Heart Sounds Flashcards

1
Q

Systolic ejection murmur heard with

A

Aortic stenosis, pulmonic stenosis, atrial septal defect

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2
Q

Pan systolic murmur

A

Ventral septal defect, tricuspid regurg, mitral regurg, prolapse

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3
Q

Early diastolic murmur

A

Aortic regurg, pulmonic regurg

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4
Q

Mid diastolic murmur

A

Mitral stenosis, tricuspid stenosis

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5
Q
Crescendo decrescendo systolic murmur at base
Ejection click
Turbulent flow
Thrill
Radiates to neck/ carotid
A

Aortic stenosis

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6
Q

Pan systolic murmur heard at apex
Radiates to axilla

What dz is this heart sound associated w

A

Mitral regurg

Rheumatic dz

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7
Q
Crescendo decrescendo systolic murmur at base
Ejection click
Turbulent flow
Thrill
Radiates to neck/ L shoulder
A

Pulmonic valve stenosis

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8
Q

Pan systolic murmur heard at apex

Does not radiate

A

Tricuspid regurg

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9
Q

Mid to late (non-ejection) click

Heard at apex

A

Mitral prolapse

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10
Q

Pansystolic murmur heard best at LLSB

harsh blowing thrill

A

Ventral Septal Defect

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11
Q

Early diastolic murmur that decreases as pressure in the ventricle increases
Heard at L sternal border
Bounding carotid pulse
Radiates to apex

A

Aortic regurg

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12
Q

Early diastolic murmur that decreases as pressure in the ventricle increases
Heard at upper L sternal border
Bounding carotid pulse
Radiates to apex

A

Pulmonic regurg

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13
Q

Opening snap w mid diastolic rumble heard at the apex

A

Mitral stenosis

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14
Q

Murmurs that increase w squatting

A

Aortic stenosis
Aortic regurg
Tricuspid stenosis

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15
Q

Murmurs that increase w left lateral decubitus position

A

Mitral stenosis

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16
Q

Murmurs that increase w inhalation

A

Tricuspid stenosis
Tricuspid regurg
Pulmonic regurg
(R side of the heart)

17
Q

Murmurs that increase w exhalation

A

Mitral stenosis
Aortic regurg

(L side of the heart)

18
Q

Pathological wide S2 splitting

A

Pulmonic stenosis
Mitral
RBBB

19
Q

Pathological fixed S2 splitting

A

Atrial septal defect

R Ventricle failure

20
Q

Pathological paradoxical S2 splitting

A

LBBB

21
Q

Abnormal carotid upstroke- small, threads, weak

A

Cardiogenic shock

22
Q

Abnormal carotid upstroke- bounding

A

Aortic regurg

23
Q

Abnormal carotid upstroke- delayed

A

Aortic stenosis

24
Q

Lifts or heaves

A

Ventricular hypertrophy

Hyper dynamic ventricular activity

25
Q

Thrills

A

Stenosis
Septal defect
Blood flow through something narrow

26
Q

Continuous murmur

A

Patent ductus arteriosus

27
Q

To and fro sys/ diastolic murmur

A

Severe aortic regurg

Aortic stenosis

28
Q

Loud S1

A

Tachy, fever, HTN, exercise, anemia, hyperthyroidism, mitral stenosis

29
Q

Soft S1

A

Thick chest wall, emphysematous lungs

30
Q

S3- where is it heard

A

with bell at Apex

31
Q

Healthy S3

A

kids, preggos

32
Q

Abnormal S3

A

Ventricular gallop
Over age 40
Due to HF, anemia, volume overload of ventricle, decreased myocardial contractility

33
Q

S4- where is it heard

A

With bell at apex

34
Q

Healthy S4

A

Athletes

Geris

35
Q

Abnormal S4

A

Atrial gallop
Resistance in ventricular filling- stiff heart muscle
- HTN, CAD, AS, cardiomyopathy
- pulm HTN or pulm stenosis