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Patient Assessment II > Heart Sounds > Flashcards

Heart Sounds Flashcards

1
Q

Identify this heart murmur:

A. Decrescendo murmur

B. Holosystolic murmur

C. Crescendo-decrescendo murmur

D. Crescendo murmur

A

D. Crescendo murmur

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1
Q

This heart sound is:

A. A normal variant

B. Always pathologic

C. A pericardial friction rub

D. Caused by an atrial kick

A

A. A normal variant

(split S2)

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1
Q

Identify

A

opening snap

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2
Q

Is this heart sound systolic or diastolic?

A. Systolic

B. Diastolic

A

A. Systolic

(systolic decrescendo)

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3
Q

This heart sound is sometimes normally heard:

A. With expiration

B. Over a pericardial friction rub

C. With inspiration

D. During an acute MI

A

C. With inspiration

(Split S2)

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4
Q

Identify this heart sound:

A. Systolic decrescendo

B. Baseline

C. Opening snap

D. S3

A

B. Baseline

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5
Q

This heart sound is:

A. A normal variant

B. A pericardial friction rub

C. Always pathologic

D. Caused by an atrial kick

A

A. A normal variant

(Split S2)

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7
Q

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

A. Opening of a calcified mitral valve

(opening snap)

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7
Q

Is this heart sound systolic or diastolic?

A. Systolic

B. Diastolic

A

B. Diastolic

(opening snap)

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8
Q

Identify

A

Systolic musical murmur

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9
Q

What is the MC cause of a systolic decresendo murmur?

A

A systolic decrescendo murmur is usally mitral regurgitation

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10
Q

Identify this heart sound:

A. Systolic decrescendo murmur

B. Diastolic rumbling

C. S4

D. Opening snap

A

B. Diastolic rumbling

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11
Q

What is one of the hallmarks of a physiological split of S2?

A

One of the hallmarks of a physiological split of S2 is that it OCCURS during INSPIRATION and DISAPPEARS during EXSPIRATION.

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12
Q

Identify this heart sound:

A. Systolic decrescendo murmur

B. Split S2

C. Systolic crescendo murmur

D. Atrial kick

A

C. Systolic crescendo murmur

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12
Q

This sound is:

A. Caused by ventricular hypertrophy

B. Always pathologic

C. A normal variant

D. Caused by holding the stethoscope wrong

A

B. Always pathologic

(S3)

*No murmur in the diastolic phase is ever normal. They’re all pathological.

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12
Q

Is this heart sound systolic or diastolic?

A. Systolic

B. Diastolic

A

A. Systolic

(systolic musical)

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12
Q

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

A. Caused by an extra atrial contraction during diastole

(S4)

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13
Q

Identify this heart sound:

A. S3

B. S4

C. S1

D. Split S2

A

D. Split S2

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14
Q

Identify

A

Decrescendo Murmur

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15
Q

This is an illustration of:

A. A crescendo-decrescendo murmur

B. A holosystolic murmur

C. A decrescendo murmur

D. A crescendo murmur

A

C. A decrescendo murmur

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17
Q

Identify

A

Crescendo Murmur

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18
Q

Identify this heart murmur:

A. Crescendo-decrescendo murmur

B. Decrescendo murmur

C. Holosystolic murmur

D. Crescendo murmur

A

C. Holosystolic murmur

19
Q

Identify

A

Holosystolic Murmur

20
Q

Identify

A

NO MURMUR. This is a normal heart = Baseline.

22
Q

Is this heart sound systolic or diastolic?

A. Systolic

B. Diastolic

A

B. Diastolic

(S3)

23
Q

Identify

A

Split S2

25
Q

Identify this heart sound:

A. S4

B. Opening snap

C. Diamond-shaped murmur

D. S3

A

A. S4

26
Q

What is the MC cause of an diamond shaped systolic murmur?

A

In the case of a diamond shaped systolic mumur, the most common cause is AORTIC STENOSIS

27
Q

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

A. S1 is systolic and S2 is diastolic

28
Q

This is an illustration of:

A. A crescendo-decrescendo murmur

B. A holosystolic murmur

C. A decrescendo murmur

D. A crescendo murmur

A

B. A holosystolic murmur

29
Q

Identify

A

S4

30
Q

Identify this heart sound:

A. S3

B. S4

C. Holosystolic murmur

D. Diastolic rumbling

A

C. Holosystolic murmur

32
Q

Identify this heart sound:

A. Opening snap

B. S4

C. Musical murmur

D. S3

A

D. S3

33
Q

Identify

A

diastolic rumble

34
Q

Another name for a diamond-shaped murmur is:

A. Sawtooth murmur

B. Crescendo-decrescendo murmur

C. Square murmur

D. Rumbling murmur

A

B. Crescendo-decrescendo murmur

35
Q

Identify this heart sound:

A. S4

B. Systolic decrescendo murmur

C. Diastolic crescendo murmur

D. Holosystolic murmur

A

B. Systolic decrescendo murmur

37
Q

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

A

C. Normally heard

38
Q

Identify

A

Holosystolic murmur

38
Q

Identify this heart murmur:

A. Holosystolic murmur

B. Decrescendo murmur

C. Crescendo murmur

D. Musical murmur

A

B. Decrescendo murmur

39
Q

Identify this heart sound:

A. Diamond-shaped murmur

B. Systolic rumbling

C. Opening snap

D. Normal S1/S2

A

C. Opening snap

40
Q

Is this heart sound systolic or diastolic?

A. Systolic

B. Diastolic

A

A. Systolic

(Systolic Crescendo)

41
Q

This is an illustration of:

A. A crescendo-decrescendo murmur

B. A holosystolic murmur

C. A decrescendo murmur

D. A crescendo murmur

A

A. A crescendo-decrescendo murmur

(diamond murmur)

42
Q

Is this heart sound systolic or diastolic?

A. Systolic

B. Diastolic

A

A. Systolic

(Systolic decresendo)

44
Q

Identify this heart murmur:

A. Crescendo murmur

B. Holosystolic murmur

C. Decrescendo murmur

D. Crescendo-decrescendo murmur

A

D. Crescendo-decrescendo murmur

(diamond murmur)

45
Q

Identify

A

Systolic Crescendo

46
Q

Identify

A

Diamond Murmur

47
Q

This is an illustration of:

A. A crescendo-decrescendo murmur

B. A holosystolic murmur

C. A decrescendo murmur

D. A crescendo murmur

A

D. A crescendo murmur

48
Q

Identify

A

Systolic Decrescendo

49
Q

identify

A

S3

50
Q

Is this heart sound systolic or diastolic?

A. Systolic

B. Diastolic

A

B. Diastolic

(diastolic rumble)

51
Q

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

A

D. The closing of the mitral and tricuspid valves

52
Q

What should you know about a murmur in the diastolic phase?

A

NO murmur in the diastolic phase is EVER normal. They’re ALL pathological.

53
Q

Is this heart sound systolic or diastolic?

A. Systolic

B. Diastolic

A

B. Diastolic

(S4)

Patient Assessment II (1 decks)

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