murmurs

Question 1

what symptoms are characteristic of murmurs?

Answer 1

exertional

Question 2

what is paroxysmal nocturnal dyspnoea?

Answer 2

severe shortness of breath and coughing at night

Question 3

what are palpable heart murmurs called?

Answer 3

thrills

Question 4

where are you most likely to get pitting oedema in heart failure?

Answer 4

legs and sacrum

Question 5

which murmur do you get a tapping apex in?

Answer 5

mitral stenosis (rheuMS)

Question 6

what is a parasternal heave indicative of?

Answer 6

Right ventricular hypertropy (PH in RVH)

Question 7

pan systolic murmur?

Answer 7

mitral regurg

Question 8

which side of heart murmurs are louder with inspiration?

Answer 8

right (blood drawn to lungs)

Question 9

soft, position dependant, systolic murmur - worrying?

Answer 9

no

Question 10

which is the only valve to have 2 parts?

Answer 10

mitral

Question 11

pansystolic murmur radiating towards armpits>

Answer 11

mitral regurg

Question 12

why do you get left ventricular enlargement in MR?

Answer 12

left atrium getting filled more from left ventricle and pulmonary vein

Question 13

palpitations with MR?

Answer 13

AF

Question 14

what do you get splitting of in MR?

Answer 14

second heart sound

Question 15

symptomatic relief of mitral regurgitation?

Answer 15

ace inhibitors and diuretics

Question 16

function of ace inhibitors?

Answer 16

prevent cardiac remodelling

Question 17

Early diastolic murmur, best heard when patient is sitting forward and expiring

Answer 17

aortic regurg

Question 18

what kind of pulse might you get in aortic regurg

Answer 18

collapsing

Question 19

treatment of aortic regurg

Answer 19

ace inhibitor

Question 20

causes of mitral stenosis ?

Answer 20

congenital or rheumatic heart disease

Question 21

how would you describe MS, when would you hear it best?

Answer 21

rumbling mid diastolic murmur, best heard on expiration when patient dying on their side

Question 22

what might you hear on s1 in MS?

Answer 22

opening snap

Question 23

medical and surgical to fix mitral stenosis ?

Answer 23

balloon valvoplasty

vave replacement

Question 24

innocent murmurs?

Answer 24

soft
systolic
vary with position