Auscultation of the heart

Question 1

Inspiration

Answer 1

Increases intensity of right heart sounds

Question 2

Expiration

Answer 2

Increases intensity of left heart sounds

Question 3

Hand grip

Answer 3

(Increasing SVR)

Increases intensity of MR, AR, VSD, MVP murmurs

Decreases intensity of AS, HOCM murmurs

Question 4

Valsalva

Answer 4

(Decreasing venous return)

Decreasing intensity of most murmurs

Increasing intensity of MVP, HOCM murmurs

Question 5

Rapid squatting

Answer 5

(Decreases preload, after load after prolonged squatting)

Decreases MVP, HOCM murmurs