Murmurs & Sounds Flashcards
Is aortic stenosis a systolic or diastolic murmur?
systolic
Is pulmonic stenosis a systolic or diastolic murmur?
systolic
Is mitral regurgitation systolic or diastolic murmur?
systolic
Is tricuspid regurgitation a systolic or diastolic murmur?
systolic
Is aortic regurgitation systolic or diastolic murmur?
diastolic
is pulmonic regurgitation systolic or diastolic?
diastolic
is mitral stenosis a systolic or diastolic murmur?
diastolic
is tricuspid stenosis a systolic or diastolic murmur?
diastolic
What is the S3 sound caused by
early diastolic sound caused by ventricular dilation (volume overload)
“ventricular gallop, aka Kentucky”
What is the S4 sound caused by
late diastolic sound cased by atria remaining over-distended at the end of diastole giving an extra kick (decreased ventricular compliance)
“atrial gallop, aka Tennessee”
Is a click systolic or diastolic and what is it caused by
systolic - mid-systolic, brief, high pitched
rapid opening of aortic/pulmonic valves OR rapid distention of associated arteries with tension on chordae tendonae
(aortic/pulmonic stenosis, mitral valve prolapse)
Is a snap systolic or diastolic and what is it caused by
always diastolic, brief high pitched
caused by opening of a stenotic mitral > tricuspid valve
sounds like an S3
What murmur is holosystolic with an opening click
mitral valve prolapse
what murmur is diastolic with an opening snap
mitral/tricuspid stenosis
what murmur is a systolic crescendo-decrescendo
aortic/pulmonic stenosis
What murmur is diastolic, decrescendo
aortic/pulmonic regurgitation
what murmur is holosystolic
mitral/tricuspid regurgitation
Identify this sound (Apex)
normal
Identify this sound (Apex)
split S1
Identify this sound (Apex)
S4
(left ventricular hypertrophy)
Identify this sound (Apex)
Mid systolic click
(mitral valve prolapse)
Identify this sound (Apex)
S3 gallop
(normal or cardiomyopathy)
Identify this sound (Apex)
early systolic murmur (decrescendo)
(acute mitral regurgitation)
Identify this sound (Apex)
Mid systolic murmur
(mitral regurgitation due to CAD)
Identify this sound (Apex)
late systolic murmur
(mitral regurgitation due to MVP)
Identify this sound (Apex)
late systolic murmur
(mitral regurgitation due to MVP)
Identify this sound (Apex)
holosystolic murmur
(classic mitral regurg or ventricular septal defect when heard along L sternal border)
Identify this sound (Apex)
systolic click with late systolic murmur
(MVP with mitral regurg)
Identify this sound (Apex)
S4 & mid systolic murmur
(ischemic cardiomyopathy with mitral regurg)
Identify this sound (Apex)
S3 & holosystolic murmur
(dilated cardiomyopathy with mitral regurg)
Identify this sound (Apex)
mitral opening snap and diastolic murmur
(mitral stenosis)
Identify this sound (RUSB)
normal
Identify this sound (RUSB)
crescendo-decrescendo systolic murmur with absent S2
(severe aortic stenosis)
Identify this sound (RUSB)
early decrescendo diastolic murmur
(aortic regurg)
Identify this sound (RUSB)
systolic crescendo-decrescendo with diastolic decrescendo murmur
(combined aortic stenosis & regurgitation)
Identify this sound (LUSB)
normal
Identify this sound (LUSB)
split S2 - persistent
(RBBB)
Identify this sound (LUSB)
transient split S2
(normal)
Identify this sound (LUSB)
ejection systolic murmur with transient split S2
(innocent murmur)
Identify this sound (LUSB)
ejection systolic murmur with persistent split S2
(arterial septal defect)
Identify this sound (LUSB)
ejection systolic murmur with single S2 and ejection click
(pulmonary valve stenosis)
