Cardio Flashcards

1
Q

Loud First Heart Sound

A

Mitral Stenosis
Tricuspid Stenosis
Tachycardia
Hyperdynamic Circulation

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2
Q

Soft First Heart Sound

A

Mitral regurgitation
Calcified Mitral Valve
Left Bundle Branch Block
First Degree Heart Block

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3
Q

Loud A2

A

Aortic Stenosis
Hypertension

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4
Q

Normal Second Heart Sound Splitting

A

Wider on inspiration

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5
Q

Soft A2

A

Calcified Aortic valve
Aortic Regurgitation

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6
Q

Soft/Loud P2

A

Loud - Pulmonary Hypertension
Soft - Pulmonary Stenosis

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7
Q

Increased Normal Second Heart Sound Splitting

A

Wider on inspiration
Right Bundle Branch Block
Pulmonary Stenosis
Ventricular Septal Defect
Mitral Regurgitation (Early A2)

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8
Q

Fixed Splitting of Second Heart Sound

A

Atrial Septal Defect

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9
Q

Reversed Splitting of Second Heart Sound

A

Left Bundle Branch Block
Aortic Stenosis (Severe)
Coarctation of aorta
Patent Ductus arteriosus

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10
Q

Third Heart Sound Causes

A

Due to tautening of mitral/tricuspid cusps at end of rapid diastolic filling

LV (Louder at apex and on expiration)
- Physiological (Under 40 or during pregnancy)
- Left ventricular Failure
- Aortic Regurgitation
- Mitral Regurgitation
- VSD
- PDA

RV (Louder at Left sternal Edge and on inspiration)
- Right Ventricular Failure
- Constrictive pericarditis

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11
Q

Fourth Heart Sound Causes

A

High Atrial pressure wave from poorly compliant ventricle

Left Ventricular Fourth Heart Sound
- Aortic Stenosis
- Acute MR
- Systemic Hypertension
- IHD
- HCM

Right Ventricular Fourth Heart Sound
- Pulmonary Hypertension
- Pulmonary Stenosis

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12
Q

Types of Systolic Murmur

A

Pansystolic
Early Systolic
Mid Systolic
Late Systolic
Early-Diastolic
Presystolic
Continuous

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13
Q

Pansystolic Murmur

A

Mitral Regurgitation
Tricuspid Regurgitation
Ventricular Septal Defect
Aortopulmonary Shunts

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14
Q

Midsystolic Murmur

A

Aortic Stenosis
Pulmonary Stenosis
Hypertrophic Cardiomyopathy
Pulmonary Flow Murmur of ASD

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15
Q

Early Systolic Murmur

A

Ventricular Septal Defect (Very small or very large with pulmonary Hypertension)
Acute Mitral Regurgitation
Tricuspid Regurgitation

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16
Q

Late Systolic Murmur

A

Mitral Valve Prolapse
Papillary Muscle Dysfunction (HCM)

17
Q

Early Diastolic

A

Aortic Regurgitation
Pulmonary Regurgitation

18
Q

Mid-Diastolic

A

Mitral Stenosis
Tricuspid Stenosis
Atrial Myxoma
Austin Flint Murmur of AR
Carey Coombs Murmur of Acute Rheumatic Fever

19
Q

Presystolic

A

Mitral Stenosis
Tricuspid Stenosis
Atrial Myxoma