Cardiac Murmurs Flashcards

1
Q
  • grade 1 murmur

- thrill?

A
  • very faint, only heard in ideal circumstances

- NO

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2
Q
  • grade 2 murmur

- thrill?

A

loud enough to be generally heard

  • NO
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3
Q
  • grade 3 murmur

- thrill?

A
  • louder then grade 2

- NO

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4
Q
  • grade 4 murmur

- thrill?

A
  • louder then grade 3

- YES

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5
Q
  • grade 5 murmur

- thrill?

A
  • heard with stethoscope partially off chest

- YES

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6
Q
  • grade 6 murmur

- thrill?

A
  • heard with stethoscope entirely off chest

- YES

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7
Q

what is the shape of a murmur?

A

intensity throughout cardiac cycle

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8
Q

how do you describe the shape of a murmur?

A
  • crescendo
  • crescendo-decrescendo
  • decrescendo
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9
Q

what does high and low pitch indicate when describing murmurs?

A
  • high = LARGE pressure gradient

- low = LOW pressure gradient

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10
Q

murmur location: aortic valve

A

RUSB

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11
Q

murmur location: pulmonic valve

A

LUSB

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12
Q

murmur location: tricuspid valve

A

LLSB

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13
Q

murmur location: mitral valve

A

apex

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14
Q

where is Erb’s point?

A

LSB, 3rd ICS

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15
Q

how are diastolic murmurs graded?

A

1-4

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16
Q

midsystolic murmurs (4)

A
  1. aortic stenosis
  2. pulmonic stenosis
  3. atrial septal defect
  4. HOCM
17
Q

holosystolic murmurs (3)

A
  1. mitral regurgitation
  2. tricuspid regurgitation
  3. VSD
18
Q

late systolic murmur

A

mitral valve prolapse

19
Q

early diastolic murmurs (3)

A
  1. aortic regurgitation
  2. pulmonic regurgitation
  3. Austin-Flint (associated w/ severe aortic regurgitation)
20
Q

mid/late diastolic murmurs (2)

A
  1. mitral stenosis

2. tricuspid stenosis

21
Q

continuous “machine-like” murmur

A

patent ductus arteriosus