murmurs Flashcards

1
Q

Aortic Stenosis has what kind of murmur?

A

systolic ejection crescendo-decrescendo murmur radiating to neck (carotid)

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2
Q

where is the systolic ejection murmur in aortic stenosis best heard?

A

right upper sternal border

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3
Q

the systolic ejection crescendo-decrescendo murmur in aortic stenosis _____ intensity with the valsalva maneuver

A

decreases

murmur decreases with decreased venous return
valsalva

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4
Q

murmur found with aortic regurgitation

A

diastolic, decrescendo blowing murmur

high pitched

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5
Q

where is the murmur in aortic regurgitation best heard?

A

left upper sternal border

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6
Q

where is the best place to hear an Austin flint murmur?

A

apex

mid-to late diastolic rumble at apex

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7
Q

an opening snap is heard with what disease?

A

mitral stenosis

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8
Q

heart sounds on physical exam for mitral stenosis

A

loud S1, may have spit S2 before opening snap
opening snap
early mid diastolic rumble at apex

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9
Q

the early mid diastolic rumble at apex in mitral stenosis is best heard in what position?

A

left lateral decubitus position

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10
Q

what are the systolic murmurs?

A

AS/PS
MR/TR
MVP

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11
Q

What are the diastolic murmers

A

AR/PR

MS/TS

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12
Q

aortic stenosis murmur is heard where?

A

2 RICS/ RUSB

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13
Q

pulmonic stenosis murmur is heard where?

A

2-3 LICS/LUSB

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14
Q

describe the murmur heard with pulmonic stenosis

A

crescendo-decrescendo, may hear early pulmonic ejection sound

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15
Q

aortic regurgitation Austin flint/ mid systolic murmur is best heard where?

A

2-4 LICS

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16
Q

pulmonic regurgitation murmur is best hear where?

17
Q

mitral stenosis murmur is best heard where?

A

apex of heart (mitral valve)

18
Q

characteristics of mitral stenosis murmur

A

Opening snap

S1 sound

19
Q

mitral regurgitation murmur is best heard where?

A

apex of heart (mitral valve)

20
Q

characteristics of mitral regurgitation murmur

A

decreased S2 sound

21
Q

tricuspid regurgitation murmur is best heard where?

22
Q

tricuspid regurgitation murmur is often described as a ______ murmur

A

holosystolic

23
Q

hypertrophic cardiomyopathy has a murmur best heard where?

24
Q

hypertrophic cardiomyopathy crescendo-decrescendo murmur _____ intensity with the valsalva maneuver

A

increases
murmur increases with decreased venous return
(valsalva)

25
murmurs heard at 2 RICS
aortic stenosis
26
murmurs heard at LUSB/2-3 LICS
pulmonic stenosis
27
murmurs heard at 2-4 LICS
aortic and pulmonic regurgitation
28
murmurs heard at the apex
mitral stenosis/regurgitation
29
murmurs heard at the LLSB
tricuspid regurgitation | hypertrophic cardiomyopathy
30
dilated/ restrictive cardiomyopathy may have what extra heart sound associated with it?
S3