CV integration lab

Question 1

S3 and S4 of RV origin are affected how by breathing?

Answer 1

diminish with expiration and increase with inspiration

Question 2

S3 and S4 of LV origin are affected how by breathing?

Answer 2

diminish with inspiration and

increase with expiration

Question 3

S2 splitting

Answer 3

due to longer RV ejection time compared to LV ejection time

Question 4

tricupsid stenosis affected by breathing how?

Answer 4

opening snap diminishes with expiration

Question 5

mitral stenosis affected by breathing how?

Answer 5

opening snap diminishes with inspiration

Question 6

pulmonary ejection sounds of valvular origin

Answer 6

decreases in intensity during inspiration

Question 7

Right side heart murmurs affected by breathing

Answer 7

decrease in intensity during inspiration

Question 8

Mitral prolapse inspiration

Answer 8

inspiration decreases venous return causing the murmur and click to occur earlier and may diminish

Question 9

loud first sound

Answer 9

hyperdynamic (fever/exercise)
mitral stenosis
atrial myxoma

Question 10

Soft first sound

Answer 10

low CO
Tachycardia
Severe Mitral reflux (destruction of valve)

Question 11

Variable intensity of First sound

Answer 11

Atrial fibrillation

Complete heart block

Question 12

Loud aortic component of second sound

Answer 12

systemic HTN

Dialated Aortic root

Question 13

Soft Aortic Component of second sound

Answer 13

Calcific aortic stenosis

Question 14

Loud pulmonary component of second sound

Answer 14

Pulmonary HTN

Question 15

when should you expect acute pericarditis

Answer 15

in the setting of pleuritic chest pain, especially when a pericardial friction rub is present on exam.

Question 16

what is required to diagnose acute pericarditis

Answer 16

echocardiography

Question 17

what does cardiac tamponade result in

Answer 17

cardiogenic shock

eval with electrocardiogram
radiography
echocardiography