murmurs only Flashcards

1
Q

which murmur has these features?

  • diamond
  • heard in RUSR, radiate to carotids
  • very common
  • LVH, dyspnea or syncope on exertion
A

AS

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2
Q

which murmur has these features?

  • pan/holosystolic
  • blowing sound
  • heard at apex and radiates to the L axilla region
A

MR

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3
Q

which murmur has these features?

  • decrescendo
  • high pitch
  • lean forward to hear better
  • water hammer pulse
A

AR

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4
Q

which murmur has these features?

  • opening snap
  • low pitch
  • heard better in LLD position
A

MS

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5
Q

only condition that has mid-systolic click as a descriptor?

A

MVP

common in young, healthy people

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6
Q

congenital defect where you see wide fixed S2 split in pulmonic region during systole

A

ASD

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7
Q

congenital defect where you here pansystolic murmur, S3, thrill and harsh/blowing?

A

VSD

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8
Q

____ decreases most murmurs except MVP and HCP; also ____ venous return

A

valsalva; decreases venous return

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9
Q

____ INcreases most murmurs except MVP and HCP; also ____ venous return

A

squatting; increases venous return

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10
Q

3s’s of innocent murmurs

A
  • systolic
  • soft
  • short
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11
Q

diagnostic test for new murmurs

A

echocardiogram

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12
Q

pansystolic murmurs are found with which two conditions

A

MR
VSD

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13
Q

begins right after SI and lasts to or through S2; of blowing quality with even intensity

A

pansystolic

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14
Q

begins shortly after S1, increase to peak and rapidly decrease to finish shortly before S2; dilated aortic or pulmonary artery

A

AS

& PS

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15
Q

thrill palpable at carotids

A

AS

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16
Q

patient presents with dyspnea or syncope with exertion

A

AS

17
Q

maneuver to diff. between AS & MR

A

hand grip– AS wil decrease

18
Q

what is the defect

soft murmur from increased bloodflow across Pulmonic valve, systolic ejection murmur at 2nd-4th L-ICS

A

ASD

19
Q

pansystolic, high frequency murmur with even intensity; if loud there is a small defect; best heard between apex and LLSB

A

VSD

20
Q

causes of MR

A
  • rheumatic heart dz
  • post MI
  • annulus calcification
  • MVP
  • LV dilation w/ LHF
  • CHF
21
Q

pt often present with worsening fatigue, DOE, and other CHF signs; often well tolerated for many years

A

MR

22
Q

a systolic murmur that has S3 and systolic thrill

A

MR

23
Q

value for wide vs narrow pulse pressure

A

wide >60
narrow < 25