Heart Murmurs

Question 1

cres-decres systolic mumur

2nd-3rd R intercostal space

Answer 1

aortic stenosis

Question 2

early diastolic decres murmur
Left sternal border
BP160/55

Answer 2

aortic regurg

Question 3

late diastolic decres

L sternal border

Answer 3

tricuspid stenosis

Question 4

holocystic murmur
apex
radiates to L axilla

Answer 4

mitral regurg

Question 5

late systolic murmur

preceded by mid-systolic click

Answer 5

mitral valve prolpase

Question 6

cres-decres systolic murmur

2nd-3rd left intercostal space

Answer 6

pulm stenosis

Question 7

holosystolic mumur

left lower sternal border

Answer 7

tricuspid regurg

VSD

Question 8

rumbling late-diastolic
opening snap
loudest at 5th intercostal midaxillary

Answer 8

mitral stenosis

Question 9

continuous machine like murmur

Answer 9

patent ductus arteriosus

Question 10

Amio SE

Answer 10

pulm fibrosis, hyper/hypothyroid, hepatotox, blue grey skin discolor, photosensitivity, brady, heart block, corneal deposits, neuro problems, constipation

Question 11

cause of narrow QRS

Answer 11

since beat, ectopic atrial beat, SVT, junctional rhythm

Question 12

cause of wide QRS

Answer 12

PVC, Vtach, BBB

Question 13

causes of left axis dev

Answer 13

inferior wall MI
left anterior fascicular block
LVH
LBBB

Question 14

causes of right axis dev

Answer 14

RVH
acute right heart strain
massive PE
right posterior vascular block
RBBB

Question 15

drugs that prolong QT

Answer 15

macrolides, chloroquine, haloperidole, risperidone, protease inhibitor, class 1A, class 3

Question 16

mobitz type 1

Answer 16

progressively prolonged PR intervals and then blocked beat

Question 17

mobitz type 2

Answer 17

blocked beat without progressive PR prolongation