Murmurs- Johns

Question 1

Systolic Murmur
Cresendo-Decresendo
Loudest at base
Radiates to carotids

Answer 1

Aortic Stenosis

Can lead to SAD
Syncope
Angina
Dyspnea

Question 2

Holosytolic
Blowing murmur
Loudest at apex
Radiates towards axilla

Answer 2

Mitral Regurgitation

Associated symptoms:
Pulmonary edema

Question 3

Which murmur do you get a water hammer pulse?

Answer 3

Aortic regurgitation

Super strong pulse, because they have high systolic pressure

Question 4

What grade do you start feeling a thrill?

Answer 4

Grade 4

Question 5

Diastolic murmur
best heard at the apex w/ patient in left lateral recumbent position
Low pitched (rumble)
Opening Snap is heard

Answer 5

Mitral stenosis

Question 6

Which murmur has mid systolic click?

Answer 6

Mitral valve prolapse

Question 7

What drugs are contraindicated in diastolic dysfunction?

Answer 7

ACE inhibitors!
Dilate arteries and veins
Decrease preload, and don’t want don’t do that for diastolic dysfunction!

Use Beta-blocker instead! To allow more time for ventricular filling