Approach to the Pt - Heart Murmur (packet)

Question 1

in which demographic is s3 physiologic? (2)

Answer 1

children and young adults; last trimester of pregnancy

Question 2

t or f: s4 is a normal finding in trained athletes

Answer 2

true

Question 3

which heart sound is missing in atrial fibrillation?

Answer 3

s4

Question 4

what is known as a summation gallop (aka quadruple rhythm)?

Answer 4

when you hear both S3 and S4

Question 5

paradoxical splitting can be seen in HOCM, and what other two conditions? (one is murmur, one not)

Answer 5

AS and LBBB

Question 6

what are the top 5 differential for causes of wide splitting? THINK …

Answer 6

PS, RBBB, MR, VSD, and PDA

Question 7

what is the term associated with the sound that is after S1 but before S2?

Answer 7

ejection click

Question 8

what is the term associated with the sound that is after S2 but before S1?

Answer 8

opening snap

Question 9

what is defined as the combination of AR and MS?

Answer 9

austin flint murmur

Question 10

GO OVER SYSTOLIC AND DIASTOLIC MUMURS

Answer 10

NOW NOW NOW!!!

Question 11

what is described as a blowing diastolic murmur?

Answer 11

AR

Question 12

what are the two main causes of PR?

Answer 12

congenital and pulmonary HTN