Heart Sounds Flashcards
Identify this heart murmur:
A. Decrescendo murmur
B. Holosystolic murmur
C. Crescendo-decrescendo murmur
D. Crescendo murmur
D. Crescendo murmur
This heart sound is:
A. A normal variant
B. Always pathologic
C. A pericardial friction rub
D. Caused by an atrial kick
A. A normal variant
(split S2)
Identify
opening snap
Is this heart sound systolic or diastolic?
A. Systolic
B. Diastolic
A. Systolic
(systolic decrescendo)
This heart sound is sometimes normally heard:
A. With expiration
B. Over a pericardial friction rub
C. With inspiration
D. During an acute MI
C. With inspiration
(Split S2)
Identify this heart sound:
A. Systolic decrescendo
B. Baseline
C. Opening snap
D. S3
B. Baseline
This heart sound is:
A. A normal variant
B. A pericardial friction rub
C. Always pathologic
D. Caused by an atrial kick
A. A normal variant
(Split S2)
This sound is caused by:
A. Opening of a calcified mitral valve
B. Atrial-septal defect
C. Closing of the tricuspid valve
D. An enlarged ventricle
A. Opening of a calcified mitral valve
(opening snap)
Is this heart sound systolic or diastolic?
A. Systolic
B. Diastolic
B. Diastolic
(opening snap)
Identify
Systolic musical murmur
What is the MC cause of a systolic decresendo murmur?
A systolic decrescendo murmur is usally mitral regurgitation
Identify this heart sound:
A. Systolic decrescendo murmur
B. Diastolic rumbling
C. S4
D. Opening snap
B. Diastolic rumbling
What is one of the hallmarks of a physiological split of S2?
One of the hallmarks of a physiological split of S2 is that it OCCURS during INSPIRATION and DISAPPEARS during EXSPIRATION.
Identify this heart sound:
A. Systolic decrescendo murmur
B. Split S2
C. Systolic crescendo murmur
D. Atrial kick
C. Systolic crescendo murmur
This sound is:
A. Caused by ventricular hypertrophy
B. Always pathologic
C. A normal variant
D. Caused by holding the stethoscope wrong
B. Always pathologic
(S3)
*No murmur in the diastolic phase is ever normal. They’re all pathological.
Is this heart sound systolic or diastolic?
A. Systolic
B. Diastolic
A. Systolic
(systolic musical)
This heart sound is:
A. Caused by an extra atrial contraction during diastole
B. A normal variant
C. Caused by calcification of the tricuspid valve
D. Normally heard during inspiration
A. Caused by an extra atrial contraction during diastole
(S4)
Identify this heart sound:
A. S3
B. S4
C. S1
D. Split S2
D. Split S2
Identify
Decrescendo Murmur
This is an illustration of:
A. A crescendo-decrescendo murmur
B. A holosystolic murmur
C. A decrescendo murmur
D. A crescendo murmur

C. A decrescendo murmur
Identify
Crescendo Murmur
Identify this heart murmur:
A. Crescendo-decrescendo murmur
B. Decrescendo murmur
C. Holosystolic murmur
D. Crescendo murmur
C. Holosystolic murmur
Identify
Holosystolic Murmur
Identify
NO MURMUR. This is a normal heart = Baseline.
Is this heart sound systolic or diastolic?
A. Systolic
B. Diastolic
B. Diastolic
(S3)
Identify
Split S2
Identify this heart sound:
A. S4
B. Opening snap
C. Diamond-shaped murmur
D. S3
A. S4
What is the MC cause of an diamond shaped systolic murmur?
In the case of a diamond shaped systolic mumur, the most common cause is AORTIC STENOSIS
Choose the correct statement:
A. S1 is systolic and S2 is diastolic
B. S1 is diastolic and S2 is systolic
C. S1 is systolic and S2 is systolic
D. S1 is diastolic and S2 is diastolic
A. S1 is systolic and S2 is diastolic
This is an illustration of:
A. A crescendo-decrescendo murmur
B. A holosystolic murmur
C. A decrescendo murmur
D. A crescendo murmur

B. A holosystolic murmur
Identify
S4
Identify this heart sound:
A. S3
B. S4
C. Holosystolic murmur
D. Diastolic rumbling
C. Holosystolic murmur
Identify this heart sound:
A. Opening snap
B. S4
C. Musical murmur
D. S3
D. S3
Identify
diastolic rumble
Another name for a diamond-shaped murmur is:
A. Sawtooth murmur
B. Crescendo-decrescendo murmur
C. Square murmur
D. Rumbling murmur
B. Crescendo-decrescendo murmur

Identify this heart sound:
A. S4
B. Systolic decrescendo murmur
C. Diastolic crescendo murmur
D. Holosystolic murmur
B. Systolic decrescendo murmur
S1 and S2 sounds are:
A. Present only if HR is above 120 BPM
B. Always pathologic
C. Normally heard
D. Only present after an acute MI
C. Normally heard
Identify
Holosystolic murmur
Identify this heart murmur:
A. Holosystolic murmur
B. Decrescendo murmur
C. Crescendo murmur
D. Musical murmur
B. Decrescendo murmur
Identify this heart sound:
A. Diamond-shaped murmur
B. Systolic rumbling
C. Opening snap
D. Normal S1/S2
C. Opening snap
Is this heart sound systolic or diastolic?
A. Systolic
B. Diastolic
A. Systolic
(Systolic Crescendo)
This is an illustration of:
A. A crescendo-decrescendo murmur
B. A holosystolic murmur
C. A decrescendo murmur
D. A crescendo murmur

A. A crescendo-decrescendo murmur
(diamond murmur)
Is this heart sound systolic or diastolic?
A. Systolic
B. Diastolic
A. Systolic
(Systolic decresendo)
Identify this heart murmur:
A. Crescendo murmur
B. Holosystolic murmur
C. Decrescendo murmur
D. Crescendo-decrescendo murmur
D. Crescendo-decrescendo murmur
(diamond murmur)
Identify
Systolic Crescendo
Identify
Diamond Murmur
This is an illustration of:
A. A crescendo-decrescendo murmur
B. A holosystolic murmur
C. A decrescendo murmur
D. A crescendo murmur

D. A crescendo murmur
Identify
Systolic Decrescendo
identify
S3
Is this heart sound systolic or diastolic?
A. Systolic
B. Diastolic
B. Diastolic
(diastolic rumble)
S1 is the sound of:
A. An atrial kick
B. The closing of the aortic and pulmonic valves
C. An atrophied mitral valve
D. The closing of the mitral and tricuspid valves
D. The closing of the mitral and tricuspid valves
What should you know about a murmur in the diastolic phase?
NO murmur in the diastolic phase is EVER normal. They’re ALL pathological.
Is this heart sound systolic or diastolic?
A. Systolic
B. Diastolic
B. Diastolic
(S4)