Murmurs

Question 1

Listen for aortic regurgitation and pulmonic regurgitation at the ________

Answer 1

LSB

Question 2

Listen for hypertrophic cardiomyopathy at the _________

Answer 2

LSB

Question 3

Listen for aortic stenosis, flow murmur at the _______

Answer 3

Aortic area

Question 4

Listen for pulmonic stenosis, PDA at the _________

Answer 4

Pulmonic area

Question 5

Listen for tricuspid regurgitation and VSD at the _________

Answer 5

Tricuspid area

Question 6

Listen for tricuspid stenosis and ASD at the __________

Answer 6

Tricuspid area

Question 7

Listen for mitral regurge/stenosis at the ________

Answer 7

Mitral area

Question 8

Holosystolic, high-pitched blowing murmur - loudest at the apex, radiates toward axilla

Answer 8

mitral regurgitation

Question 9

Inspiration increases

Answer 9

intensity of right heart sounds

Question 10

Expiration increases

Answer 10

intensity of left heart sounds

Question 11

MR is enhanced by

Answer 11

1. Increases in afterload (squatting/hand grip)

2. LA return (expiration)

Question 12

Holosystolic, high-pitched blowing murmur - loudest at the tricuspid area and radiates to the right sternal border

Answer 12

TR

Question 13

TR is enhanced by

Answer 13

1. RA return (inspiration)

Question 14

Crescendo-decrescendo systolic ejection murmur following ejection click - radiates to carotids/heart base

Answer 14

Aortic stenosis

Question 15

Pulsus parvus et tardus

Answer 15

Aortic stenosis

Question 16

SAD - Syncope, Angina, Dyspnea on exertion

Answer 16

Aortic stenosis

Question 17

Holosystolic, harsh-sounding murmur - loudest at the tricuspid area

Answer 17

VSD

Question 18

VSD is enhanced by

Answer 18

1. Increasing afterload (hand grip)

Question 19

Late systolic crescendo murmur with midsystolic click - best heard over apex

Answer 19

MVP

Question 20

Most frequent valvular lesion

Answer 20

MVP

Question 21

MVP is enhanced by

Answer 21

1. Decreased venous return (smaller cavity) - standing or valsalva

Question 22

Immediate, high-pitched blowing diastolic decrescendo murmur

Answer 22

Aortic regurgitation

Question 23

Wide pulse pressure, hyperdynamic circulation (bounding pulses, head bobbing, pulsating nail bed)

Answer 23

AR

Question 24

AR is enhanced by

Answer 24

1. Increased afterload (hand grip)

Question 25

AR is made softer by

Answer 25

2. Decreased afterload (vasodilators)

Question 26

Delayed rumbling late diastolic murmur, follows opening snap

Answer 26

MS

Question 27

MS is enhanced by

Answer 27

1. Increased LA return (expiration)

Question 28

Continuous machine like murmur, loudest at S2, often due to congenital rubella, best heard at infraclavicular/pulmonic area

Answer 28

PDA