Murmurs 2

Question 1

Hand Grip

Answer 1

Inc. Afterload
Inc. LEFT heart sounds: MR, AR, VSD
Dec. Hypertrophic heart sounds
MVP: Later onset of the mid-systolic click

Question 2

Valsalva/standing up

Answer 2

Dec. the venous return –> dec the preload
Dec. intensity of most murmurs
Inc. intensity of the hypertrophic heart murmur
MVP: earlier onset click/murmur

Question 3

Rapid squatting

Answer 3

Inc. venous return, inc. preload
Inc intensity of the Aortic stenosis
Dec intensity of hypertrophic cardiomyopathy murmur
MVP: later onset of the click/murmur

Question 4

Inspiration

Answer 4

Inc. Venous return to the heart

Inc the RIGHT heart sounds

Question 5

Aortic Area

Answer 5

Systolic: Aortic stenosis, Flow murmur, Aortic valve sclerosis

Question 6

Pulmonic Area

Answer 6

Systolic ejection murmur, pulmonic stenosis, Flow murmur

Question 7

Left infraclavicular region

Answer 7

Continous murmur, PDA

Question 8

Tricuspid Area

Answer 8

Pansystolic murmur: Tricuspid regurgitation, VSD

Diastolic: Tricuspid stenosis, ASD

Question 9

Mitral Area

Answer 9

Systolic murmur: mitral regurgitation

Diastolic murmur: Mitral stenosis

Question 10

Left Sternal Border

Answer 10

Diastolic: Aortic and Pulmonic Regurgitation

Systolic: Hypertrophic cardiomyopathy.