Murmurs--Johns

Question 1

Aortic Stenosis

• murmur type*
• where is it heard best*

Answer 1

systolic murmur

heard best over base of heart, also shooting up into carotids

Question 2

Mitral Regurgitation

• murmur type*
• where is it heard best*

Answer 2

systolic murmur

heard best over apex of heart

radiates to axilla

Question 3

Mitral Stenosis

• murmur type*
• where is it heard best*

Answer 3

diastolic murmur

(low-pitched rumble)

heard best w/ bell over apex of heart

Question 4

Aortic Regurgitation

• murmur type*
• where is it heard best*

Answer 4

diastolic murmur

base of heart

Question 5

Mitral Valve Prolapse

• murmur type*
• where is it heard best*

Answer 5

systolic murmur

apex

Question 6

Physical exam findings of aortic regurgitation

Answer 6

bounding pulses

high pulse pressure

Question 7

Mitral valve prolapse

pathophysiology

Answer 7

myxomatous degeneration of posterior leaflet

Question 8

Sx of aortic stenosis

and their pathophysiology

Answer 8

angina

syncope

due to obstruction of flow through coronary arteries, causing angina and decreased perfusion of the brain, causing sycope

Question 9

Why is it such a good thing to know when someone has asymptomatic aortic regurgitation?

Answer 9

because one it becomes symptomatic it has usually caused signifigant left ventricular hypertrophy

Question 10

When does a mitral valve get replaced?

Answer 10

only once Sx start to interfere with daily life

Question 11

What unusual pathology can cause aortic insufficiency?

Answer 11

blunt trauma

such as airbags