Murmur sounds

Question 1

MR - Chronic

Answer 1

Loud Holosystolic high pitched murmur heard at APEX/LLSB in Left lateral Decubitus

Question 2

PS

Answer 2

Systolic (CRES-DEC) heard w/ bell or diaphragm at LUSB and sometimes w/ Early Systolic EC

Question 3

SML VSD

Answer 3

Holosystolic harsh low pitch LLSB grade 2-3

Question 4

What murmurs require no further w/u?

Answer 4

Asymptomatic Mid-systolic grade 2 or less

Continuous murmur that disappears supine and asymptomatic (ex Venous hum)

Question 5

Continuous murmurs are a function of

Answer 5

Persistent pressure gradients between 2 structures during diastole and systole

Question 6

HCM

Answer 6

Systolic (CRES-DEC) heard at ERBS

Question 7

Which murmur radiates to RLSB?

Answer 7

TR

Question 8

PDA

Answer 8

Loud machine like murmur heard throughout cycle at the LUSB

Question 9

What prompts MVP echo?

Answer 9

Auscultation findings

Question 10

PS severity determined by

Answer 10

> 80mmHg

Question 11

Which murmurs are Holosystolic?

Answer 11

TR, MR

Question 12

AS

Answer 12

Harsh systolic (CRES-DEC) ejection heard at RUSB w/ Bell/Diaphragm and maybe APEX (15%)

Question 13

What two murmurs radiate to axilla?

Answer 13

MR and MVP

Question 14

Ebsteins

Answer 14

TR - Systolic murmur

Question 15

Giant A waves

Answer 15

TS

Question 16

MR - Acute

Answer 16

Early to mid systolic loud pitched (DEC)

Question 17

Which murmurs are Systolic ejection?

Answer 17

AS, PS

Question 18

ASD is associated with what murmur?

Answer 18

TS - mid diastolic

PS - Soft mid systolic

Question 19

Lost Y descent

Answer 19

Tamponade

Question 20

TR

Answer 20

Holosystolic blowing heard w/ diaphragm at LLSB

Question 21

PR

Answer 21

Early Diastolic w/ EC @ LUSB

Question 22

MC murmur is US

Answer 22

AS (Bicupid)

Question 23

Austin Flint

Answer 23

Mid-diastolic low pitched rumbling

Seen with AR due to NL diastolic filling hitting partially closed anterior MV leaflet

Question 24

AR severity determined by

Answer 24

Duration of murmur (10-15 yrs asymptomatic)

Question 25

What does mummer of VSD change into with increased PVR?

Answer 25

L > R causes Diastolic murmur

Question 26

TS

Answer 26

Diastolic low pitched rumble heard w/ bell at LLSB

Question 27

AS severity determined by

Answer 27

Velocity

Question 28

PDA

Answer 28

Machine like heard at infra-clavicular area

Question 29

TOF

Answer 29

PS - Mild systolic EJ with single loud S2

Possible VSD murmur (Holosystolic)

Question 30

Dominant X descent

Answer 30

Pericardial Effusion

Question 31

AR

Answer 31

Diastolic High pitch blowing best heard at ERBs or w/ Aortic root etiology leaning forward upon exhale/hold

Question 32

MS

Answer 32

Mid-late diastolic low pitche rumbling (DEC) w/ OS after S2 heard best at APEX/LLSB in Left Lat Decubitus

Question 33

MVP

Answer 33

Mid Systolic click w/ late systolic murmur heard @ APEX

Question 34

Prom V waves

Answer 34

TR

Question 35

MS severity determined by

Answer 35

Duration

Question 36

What causes AR to intensify?

Answer 36

SItting up, leaning forward, and exhaling

Question 37

Cyanosis lesion causing prominence A wave

Answer 37

Eisenmenger syndrome

Question 38

Venous hum

Answer 38

Turbulent blood flow in jugular veins (MC) in peds heard best over clavicles and loudest during diastole

Question 39

Graham-Steele

Answer 39

Diastolic high pitched (DEC) @ LSB
Seen with PR, caused by Pulmonary HTN
Indistinguishable from AR

Question 40

WHich murmurs are early diastolic?

Answer 40

AR, PR