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Cardiology > Murmurs & Sounds > Flashcards

Murmurs & Sounds Flashcards

1
Q

Is aortic stenosis a systolic or diastolic murmur?

A

systolic

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1
Q

Is pulmonic stenosis a systolic or diastolic murmur?

A

systolic

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1
Q

Is mitral regurgitation systolic or diastolic murmur?

A

systolic

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2
Q

Is tricuspid regurgitation a systolic or diastolic murmur?

A

systolic

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3
Q

Is aortic regurgitation systolic or diastolic murmur?

A

diastolic

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4
Q

is pulmonic regurgitation systolic or diastolic?

A

diastolic

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5
Q

is mitral stenosis a systolic or diastolic murmur?

A

diastolic

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6
Q

is tricuspid stenosis a systolic or diastolic murmur?

A

diastolic

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7
Q

What is the S3 sound caused by

A

early diastolic sound caused by ventricular dilation (volume overload)

“ventricular gallop, aka Kentucky”

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8
Q

What is the S4 sound caused by

A

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”

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9
Q

Is a click systolic or diastolic and what is it caused by

A

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)

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10
Q

Is a snap systolic or diastolic and what is it caused by

A

always diastolic, brief high pitched

caused by opening of a stenotic mitral > tricuspid valve

sounds like an S3

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11
Q

What murmur is holosystolic with an opening click

A

mitral valve prolapse

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12
Q

what murmur is diastolic with an opening snap

A

mitral/tricuspid stenosis

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13
Q

what murmur is a systolic crescendo-decrescendo

A

aortic/pulmonic stenosis

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14
Q

What murmur is diastolic, decrescendo

A

aortic/pulmonic regurgitation

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15
Q

what murmur is holosystolic

A

mitral/tricuspid regurgitation

16
Q

Identify this sound (Apex)

A

normal

17
Q

Identify this sound (Apex)

A

split S1

18
Q

Identify this sound (Apex)

A

S4

(left ventricular hypertrophy)

19
Q

Identify this sound (Apex)

A

Mid systolic click

(mitral valve prolapse)

20
Q

Identify this sound (Apex)

A

S3 gallop

(normal or cardiomyopathy)

21
Q

Identify this sound (Apex)

A

early systolic murmur (decrescendo)

(acute mitral regurgitation)

22
Q

Identify this sound (Apex)

A

Mid systolic murmur

(mitral regurgitation due to CAD)

23
Q

Identify this sound (Apex)

A

late systolic murmur

(mitral regurgitation due to MVP)

24
Q

Identify this sound (Apex)

A

late systolic murmur

(mitral regurgitation due to MVP)

25
Q

Identify this sound (Apex)

A

holosystolic murmur

(classic mitral regurg or ventricular septal defect when heard along L sternal border)

26
Q

Identify this sound (Apex)

A

systolic click with late systolic murmur

(MVP with mitral regurg)

27
Q

Identify this sound (Apex)

A

S4 & mid systolic murmur

(ischemic cardiomyopathy with mitral regurg)

28
Q

Identify this sound (Apex)

A

S3 & holosystolic murmur

(dilated cardiomyopathy with mitral regurg)

29
Q

Identify this sound (Apex)

A

mitral opening snap and diastolic murmur

(mitral stenosis)

30
Q

Identify this sound (RUSB)

A

normal

31
Q

Identify this sound (RUSB)

A

crescendo-decrescendo systolic murmur with absent S2

(severe aortic stenosis)

32
Q

Identify this sound (RUSB)

A

early decrescendo diastolic murmur

(aortic regurg)

33
Q

Identify this sound (RUSB)

A

systolic crescendo-decrescendo with diastolic decrescendo murmur

(combined aortic stenosis & regurgitation)

34
Q

Identify this sound (LUSB)

A

normal

35
Q

Identify this sound (LUSB)

A

split S2 - persistent

(RBBB)

36
Q

Identify this sound (LUSB)

A

transient split S2

(normal)

37
Q

Identify this sound (LUSB)

A

ejection systolic murmur with transient split S2

(innocent murmur)

38
Q

Identify this sound (LUSB)

A

ejection systolic murmur with persistent split S2

(arterial septal defect)

39
Q

Identify this sound (LUSB)

A

ejection systolic murmur with single S2 and ejection click

(pulmonary valve stenosis)

Cardiology (15 decks)

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