Stenosis Stuff

Question 1

Aortic Shutter

Answer 1

Vibratory sensation in carotids due to turbulence from AS

Question 2

Ejection Sound

Answer 2

From congenital defect in aortic valve, just kinda like aperture that domes so you get an audible click just after S1

Question 3

Paradoxical Splitting of S2

Answer 3

Usually P2 before A2, but on inspiration P2 takes longer and comes after. However, AS causes A2 to take longer, so the two are more separated on exp and then on insp P2 moves closer to A2 and they sound like 1

Question 4

3 Severities of AS by S2

Answer 4

Mild - normal splitting
Moderate - paradoxical splitting
Severe - only P2, no A2

Question 5

Opening Snap

Answer 5

Burst open by MS, comes sooner and sooner after S2 w/ more severity. Diastolic low-freq murmur follows and accentuates before S1

Question 6

S1 in MS

Answer 6

Accentuated bc pressure in LV higher when mitral slams shut

Question 7

P2 in MS

Answer 7

Greater than A2