Sounds and Cycles Lec.

Question 1

When does a systolic murmur and diastolic murmur occur?

Answer 1

Systolic is during Ventricular Systole

Diastolic is during Ventricular Diastole

Question 2

What is a 1 grade heart murmur?

Answer 2

Soft murmur that can be heard in quiet surroundings

Question 3

What is a grade 2 heart murmur?

Answer 3

Soft murmur that can be heard in loud/noisy surroundings

Question 4

What is a grade 3 heart murmur?

Answer 4

Prominent Heart Murmur

Question 5

What is a grade 4 heart murmur?

Answer 5

Loud Heart Murmur + Thrill

Question 6

What is a grade 5 heart murmur?

Answer 6

Loud murmur + Thrill + heard w/ edge of stethoscope

Question 7

What is a grade 6 heart murmur?

Answer 7

Loud murmur + Thrill can be heard w/o stethoscope

Question 8

What heart murmurs are louder with inspiration?

Answer 8

Right Heart sounds:
Tricuspid
Pulmonary

Question 9

What heart murmurs are louder with exhalation?

Answer 9

Left Heart Sounds:
Mitrial
Aortic

Question 10

What is HOCM?

Answer 10

Hypertropic obstructive Cardiacmyopathy

• Due to abnormal thickening at the septum
• With decrease in preload, the murmur becomes louder

Question 11

Typical Rules of Preloads effects on the Heart Sounds

Answer 11

Increased Preload = Louder sounds

Decreased Preload = Softer sounds

Question 12

Typical Rules of Afterload effects on the Heart Sounds

Answer 12

Increased Afterload = Louder sounds

Decreased Afterload = Softer sounds

Question 13

How does an aortic stenosis sound?

Answer 13

Crescendo Ascending descending murmur

Question 14

How does a mistrial regurgitation valve sound?

Answer 14

Holosystolic/pansystolic loud blowing murmur (S1 to S2)

• Heard best at the apex, sound radiates to the Axilla
• Associated with Rheumatic Fever

Question 15

How does a tricuspid prolapse sound?

Answer 15

Holosystolic/pansystolic loud blowing murmur (S1 to S2)

Associated with patient history of Intravenous drugs

Question 16

How does aortic regurgitation sound? What diseases are associated with this?

Answer 16

Early blowing diasoloic murmur
Associated with:
Marfans Syndrome
CT disorders
Water Hammer Pulse
Femoral Bruitis

Question 17

How does mitrial stenosis sound?

Answer 17

Opening snap sound after S2 and then gets louder as it progresses to S1

Question 18

How does a mitrial valve prolapse sound?

Associated with?

Answer 18

Midsystolic click
Associated with women who have a histology of psychiatric problems
And Myxomatous valvular disease