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CARDIOLOGY AWR > HEART MURMURS AND CHANGES IN VOLUME > Flashcards

HEART MURMURS AND CHANGES IN VOLUME Flashcards

1
Q

WHAT HAPPENS TO MURMUR WITH VOLUME?

A

INCREASE VOLUME-INCREASE MURMURS EXCEPT IN HOCM AND MVP DECREASE IN MURMURS

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2
Q

WHAT POSITIONS INCREASE VOLUME

A

SITTING
SQUATTING
LEG RAISING

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3
Q

WHAT MURMURS DECREASE VOLUME

A

STANDING
VALSALVA

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4
Q

WHAT HAPPENS TO VOLUME WITH INSPIRATION

A

INCREASE FLOW TO THE RIGHT SIDE OF THE HEART SO ALL RIGHT SIDE HEART MURMURS INCREASE-MORE BLOOD ON THE RIGHT SIDE OF THE HEART- TS MURMUR INCREASES ON INSPIRATION

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5
Q

WHAT HAPPENS TO VOLUME WITH EXPIRATION?

A

INCREASE FLOW TO THE LEFT SIDE OF THE HEART SO MORE BLOOD ON THE LEFT HEART- ALL LEFT SIDED MURMURS INCREASE EXCEPT HOCM AND MVP MURMURS WILL DECREASE

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6
Q

WHAT HAPPENS TO MURMUR WITH HANDGRIP OR PHENYLEPHRINE?

A

HANDGRIP INCREASES AFTERLOAD SO LV CAVITY SIZE INCREASE SO THE VOLUME INCREASES

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7
Q

WHAT HAPPENS TO MURMUR WITH HANDGRIP OR PHENYLEPHRINE?
IN MR

A

MR MURMUR INCREASES

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8
Q

WHAT HAPPENS TO MURMUR WITH HANDGRIP OR PHENYLEPHRINE? IN MVP

A

MVP SYSTOLIC CLICK INTENSITY INCREASES, BUT THE DURATION DECREASES - THE CLICK OCCURS LATER

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9
Q

WHAT HAPPENS WITH INCREASE VOLUME- SITTING, SQUATTING, LEG RAISE WITH MVP?

A

MVP SYSTOLIC CLICK INTENSITY INCREASES, BUT THE DURATION DECREASES - THE CLICK OCCURS LATER

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10
Q

WHAT HAPPENS TO MURMUR WITH HANDGRIP OR PHENYLEPHRINE?IN HOCM

A

HOCM MURMUR DECREASES

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11
Q

WHAT HAPPENS WITH INCREASE VOLUME- SITTING, SQUATTING, LEG RAISE WITH HOCM

A

THE HOCM MURMUR DECREASES

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12
Q

WHAT HAPPENS WITH MURMURS WITH AMYL NITRATE USE

A

IT DECREASES THE AFTERLOAD, LV CAVITY SIZE IS DECREASED AND THE VOLUME DECREASES

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13
Q

WHAT HAPPENS WITH MURMURS WITH AMYL NITRATE USE AND MVP

A

MVP DURATION INCREASES AND THE FLOPPING OCCURS EARLIER

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14
Q

WHAT HAPPENS WITH MURMURS WITH AMYL NITRATE USE, DEXREASE VOLUME, STANDING, AND VALSALVA IN MVP

A

MVP DURATION INCREASES AND THE FLOPPING OCCURS EARLIER

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15
Q

WHAT HAPPENS WITH MURMURS WITH AMYL NITRATE USE WITH HOCM

A

THE LV VOLUME DECREASES AND HOCM MURMUR INCREASES

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16
Q

WHAT HAPPENS WITH MURMURS WITH AMYL NITRATE USE, DEXREASE VOLUME, STANDING AND VALSALVA WITH HOCM MURMUR

A

HOCM MURMUR INCREASES

17
Q

WHAT HAPPENS WITH MURMURS WITH AMYL NITRATE USE WITH AS

A

VOLUME GETTING OUT INTO AORTA DECREASES SO AS MURMUR INCREASES

18
Q

WHAT HAPPENS WITH MURMURS WITH AMYL NITRATE USE STANDING, AND VALSALVA WITH AS

A

VOLUME DECREASES AND AS MURMUR INCREASES

19
Q

WHAT HAPPENS WITH MURMURS WITH AMYL NITRATE USE STANDING, AND VALSALVA WITH MR

A

DECREASE IN LV VOLME AND MR MURMUR WILL DECREASE

20
Q

WHAT HAPPENS TO MUMUR POST PVC?

A

POST PVC VOLUME POTENTION AND DECREASED AFTER LOAD–LEADS TO RAPID EMPTYING AND VOLUME DECREASES QUICKLY

21
Q

WHAT HAPPENS TO MUMUR POST PVC WITH HOCM?

A

HOCM MURMUR INCREASES

22
Q

WHAT HAPPENS TO MUMUR POST PVC WITH MVP

A

MVP DURATION INCREASES SO THE FLOPPING OCCURS EARLIER

23
Q

WHAT HAPPENS TO MUMUR POST PVC WITH AS

A

AS MURMURS WILL INCREASE

24
Q

WHAT HAPPENS TO BLOOD THAT RETURNS TO THE HEART DURING VALSALVA MANEUVER?

A

INCREASES IKNTRATHORACIC PRESSUREAND DECREASES BLOOD RETURN TO THE HEART

25
Q

MURMURS INCREASED ON INSPIRATION

A

TS

26
Q

MURMUR OF AS IS BEST HEARD ON ?

A

EXPIRATION

27
Q

WHICH MURMUR DECREASES POST PVC?

A

MR

28
Q

WHICH MURMUR INCREASES POST PVC?

A

-HOCM MURMUR INCREASES
-MVP DURATION INCREASES SINCE FLOP OCCURS EARLIER
-AS MURMUR INCREASES

29
Q

WHICH MANEUVER WILL DISTINGUISH HOCM VS AS?

A

VALSALVA
HOCM INCREASES
AS DECREASES

30
Q

WHAT HAPPENS TO AS AND HOCM WITH AMYL NITRATE

A

VOLUME DECREASES
HOCM INCREASES
AS INCREASES

31
Q

WHAT HAPPENS TO AS AND HOCM WITH HANDGRIP

A

INCREASE AFTERLOAD
HOCM DECREASES
AS DECREASES

31
Q

WHAT HAPPEN WITH STANDING IN
AS
MR
MVP
HOCM

A

AS DECREASE
MR DECREASE
MVP INCREASE
HOCM INCREASE

32
Q

WHAT HAPPENS WITH VALSALVA IN
AS
MR
MVP
HOCM

A

AS DECREASE
MR DECREASE
MVP INCREASE
HOCM INCREASE

33
Q

WHAT HAPPENS POST PVC WITH
AS
MR
MVP
HOCM

A

AS INCREASE
MR DECREASE
MVP INCREASE
HOCM INCREASE

34
Q

WHAT HAPPENS WITH HANDGRIP IN
AS
MR
MVP
HOCM

A

AS DECREASE
MR INCREASE INTENSITY/DECREASE DURATION
MVP DECREASE
HOCM DECREASE

35
Q

+MURMUR AT LLSB -4TH ICS STERNAL BORDER, RADIATING THROUGH OUT THE PRECORDIUM AND NO CHANGE WITH RESPIRATION OR VALSALVA AND EKG+LVH DX?

A

VSD

36
Q

MOST COMMON MURMUR AT THE LLSB?

A

VSD - MC OVERALL
TR- MC IN ADULTS

CARDIOLOGY AWR (12 decks)

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