Heart Sounds

Question 1

wt sound should is indicative of Atrial septal defect?

Answer 1

split/fixed S2

Question 2

cause of crescendo-decrescendo systolic ejection murmur w soft S2?
3 Symptoms?

Answer 2

aortic stenosis

SAD
Syncope
Angina
Dyspnea

Question 3

2 cause of diastolic ejection murmur?

Answer 3

Aortic regurgitation

Mitral stenosis

Question 4

cause of machine like murmur?

2 associations?

Answer 4

Patent ductus arteriousus

Rubella and prematurity

Question 5

hw should pt be positioned in heart exam?

Answer 5

30 degrees

Question 6

wt is a thrill?

grade?

Answer 6

palpable murmur

grade 4 murmur

Question 7

when and where will a thrill associated with aortic and pulmonary stenosis?

Answer 7

Systole

aortic area

Question 8

when and where will a thrill associated with VSD?

Answer 8

systole 4th intercostal space

Question 9

when and where will a thrill associated with mitral regurgitation be heard?

Answer 9

systole

apex/mitral

Question 10

when and where will a thrill associated with TOF?

Answer 10

systole

left lower sternal border

Question 11

when and where will a thrill associated with PDA?

Answer 11

systole

left upper sternal border

Question 12

when and where will a thrill associated with aortic regurgitation?

Answer 12

diastole

right sternal border

Question 13

when and where will a thrill associated with mitral stenosis?

Answer 13

diastole

apex

Question 14

hw to improve hearing murmur for high pitched sounds?

Answer 14

sit up and leaning forward

Question 15

hw to improve hearing murmur for low pitched sounds?

Answer 15

supine in left lateral recumbent

Question 16

wt side of stethescope for low pitched sounds?

Answer 16

bell

Question 17

when is S1 heard?

cause?

Answer 17

beg of systole

closure of AV valves

Question 18

when is S2 heard??

cause?

Answer 18

end of systole

closure of semilunar valves

Question 19

when is S3 heard?

cause?

Answer 19

diastole

passive flow

Question 20

when is S4 heard?

cause?

Answer 20

diastole

atrial ejection

Question 21

when is splitting of S1 best heard?

Answer 21

expiration

Question 22

when is splitting of S2 best heard?

Answer 22

inspiraiton

Question 23

cause of high pitch murmur?

Answer 23

VSD

Question 24

cause of low pitch?

Answer 24

mitral stenosis

Question 25

murmur from what defect will not be affected by exercise or clenching fist?

Answer 25

A stenosis

Question 26

2 murmurs that get louder when sitting, standing or valsalva?
wt will decrease these?

Answer 26

HCOM
MVP

raising legs decreases

Question 27

condition w mid-systolic click?

Answer 27

MVP

Question 28

condition with rub heart sound?

Answer 28

pericarditis

Question 29

condition with snap heart sounds?

Answer 29

mitral stenosis

Question 30

wt grade are normal blood vessels?

Answer 30

2

Question 31

pulse seen in anxiety?

Answer 31

Bounding pulse

Question 32

pulse seen in LV failure?

Answer 32

pulsus alternans

Question 33

pulse seen in impaired circulation?

Answer 33

pulsus differens