Murmurs and such

Question 1

Thready carotid pulses

Answer 1

aortic stenosis

Question 2

Bounding pulses/widened pulse pressures

Answer 2

aortic regurg

Question 3

Left sided atrial enlargement and ventricular hypertrophy on CXR

Answer 3

Aortic valve disorders

Question 4

Atrial enlargement alone on CXR

Answer 4

Mitral valve disorders

Question 5

2nd right intercostal space

Answer 5

Aortic stenosis

Question 6

Apex

Answer 6

Mitral stenosis and regurg

Question 7

2nd-4th left intercostal space

Answer 7

Aortic regurgitation

Question 8

Radiates to neck and LSB

Answer 8

Aortic stenosis

Question 9

Radiates to left axilla

Answer 9

Mitral regurg

Question 10

Radiates to apex and RSB

Answer 10

Aortic regurgitation

Question 11

No radiation

Answer 11

Mitral stenosis

Question 12

Holosystolic

Answer 12

Mitral regurg

Tricuspid regurg

Question 13

Diastolic decrescendo blowing

Answer 13

Aortic regurg

Question 14

Diastolic rumble

Answer 14

Mitral stenosis

Question 15

Systolic crescendo-decrescendo

Answer 15

Aortic stenosis

Question 16

Harsh midsystolic ejection cresc-desrescedo

Answer 16

Pulmonic stenosis

Question 17

Left lower sternal boarder

Answer 17

Tricuspid regurgitation

Question 18

2nd-3rd left intercostal space

Answer 18

Pulmonic stenosis

Question 19

Radiate to right sternum and xiphoid area

Answer 19

Tricuspid regurg

Question 20

Radiate to left shoulder and neck

Answer 20

Pulmonic stenosis

Question 21

____ murmurs are intensified when pts sit up and lean forward

Answer 21

Aortic

Question 22

____ murmurs are intensified when pts lay on LEFT side

Answer 22

Mitral

Question 23

Squatting/leg raise/laying down increase ___ murmurs

Answer 23

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

Question 24

Squatting/leg raise/laying down decrease ___ murmurs

Answer 24

hypertrophic cardiomyopathy and MVP

Question 25

Valsalva/standing increase ___ murmurs

Answer 25

hypertrophic cardiomyopathy and MVP

Question 26

Valsalva/standing decrease ___ murmurs

Answer 26

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

Question 27

Inspiration increase venous return to (right/left) side

Answer 27

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

Question 28

Expiration increase venous return to (right/left) side

Answer 28

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

Question 29

Hand grip decreases ___ murmurs

Answer 29

AS MVP Hypertrophic cardiomyopathy

Question 30

Hand grip increases ___ murmurs

Answer 30

AR, MR (d/t increased backward flow) | MS (d/t increased afterload)

Question 31

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

Answer 31

increases, increases

Question 32

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

Answer 32

decreases, decreases

Question 33

Amyl nitrate increases ___ murmurs

Answer 33

AS MVP Hypertrophic cardiomyopathy

Question 34

Amyl nitrate decreases ___ murmurs

Answer 34

AR, MR

Question 35

Widely split fixed S2

Answer 35

ASD

Question 36

MC cause of paradoxical S2 split

Answer 36

Left bundle branch block Paradoxical split = occurs w/ expiration, disappears w/ inspiration

Question 37

Aortic Stenosis: (Wide/narrow) pulse pressure

Answer 37

Narrow

Question 38

Aortic Regurgitation: (Wide/narrow) pulse pressure

Answer 38

Wide

Question 39

pulsus parvus et tardus = | Seen in ___

Answer 39

Weak, delayed pulse | Aortic stenosis

Question 40

PDA: (Wide/narrow) pulse pressure

Answer 40

Wide | Bounding peripheral pulses

Question 41

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

Answer 41

WIDE FIXED split S2 SYSTOLIC heart over PULMONIC REGION

Question 42

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

Answer 42

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

Question 43

Opening snap associated with ___

Answer 43

Mitral stenosis