Murmurs and heart stuff Flashcards

1
Q

What sided murmurs increase on inspiration?

A

right

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2
Q

What sided murmurs increase on expiration?

A

left

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3
Q

4 Diastolic murmurs

A

MS, TS, AR, PR

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4
Q

4 systolic murmurs

A

AS, PS, MR, TR

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5
Q

two murmurs heard at L lower sternal border?

A

TR, VSD

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6
Q

murmur heard at L mid clavicular line in 4th, 5th intercostal space

A

MS

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7
Q

loud murmur, stenosis or regurg?

A

stenosis

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8
Q

soft, blowing murmur, stenosis or regurg

A

regurg

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9
Q

3 ddx for holosystolic/pansystolic murmurs?

A

MR, TR, VSD

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10
Q

murmur that is crescendo decrescendo

A

AS

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11
Q

decrescendo murmur

A

AR

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12
Q

murmur radiates to carotids

A

AS

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13
Q

murmur radiates to axilla

A

MR

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14
Q

reproductive age girl with murmur, dx?

A

MVP

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15
Q

MCC of AS in younger pt

A

bicuspid aortic valve

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16
Q

valves associated with rheumatic fever and endocarditis

A

MV and TV

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17
Q

mid systolic click

A

MVP

18
Q

myxomatous degeneration

A

MVP

19
Q

2 murmurs get softer with increased preload

A

HOCM and MVP

20
Q

what does squatting do to preload?

A

increase

21
Q

what does handgrip do to afterload?

A

increase

22
Q

what does valsalva do to preload?

A

decrease

23
Q

what does standing up to do preload?

A

decrease

24
Q

continuous machine like murmur

A

PDA

25
Q

congenital defect increases oxygenation in RV

A

VSD

26
Q

congenital defect increases oxygenation in RA and RV

A

ASD

27
Q

what causes fixed split?

A

ASD

28
Q

2 things cause a wide split?

A

PS, RBBB

29
Q

2 things cause a paradoxical split?

A

AS, LBBB

30
Q

holosystolic murmur louder with inspiration at the L lower sternal border

A

TR

31
Q

diastolic murmur with widened pulse pressure

A

AR

32
Q

systolic ejection murmur heard best at second left intercostal space

A

PS

33
Q

systolic murmur heard best in L lower sternal border that increases with inspiration

A

TR

34
Q

pulsus parvus et tardus (pulse is weak and late) is associated with what murmur

A

AS

35
Q

Loud S1, opening snap, louder on expiration

A

MS

36
Q

S3 heart sound suggest volume or pressure?

A

volume

37
Q

water hammer pulse, bounding and forceful, rapidly increasing and subsequently collapsing

A

AR

38
Q

capillary pulse in finger and toe nails, Quinke sign, what murmur?

A

AR

39
Q

PDA is associated with which congenital infection?

A

Rubella

40
Q

S4 heart sound suggest volume or pressure?

A

pressure

41
Q

murmur heard best in the L lateral decubitus position

A

MS