Cardiology

Question 1

Use bell to listen to what?

Answer 1

Low tones such as the extra heart sounds (S3 or S4) Mitral stenosis

Question 2

Use Diaphragm of stethoscope to listen to what?

Answer 2

Mid- to high-pitched tones such as lung sounds
Mitral regurgitation
Aortic stenosis

Question 3

Systolic Murmurs

Answer 3

MR. ASS

Mitral regurgitation/aortic stenosis = systolic

Question 4

Diastolic Murmur

Answer 4

MS. ARD

Mitral stenosis/aortic regurgitation = diastolic

Question 5

Mitral Regurgitation

Answer 5

systolic murmur
Listen apex
Loud blowing and high-pitched murmur

Question 6

Aortic Stenosis

Answer 6

systolic murmur
second ICS
harsh and noisy murmur

Question 7

Mitral Stenosis

Answer 7

diastolic murmur
Heard best at the apex
opening snap

Question 8

Aortic Regurgitation

Answer 8

diastolic murmur
heard at the second ICS
High-pitched blowing murmur

Question 9

Grade I murmur

Answer 9

very soft murmur heard only under optimal conditions

Question 10

Grade 2 murmur

Answer 10

mild to moderately loud murmur.

Question 11

Grade 3 murmur

Answer 11

Loud murmur that is easily heard once the stethoscope is placed on the chest.

Question 12

Grade 4 murmur

Answer 12

A louder murmur. First time that a thrill is present. A thrill is like a “palpable murmur.”

Question 13

Grade 5 murmur

Answer 13

Very loud murmur heard with edge of stethoscope off chest. Thrill is more obvious.

Question 14

Grade 6 murmur

Answer 14

murmur is so loud that it can be heard even with the stethoscope off the chest. The thrill is easily palpated.

Question 15

What does hearing s3 mean?

Answer 15

CHF, kentucky sound

Question 16

What does hearing s4 mean?

Answer 16

LVH, sound like tennessee

Question 17

S1

Answer 17

MOTIVATED

• (M = mitral and T = tricuspid and AV = AV valves)
• The “lub” sound (of “lub-dub”) Closure of the mitral and tricuspid valves AV valves (three leaflets)

Question 18

S2

Answer 18

APPLES

• (A = aortic and P = pulmonic and S = semilunar valves)
• The “dub” sound (of “lub-dub”) Closure of the aortic and pulmonic valves Semilunar valves (two leaflets)

Question 19

paradoxical pulse

Answer 19

systolic pressure of more than 10 mmHg

Question 20

Isolated systolic HTN in the elderly tx

Answer 20

CCB -pine or low dose thiazine

Question 21

Patients on -statins cannot consume what

Answer 21

grapefruit juice