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PANCE > Murmurs and such > Flashcards

Murmurs and such Flashcards

1
Q

Thready carotid pulses

A

aortic stenosis

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2
Q

Bounding pulses/widened pulse pressures

A

aortic regurg

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3
Q

Left sided atrial enlargement and ventricular hypertrophy on CXR

A

Aortic valve disorders

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4
Q

Atrial enlargement alone on CXR

A

Mitral valve disorders

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5
Q

2nd right intercostal space

A

Aortic stenosis

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6
Q

Apex

A

Mitral stenosis and regurg

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7
Q

2nd-4th left intercostal space

A

Aortic regurgitation

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8
Q

Radiates to neck and LSB

A

Aortic stenosis

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9
Q

Radiates to left axilla

A

Mitral regurg

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10
Q

Radiates to apex and RSB

A

Aortic regurgitation

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11
Q

No radiation

A

Mitral stenosis

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12
Q

Holosystolic

A

Mitral regurg

Tricuspid regurg

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13
Q

Diastolic decrescendo blowing

A

Aortic regurg

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14
Q

Diastolic rumble

A

Mitral stenosis

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15
Q

Systolic crescendo-decrescendo

A

Aortic stenosis

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16
Q

Harsh midsystolic ejection cresc-desrescedo

A

Pulmonic stenosis

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17
Q

Left lower sternal boarder

A

Tricuspid regurgitation

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18
Q

2nd-3rd left intercostal space

A

Pulmonic stenosis

19
Q

Radiate to right sternum and xiphoid area

A

Tricuspid regurg

20
Q

Radiate to left shoulder and neck

A

Pulmonic stenosis

21
Q

____ murmurs are intensified when pts sit up and lean forward

A

Aortic

22
Q

____ murmurs are intensified when pts lay on LEFT side

A

Mitral

23
Q

Squatting/leg raise/laying down increase ___ murmurs

A

All murmurs (increase venous return) EXCEPT hypertrophic cardiomyopathy and MVP

24
Q

Squatting/leg raise/laying down decrease ___ murmurs

A

hypertrophic cardiomyopathy and MVP

25
Q

Valsalva/standing increase ___ murmurs

A

hypertrophic cardiomyopathy and MVP

26
Q

Valsalva/standing decrease ___ murmurs

A

All murmurs (decrease venous return) EXCEPT hypertrophic cardiomyopathy and MVP

27
Q

Inspiration increase venous return to (right/left) side

A

right –> right sided murmurs (pulmonic/tricuspid) best heard w/ inspiration

28
Q

Expiration increase venous return to (right/left) side

A

left –> left sided murmurs (aortic/mitral) best heard w/ expiration

29
Q

Hand grip decreases ___ murmurs

A

AS
MVP
Hypertrophic cardiomyopathy

30
Q

Hand grip increases ___ murmurs

A

AR, MR (d/t increased backward flow)

MS (d/t increased afterload)

31
Q

Hand grip (increases/decreases) afterload and (increases/decreases) backward flow

A

increases, increases

32
Q

Amyl nitrate (increases/decreases) afterload and (increases/decreases) backward flow

A

decreases, decreases

33
Q

Amyl nitrate increases ___ murmurs

A

AS
MVP
Hypertrophic cardiomyopathy

34
Q

Amyl nitrate decreases ___ murmurs

A

AR, MR

35
Q

Widely split fixed S2

A

ASD

36
Q

MC cause of paradoxical S2 split

A

Left bundle branch block

Paradoxical split = occurs w/ expiration, disappears w/ inspiration

37
Q

Aortic Stenosis: (Wide/narrow) pulse pressure

A

Narrow

38
Q

Aortic Regurgitation: (Wide/narrow) pulse pressure

A

Wide

39
Q

pulsus parvus et tardus =

Seen in ___

A

Weak, delayed pulse

Aortic stenosis

40
Q

PDA: (Wide/narrow) pulse pressure

A

Wide

Bounding peripheral pulses

41
Q

(Wide/narrow) (paradoxical/ fixed) split S2 and Grade II/VI (diastolyic/systolic) mumur heard at ____ in Atrial Septal Defect

A

WIDE FIXED split S2 SYSTOLIC heart over PULMONIC REGION

42
Q

(Wide/narrow) (paradoxical/ fixed) split S2 and Grade III/VI HOLO(diastolyic/systolic) mumur heard at ____ in Ventricular Septal Defect

A

WIDE FIXED split S2 and Grade III/VI HOLOSYSTOLIC mumur heard at LEFT STERNAL BORDER in Ventricular Septal Defect

43
Q

Opening snap associated with ___

A

Mitral stenosis

PANCE (20 decks)

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