unit 1 murmurs

Question 1

what 4 murmurs are systolic?

Answer 1

*TR
*PS
*MR
*AS
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Question 2

what 4 murmurs are diastolic?

Answer 2

*TS (mid-diastolic)
*PR
*MS
*AR
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Question 3

tricuspid stenosis sound- 3 qualities

Answer 3

• low-pitched rumbling
• opening-snap
• increases with inspiration

Question 4

EKG change AW Tricupsid stenosis

Answer 4

*giant A wave

Question 5

physical s/s AW tricuspid stenosis

Answer 5

• peripheral edema
• ascites
• pulsating enlarged liver

Question 6

treatment for tricuspid stenosis?

Answer 6

• diuretics

* valve replacement

Question 7

s/s of tricusipid stenosis are secondary to what type of HF?

Answer 7

right

Question 8

s/s of tricuspid regurg are secondary to what type of HF?

Answer 8

right

Question 9

timing of tricuspid regurg murmur

Answer 9

*holosystolic

Question 10

sound of tricuspid regurg murmur

Answer 10

• blowing
• coarse
• musical

Question 11

risk factors for tricuspid stenosis?

Answer 11

• female

* rheumatic HD

Question 12

risk fx for tricuspid regurg

Answer 12

*IVDU

Question 13

physical s/s of tricuspid regurg

Answer 13

• peripheral edema

* ascites

Question 14

what arrythmia is common with tricuspid regurg?

Answer 14

afib/flutter

Question 15

tx for tricuspid regurg?

Answer 15

diuretics

Question 16

sounds of pulmonic stenosis

Answer 16

• PULM EJECTION CLICK
• crescendo-decrescendo
• low-harsh pitched rumbling
• INCREASES W INSPIRATION

Question 17

etiology of pulmonic stenosis?

Answer 17

• congenital

* asymp til adulthood

Question 18

tx of pulmonic stenosis?

Answer 18

• serial f/u

* ballon valvuloplasty

Question 19

what type of HF symptoms are present with pulm regurg?

Answer 19

right

Question 20

risk for pulm regurg?

Answer 20

female

Question 21

sounds of pulmonic regurg

Answer 21

• hight pitched
• decrescendo
• immediately after S2
• INCREASES W INSPRATION
• SILENT DURING SYSTOLE
• heard best leaning forward

Question 22

treatment for pulmonic regurg?

Answer 22

treat the pulm HTN’s primary cause

Question 23

mitral stenosis sounds

Answer 23

• low pitched
• rumbling
• use bell of steth to hear
• best heard left lateral position

Question 24

timing of mitral stenosis sounds?

Answer 24

opening snap to S2

Question 25

which murmur is best heard leaning forward?

Answer 25

pulmonic regurg

Question 26

which murmur is best heard in the left lateral position?

Answer 26

mitral stenosis

Question 27

rheumatic fever increases risk of what two valvular disorders?

Answer 27

* mitral stenosis | * mitral regurg

Question 28

rhuematic HEART disease is a rf for what valvular disorder?

Answer 28

*tricuspid stenosis

Question 29

pregnancy and A-fib can lead to symptoms of which valvular disorder?

Answer 29

mitral stenosis

Question 30

tx mitral stenosis

Answer 30

* mech valve when symp | * coumadin

Question 31

timing of mitral regurg murmur

Answer 31

*pansystolic

Question 32

sounds of mitral regurg murmur

Answer 32

* MID SYS CLICKS * blowing * high pitched * musical

Question 33

a-fib is common in which valve disorder?

Answer 33

Mitral regurg

Question 34

mitral regurg murmur radiates to?

Answer 34

axilla

Question 35

tx mitral regurg?

Answer 35

surgery when symp

Question 36

sound of aortic stenosis murmur

Answer 36

crescendo-decrescendo

Question 37

timing of aortic stenosis

Answer 37

btwn S1 and S2

Question 38

sounds of aortic stenosis murmur

Answer 38

harse rough prominent S4

Question 39

aortic stenosis is best heard in what position with what side of steth?

Answer 39

*lean forward, HOLD BREATH *diaphragm

Question 40

aortic stenosis murmur radiates to

Answer 40

carotids

Question 41

aortic stenosis tx

Answer 41

* TAVR * plavix & ASA lifelong * no DOACs

Question 42

if you hear calcified valve what disorder should you think of

Answer 42

aortic stenosis

Question 43

sound of aortic regurg murmur

Answer 43

blowing | often it is faint

Question 44

aortic regurg tx

Answer 44

* treat s/s of LV | * surgery