Heart Sounds Trigger

Question 1

decreased MVP is caused by what position (standing or squatting)

Answer 1

squatting

standing increases it

Question 2

increased obstruction of HCM is caused by what position (standing or squatting)

Answer 2

standing

squatting decreases it

Question 3

increase AS is caused by standing or squatting

Answer 3

squatting

Question 4

this sound is normal in children, 3rd trimester and young adults but abnormal in everyone else

Answer 4

S3

Question 5

this sound implies deceased myocardial contractility, CHF or volume overload of the ventricle

Answer 5

S3 in an older patient

Question 6

this sound marks atrial contraction

Answer 6

S4

Question 7

this sound implies increased resistance to ventricular filling

Answer 7

S4

Question 8

this sound could be suggestive of HTN, CAD or cardiomyopathy

Answer 8

S4

Question 9

this sound could indicate AS

Answer 9

S4

Question 10

this sound is accentuated in tachycardia and high cardiac output states

Answer 10

S1! also in MS

Question 11

caused by hearing the MV and the TV closing at one post

Answer 11

S1 splitting

Question 12

what makes S1 splitting abmormal

Answer 12

RBBB and PVCs

normal as long as these arent present

Question 13

caused by hearing the AV and the PV closing at one post

Answer 13

Splitting of S2

Question 14

what is normal S2 splitting

Answer 14

only heard on inspiration, disappears in expiration

Question 15

what is abnormal S2 splitting

Answer 15

heard persisting throughout the respiratory cycle

Question 16

this sound implies delayed closure of PV and/or early closure of AV

Answer 16

pathologic S2 splitting

Question 17

what type of murmur always implies a pathological condition

Answer 17

pan/holosystolic murmurs

Question 18

this murmur is enhanced by anemia, pregnancy and hyperthyroidism

Answer 18

physiologic midsystolic murmur

Question 19

what murmurs are d/t incompitent semilunar valves

Answer 19

diastolic murmurs

Question 20

murmur heard in the medial 3rd of hte clavicles that is louder in diastole

Answer 20

venous hum (MC in children)

Question 21

Congenital defect that leaves a channel between the aorta and pulmonary artery

give the name! not just acronym

Answer 21

patent ductus arteriousus

Question 22

this is louder in systolic and is a very harsh and loud noise. MACHINERY like noise

Answer 22

Patent ductus arteriousus

sounds like AS but more harsh and loud

Question 23

when TTE has poor surface transmission what test is used

Answer 23

TEE