﺠﺴﻮس‬
‫)‪Cardiology OSCE (3‬‬

‫ﻣﺮﻳﺾ ﻳﻌﺎﻧﻲ ﻣﻦ وﻫﻦ وزرﻗﺔ‪ ,‬ﺑﺎﻹﺻﻐﺎء‬

‫ُوﺟﺪ ﻟﺪﻳﻪ اﻧﻘﺴﺎم واﺳﻊ ﻓﻲ ‪,S2‬‬
‫اﻟﺘﺸﺨﻴﺺ‪:‬‬
‫‪ASD ‬‬
‫‪PS ‬‬
‫‪Ebstein’s Anomaly ‬‬
‫‪TOF ‬‬
‫‪D-TGA ‬‬
‫)‪Cardiology OSCE (3‬‬

‫ﻣﺮﻳﺾ ﻳﻌﺎﻧﻲ ﻣﻦ وﻫﻦ وزرﻗﺔ‪ ,‬ﺑﺎﻹﺻﻐﺎء‬

‫ُوﺟﺪ ﻟﺪﻳﻪ اﻧﻘﺴﺎم واﺳﻊ ﻓﻲ ‪,S2‬‬
‫اﻟﺘﺸﺨﻴﺺ‪:‬‬
‫‪ASD ‬‬
‫‪PS ‬‬
‫‪Ebstein’s Anomaly ‬‬
‫‪TOF ‬‬
‫‪D-TGA ‬‬
Cardiology OSCE (3)

:‫اﻟﺘﺸﺨﻴﺺ ﻓﻲ ﺻﻮرة اﻹﻳﻜﻮ اﻟﻤﺠﺎورة‬

ASD 
VSD 
Pericardial Effusion 
TOF 
D-TGA 
Cardiology OSCE (3)

:‫اﻟﺘﺸﺨﻴﺺ ﻓﻲ ﺻﻮرة اﻹﻳﻜﻮ اﻟﻤﺠﺎورة‬

ASD 
VSD 
Pericardial Effusion 
TOF 
D-TGA 
Cardiology OSCE (3)

‫أﺣﺪ اﻷدوﻳﺔ اﻟﺘﺎﻟﻴﺔ ﻗﺪ ﺗﺴﺒﺐ اﻟﻤﻮﺿﺢ‬

:‫ﻓﻲ اﻟﺼﻮرة اﻟﻤﺠﺎورة‬
Propranolol 
Nifedipine 
Valsartan 
Lasix 
Captopril 
Cardiology OSCE (3)

‫أﺣﺪ اﻷدوﻳﺔ اﻟﺘﺎﻟﻴﺔ ﻗﺪ ﺗﺴﺒﺐ اﻟﻤﻮﺿﺢ‬

:‫ﻓﻲ اﻟﺼﻮرة اﻟﻤﺠﺎورة‬
Propranolol 
Nifedipine 
Valsartan 
Lasix 
Captopril 
Cardiology OSCE (3)

:‫ﻣﺤﻮر اﻟﻘﻠﺐ ﻓﻲ اﻟﺘﺨﻄﻴﻂ اﻟﻤﺠﺎور‬

Normal 
RAD 
LAD 
Extreme 
Cardiology OSCE (3)

:‫ﻣﺤﻮر اﻟﻘﻠﺐ ﻓﻲ اﻟﺘﺨﻄﻴﻂ اﻟﻤﺠﺎور‬

Normal 
RAD 
LAD 
Extreme 
Cardiology OSCE (3)

:‫ﻳﻌﺒﺮ اﻟﺘﺨﻄﻴﻂ اﻟﻤﺠﺎور ﻋﻦ‬

Sinus Bradycardia 
SSS 
Atrial Flutter 
Normal ECG 
Ventricular Fibrillation 
Cardiology OSCE (3)

:‫ﻳﻌﺒﺮ اﻟﺘﺨﻄﻴﻂ اﻟﻤﺠﺎور ﻋﻦ‬

Sinus Bradycardia 
SSS 
Atrial Flutter 
Normal ECG 
Ventricular Fibrillation 
Cardiology
OSCE
(4)
‫)‪Cardiology OSCE (4‬‬

‫ﺷﻜﻞ اﻟﻨﺒﺾ اﻟﻤﺠﺎور‪:‬‬

‫‪ ‬اﻟﻨﺒﺾ اﻟﻨﺸﻴﻂ‬
‫‪ ‬اﻟﻨﺒﺾ اﻟﺘﻮأﻣﻲ‬
‫‪ ‬اﻟﻨﺒﺾ اﻟﻘﺎﻓﺰ‬
‫‪ ‬اﻟﻨﺒﺾ اﻟﺨﻴﻄﻲ‬
‫‪ ‬اﻟﻨﺒﺾ اﻟﻌﺠﺎﺋﺒﻲ‬
‫)‪Cardiology OSCE (4‬‬

‫ﺷﻜﻞ اﻟﻨﺒﺾ اﻟﻤﺠﺎور‪:‬‬

‫‪ ‬اﻟﻨﺒﺾ اﻟﻨﺸﻴﻂ‬
‫‪ ‬اﻟﻨﺒﺾ اﻟﺘﻮأﻣﻲ‬
‫‪ ‬اﻟﻨﺒﺾ اﻟﻘﺎﻓﺰ‬
‫‪ ‬اﻟﻨﺒﺾ اﻟﺨﻴﻄﻲ‬
‫‪ ‬اﻟﻨﺒﺾ اﻟﻌﺠﺎﺋﺒﻲ‬
‫)‪Cardiology OSCE (4‬‬

‫إذا ﻛﺎن ﻣﺨﻄﻂ ‪ CVP‬اﻟﺴﻮي ﻓﻲ اﻟﺸﻜﻞ‬

‫اﻷﻋﻠﻰ‪ ،‬ﻓﺈن اﻟﻤﺨﻄﻂ ﻓﻲ اﻟﺸﻜﻞ‬
‫اﻷﺳﻔﻞ ﻳﺸﻴﺮ إﻟﻰ وﺟﻮد‪:‬‬
‫‪ ‬ﺗﻀﻴﻖ ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ ﺗﺎﺟﻲ‬
‫‪ ‬ﺣﺼﺎر ﻗﻠﺐ ﺗﺎم‬
‫‪ ‬ﻗﺼﻮر ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬رﺟﻔﺎن أذﻳﻨﻲ‬
‫)‪Cardiology OSCE (4‬‬

‫إذا ﻛﺎن ﻣﺨﻄﻂ ‪ CVP‬اﻟﺴﻮي ﻓﻲ اﻟﺸﻜﻞ‬

‫اﻷﻋﻠﻰ‪ ،‬ﻓﺈن اﻟﻤﺨﻄﻂ ﻓﻲ اﻟﺸﻜﻞ‬
‫اﻷﺳﻔﻞ ﻳﺸﻴﺮ إﻟﻰ وﺟﻮد‪:‬‬
‫‪ ‬ﺗﻀﻴﻖ ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ ﺗﺎﺟﻲ‬
‫‪ ‬ﺣﺼﺎر ﻗﻠﺐ ﺗﺎم‬
‫‪ ‬ﻗﺼﻮر ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬رﺟﻔﺎن أذﻳﻨﻲ‬
‫)‪Cardiology OSCE (4‬‬

‫اﻹﺟﺮاء اﻟﻤﻮﺿﺢ ﻓﻲ اﻟﺼﻮرة اﻟﻤﺠﺎورة‪:‬‬

‫‪ ‬ﻗﻴﺎس ﺿﻐﻂ اﻟﻮرﻳﺪ اﻟﻮداﺟﻲ اﻟﻈﺎﻫﺮ‬
‫اﻷﻳﻤﻦ‬
‫‪ ‬ﻗﻴﺎس ﺿﻐﻂ اﻟﻮرﻳﺪ اﻟﻮداﺟﻲ اﻟﻈﺎﻫﺮ‬
‫اﻷﻳﺴﺮ‬
‫‪ ‬ﻗﻴﺎس ﺿﻐﻂ اﻟﻮرﻳﺪ اﻟﻮداﺟﻲ اﻟﺒﺎﻃﻦ‬
‫اﻷﻳﻤﻦ‬
‫‪ ‬ﻗﻴﺎس ﺿﻐﻂ اﻟﻮرﻳﺪ اﻟﻮداﺟﻲ اﻟﺒﺎﻃﻦ‬
‫اﻷﻳﺴﺮ‬
‫)‪Cardiology OSCE (4‬‬

‫اﻹﺟﺮاء اﻟﻤﻮﺿﺢ ﻓﻲ اﻟﺼﻮرة اﻟﻤﺠﺎورة‪:‬‬

‫‪ ‬ﻗﻴﺎس ﺿﻐﻂ اﻟﻮرﻳﺪ اﻟﻮداﺟﻲ اﻟﻈﺎﻫﺮ‬
‫اﻷﻳﻤﻦ‬
‫‪ ‬ﻗﻴﺎس ﺿﻐﻂ اﻟﻮرﻳﺪ اﻟﻮداﺟﻲ اﻟﻈﺎﻫﺮ‬
‫اﻷﻳﺴﺮ‬
‫‪ ‬ﻗﻴﺎس ﺿﻐﻂ اﻟﻮرﻳﺪ اﻟﻮداﺟﻲ اﻟﺒﺎﻃﻦ‬
‫اﻷﻳﻤﻦ‬
‫‪ ‬ﻗﻴﺎس ﺿﻐﻂ اﻟﻮرﻳﺪ اﻟﻮداﺟﻲ اﻟﺒﺎﻃﻦ‬
‫اﻷﻳﺴﺮ‬
‫)‪Cardiology OSCE (4‬‬

‫ُﻳﺸﺎﻫﺪ ﻟﺪى اﻟﻤﺮﻳﻀﺔ اﻟﻤﻮﺿﺤﺔ ﻓﻲ‬

‫اﻟﺼﻮرة اﻟﻤﺠﺎورة‪:‬‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ ﻓﻮق اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫)‪Cardiology OSCE (4‬‬

‫ُﻳﺸﺎﻫﺪ ﻟﺪى اﻟﻤﺮﻳﻀﺔ اﻟﻤﻮﺿﺤﺔ ﻓﻲ‬

‫اﻟﺼﻮرة اﻟﻤﺠﺎورة‪:‬‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺮﺋﻮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم اﻟﺘﺎﺟﻲ‬
‫‪ ‬ﻗﺼﻮر اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫‪ ‬ﺗﻀﻴﻖ اﻟﺼﻤﺎم ﻣﺜﻠﺚ اﻟﺸﺮف‬
‫‪ ‬ﺗﻀﻴﻖ ﻓﻮق اﻟﺼﻤﺎم اﻷﺑﻬﺮي‬
‫)‪Cardiology OSCE (4‬‬

‫ﻋﻨﺪ رؤﻳﺔ اﻟﻤﻨﻈﺮ اﻟﻤﻮﺿﺢ ﻓﻲ اﻟﺼﻮرة‬

‫اﻟﻤﺠﺎورة ﻣﻊ وﺟﻮد زرﻗﺔ ﻣﺮﻛﺰﻳﺔ‪ ,‬ﻧﺸﻚ‬
‫ب‪:‬‬
‫‪ ‬ﻧﺎﺳﻮر ﺷﺮﻳﺎﻧﻲ – ورﻳﺪي ﺟﻬﺎزي‬
‫‪ ASD ‬ﻣﻊ آﻳﺰﻧﻤﻨﻐﺮ‬
‫‪ ‬ﻧﺎﺳﻮر ﺷﺮﻳﺎﻧﻲ – ورﻳﺪي رﺋﻮي‬
‫‪ VSD ‬ﻣﻊ آﻳﺰﻧﻤﻨﻐﺮ‬
‫‪Ebstein’s Anomaly with ASD ‬‬
‫)‪Cardiology OSCE (4‬‬

‫ﻋﻨﺪ رؤﻳﺔ اﻟﻤﻨﻈﺮ اﻟﻤﻮﺿﺢ ﻓﻲ اﻟﺼﻮرة‬

‫اﻟﻤﺠﺎورة ﻣﻊ وﺟﻮد زرﻗﺔ ﻣﺮﻛﺰﻳﺔ‪ ,‬ﻧﺸﻚ‬
‫ب‪:‬‬
‫‪ ‬ﻧﺎﺳﻮر ﺷﺮﻳﺎﻧﻲ – ورﻳﺪي ﺟﻬﺎزي‬
‫‪ ASD ‬ﻣﻊ آﻳﺰﻧﻤﻨﻐﺮ‬
‫‪ ‬ﻧﺎﺳﻮر ﺷﺮﻳﺎﻧﻲ – ورﻳﺪي رﺋﻮي‬
‫‪ VSD ‬ﻣﻊ آﻳﺰﻧﻤﻨﻐﺮ‬
‫‪Ebstein’s Anomaly with ASD ‬‬
Cardiology OSCE (4)

:‫اﻟﺘﺸﺨﻴﺺ ﻓﻲ ﺻﻮرة اﻹﻳﻜﻮ اﻟﻤﺠﺎورة‬

ASD 
TOF 
Mitral Valve Regurgitation 
Mitral Valve Stenosis 
D-TGA 
Cardiology OSCE (4)

:‫اﻟﺘﺸﺨﻴﺺ ﻓﻲ ﺻﻮرة اﻹﻳﻜﻮ اﻟﻤﺠﺎورة‬

ASD 
TOF 
Mitral Valve Regurgitation 
Mitral Valve Stenosis 
D-TGA 
Cardiology OSCE (4)

:‫اﻟﺘﺸﺨﻴﺺ ﻓﻲ ﺻﻮرة اﻹﻳﻜﻮ اﻟﻤﺠﺎورة‬

ASD 
TOF 
Mitral Valve Regurgitation 
Mitral Valve Stenosis 
LA RA
D-TGA 
Cardiology OSCE (4)

:‫اﻟﺘﺸﺨﻴﺺ ﻓﻲ ﺻﻮرة اﻹﻳﻜﻮ اﻟﻤﺠﺎورة‬

ASD 
TOF 
Mitral Valve Regurgitation 
Mitral Valve Stenosis 
LA RA
D-TGA 
Cardiology OSCE (4)

‫راﺟﻌﻚ ﻣﺮﻳﺾ ﺑﻘﺼﺔ أﺧﻤﺎج ﺻﺪرﻳﺔ‬

Holosystolic ‫ﺳﻤﻊ ﺑﺎﻹﺻﻐﺎء‬ ُ ,‫ﻣﺘﻜﺮرة‬
:‫ اﻟﺘﺸﺨﻴﺺ‬,‫ ﻓﻲ ﺑﺆرة إرب‬Murmur
ASD 
D-TGA 
Ebstein’s Anomaly 
TOF 
VSD 
Cardiology OSCE (4)

‫راﺟﻌﻚ ﻣﺮﻳﺾ ﺑﻘﺼﺔ أﺧﻤﺎج ﺻﺪرﻳﺔ‬

Holosystolic ‫ﺳﻤﻊ ﺑﺎﻹﺻﻐﺎء‬ ُ ,‫ﻣﺘﻜﺮرة‬
:‫ اﻟﺘﺸﺨﻴﺺ‬,‫ ﻓﻲ ﺑﺆرة إرب‬Murmur
ASD 
D-TGA 
Ebstein’s Anomaly 
TOF 
VSD 
 Cardiology OSCE (4)

I V1
V2
II

V3 ‫ﻣﺤﻮر وﺟﻬﺔ دوران اﻟﻘﻠﺐ ﻓﻲ اﻟﺘﺨﻄﻴﻂ‬

III :‫اﻟﻤﺠﺎور‬
LAD/ CWR 
aVR RAD/ CCWR 
V4
Normal/ CCWR 
aVL Extreme/ CWR 
V5 Normal/ CWR 
aVF
V6
 Cardiology OSCE (4)

I V1
V2
II

V3 ‫ﻣﺤﻮر وﺟﻬﺔ دوران اﻟﻘﻠﺐ ﻓﻲ اﻟﺘﺨﻄﻴﻂ‬

III :‫اﻟﻤﺠﺎور‬
LAD/ CWR 
aVR RAD/ CCWR 
V4
Normal/ CCWR 
aVL Extreme/ CWR 
V5 Normal/ CWR 
aVF
V6
Cardiology OSCE (4)

:‫ﻳﻌﺒﺮ اﻟﺘﺨﻄﻴﻂ اﻟﻤﺠﺎور ﻋﻦ‬

Normal ECG 
SSS 
Inferior Myocardial Infarction 
Lateral Myocardial Infarction 
Anterior Myocardial Infarction 
Cardiology OSCE (4)

:‫ﻳﻌﺒﺮ اﻟﺘﺨﻄﻴﻂ اﻟﻤﺠﺎور ﻋﻦ‬

Normal ECG 
SSS 
Inferior Myocardial Infarction 
Lateral Myocardial Infarction 
Anterior Myocardial Infarction 
Good Luck