Intro to murmurs

Question 1

What murmur radiates to LRSB?

Answer 1

TR

Question 2

Grades of diastolic

Answer 2

1- Barely heard
2- Faint but heard
3- Easy
4- Loud

Question 3

What is the order of heart sounds?

Answer 3

S4, S1-EC-S2, OS, S3

Question 4

What does MSTAPR S2S stand for?

Answer 4

Diastolic murmurs

TS, PR, MS, AR and Split of S2

Question 5

What are the continuous murmurs and which one is innocent?

Answer 5

PDA
AV Malformation
Venous hum (Innocent)

Question 6

Murmurs that require refer, echo, cath?

Answer 6

Midsystolic Grade 1 or 2 w/ S/S
Any other systolic murmur
Any diastolic murmur
Symptomatic child and murmur remains when supine

Question 7

What does MRTAPS Home stand for?

Answer 7

Systolic murmurs

TR, PS, MR, AS, and HCM

Question 8

Left sternal border murmur types?

Answer 8

Early diastolic murmurs

AR, PR

Question 9

What murmurs radiate to Axilla?

Answer 9

MR & MVP

Question 10

Pansystolic murmur types?

Answer 10

MR, TR, VSD

Question 11

Where does AS radiate?

Answer 11

Neck

Question 12

What murmurs are pathological?

Answer 12

All diastolic
All holosystolic
Late systolic
Loud murmurs >2 grade
Continuous murmurs other than venous hum

Question 13

What type of murmur is PS?

Answer 13

Flow murmur

Systolic ejection type

Question 14

What murmurs are mid to late diastolic murmurs?

Answer 14

MS, TS, ASD

Question 15

What are indicators that a murmur is benign?

Answer 15

Soft (Grade 1 or 2)
Varies w/ respiration’s
No family hx
NL exam or W/U
Early to mid systolic

Question 16

Aortic area murmur type?

Answer 16

Flow murmur

Systolic Ejection type murmurs

Question 17

Grades of systolic murmurs

Answer 17

1- Barely heard
2- Faint but heard
3- Easily
4- Easily w/ thrill
5- Loud (Light)
6- Very Loud (No stethoscope pressure)