Murmurs & Sounds

Question 1

Is aortic stenosis a systolic or diastolic murmur?

Answer 1

systolic

Question 1

Is pulmonic stenosis a systolic or diastolic murmur?

Answer 1

systolic

Question 1

Is mitral regurgitation systolic or diastolic murmur?

Answer 1

systolic

Question 2

Is tricuspid regurgitation a systolic or diastolic murmur?

Answer 2

systolic

Question 3

Is aortic regurgitation systolic or diastolic murmur?

Answer 3

diastolic

Question 4

is pulmonic regurgitation systolic or diastolic?

Answer 4

diastolic

Question 5

is mitral stenosis a systolic or diastolic murmur?

Answer 5

diastolic

Question 6

is tricuspid stenosis a systolic or diastolic murmur?

Answer 6

diastolic

Question 7

What is the S3 sound caused by

Answer 7

early diastolic sound caused by ventricular dilation (volume overload)

“ventricular gallop, aka Kentucky”

Question 8

What is the S4 sound caused by

Answer 8

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”

Question 9

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

Answer 9

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)

Question 10

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

Answer 10

always diastolic, brief high pitched

caused by opening of a stenotic mitral > tricuspid valve

sounds like an S3

Question 11

What murmur is holosystolic with an opening click

Answer 11

mitral valve prolapse

Question 12

what murmur is diastolic with an opening snap

Answer 12

mitral/tricuspid stenosis

Question 13

what murmur is a systolic crescendo-decrescendo

Answer 13

aortic/pulmonic stenosis

Question 14

What murmur is diastolic, decrescendo

Answer 14

aortic/pulmonic regurgitation

Question 15

what murmur is holosystolic

Answer 15

mitral/tricuspid regurgitation

Question 16

Identify this sound (Apex)

Answer 16

normal

Question 17

Identify this sound (Apex)

Answer 17

split S1

Question 18

Identify this sound (Apex)

Answer 18

S4

(left ventricular hypertrophy)

Question 19

Identify this sound (Apex)

Answer 19

Mid systolic click

(mitral valve prolapse)

Question 20

Identify this sound (Apex)

Answer 20

S3 gallop

(normal or cardiomyopathy)

Question 21

Identify this sound (Apex)

Answer 21

early systolic murmur (decrescendo)

(acute mitral regurgitation)

Question 22

Identify this sound (Apex)

Answer 22

Mid systolic murmur

(mitral regurgitation due to CAD)

Question 23

Identify this sound (Apex)

Answer 23

late systolic murmur (mitral regurgitation due to MVP)

Question 24

Identify this sound (Apex)

Answer 24

late systolic murmur (mitral regurgitation due to MVP)

Question 25

Identify this sound (Apex)

Answer 25

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

Question 26

Identify this sound (Apex)

Answer 26

systolic click with late systolic murmur (MVP with mitral regurg)

Question 27

Identify this sound (Apex)

Answer 27

S4 & mid systolic murmur (ischemic cardiomyopathy with mitral regurg)

Question 28

Identify this sound (Apex)

Answer 28

S3 & holosystolic murmur (dilated cardiomyopathy with mitral regurg)

Question 29

Identify this sound (Apex)

Answer 29

mitral opening snap and diastolic murmur (mitral stenosis)

Question 30

Identify this sound (RUSB)

Answer 30

normal

Question 31

Identify this sound (RUSB)

Answer 31

crescendo-decrescendo systolic murmur with absent S2 (severe aortic stenosis)

Question 32

Identify this sound (RUSB)

Answer 32

early decrescendo diastolic murmur (aortic regurg)

Question 33

Identify this sound (RUSB)

Answer 33

systolic crescendo-decrescendo with diastolic decrescendo murmur (combined aortic stenosis & regurgitation)

Question 34

Identify this sound (LUSB)

Answer 34

normal

Question 35

Identify this sound (LUSB)

Answer 35

split S2 - persistent (RBBB)

Question 36

Identify this sound (LUSB)

Answer 36

transient split S2 (normal)

Question 37

Identify this sound (LUSB)

Answer 37

ejection systolic murmur with transient split S2 (innocent murmur)

Question 38

Identify this sound (LUSB)

Answer 38

ejection systolic murmur with persistent split S2 (arterial septal defect)

Question 39

Identify this sound (LUSB)

Answer 39

ejection systolic murmur with single S2 and ejection click (pulmonary valve stenosis)