Murmurs

Question 1

What grade murmur should you always say??

Answer 1

Grade III

Question 2

which type of murmur is longer?

Answer 2

diastolic murmurs are longer than systolic

Question 3

Location of murmurs on chest

Answer 3

R parasternal border - Aortic
L parasternal border - pulmonary
L 3rd intercostal space - tricuspid
L 5th intercostal space - mitral

Question 4

Aortic Stenosis

Answer 4

Systolic murmur
Heard best over base
Causes
1. degenerative calcification
2. rheumatic
3. congenital bicuspid

Question 5

Mitral Regurgitation

Answer 5

Holosystolic murmur
heard best at apex
Causes
1. rheumatic heart disease
2. congential
3. acute MI w/ papillary dysfunction

Question 6

Mitral Stenosis

Answer 6

Diastolic murmur (low pitched)
heard best at apex, opening snap
Causes
1. rheumatic

Question 7

Aortic Insufficiency

Answer 7

Diastolic murmur (high pitched)
heard best over base (water hammer pulse)
Causes
1. 2/3 rheumatic
2. endocarditis
LV dysfunction (hypertrophy)

Question 8

Mitral Valve Prolapse

Answer 8

mid or late systolic click
heard best at apex
Causes 
1. congenital
2. common --> can be benign