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Murmurs
Exam 2. Physical assessment
| Question | Answer |
|---|---|
| Pansystolic murmurs are: | Mitral regurg & tricuspid regurg |
| Midsystolic murmurs are: | Aortic stenosis, hypertrophic cardiomyopathy, & pulmonic stenosis |
| Diastolic murmurs are: | Aortic regurg & mitral stenosis |
| A pansystolic murmur that is louder on inspiration. I am: | Tricuspid regurg |
| A pansystolic murmur located at the apex. I am: | Mitral regurg |
| A pansystolic murmur located at the lower left sternal border . I am: | Tricuspid regurg |
| A pansystolic murmur with a harsh quality. I am: | Mitral regurg |
| A pansystolic murmur with a blowing quality. I am: | Tricuspid regurg |
| A pansystolic murmur that radiates to the left axilla. I am: | Mitral regurg |
| A pansystolic murmur that radiates to the right of the sternum, xiphoid area, & possibly left midclavicular line. I am: | Tricuspid regurg |
| Pansystolic, midsystolic or diastolic: begin immediately with S1 & continue up to S2 | Pansystolic |
| Pansystolic, midsystolic or diastolic: tend to peak near midsystole & usually stop before S2 | Midsystolic |
| The shape of this group of murmurs is plateau (maintains the same intensity) | Pansystolic murmurs |
| The shape of this group of murmurs is crescendo-decrescendo | Midsystolic murmurs |
| The shape of this group of murmurs is decrescendo | Diastolic |
| All murmurs have a medium pitch except 2, which are: | Aortic regurg & mitral stenosis |
| Pansystolic, midsystolic or diastolic: These types of murmurs are almost always pathologic | Diastolic murmurs |
| Pulmonic stenosis may have a right-sided S4. The other 2 murmurs that have S4 are: | Hypertrophic cardiomyopathy & aortic regurg |
| These 2 murmurs are heard best with the patient sitting & leaning forward: | Aortic stenosis & aortic regurg |
| This murmur increases from straining down with valsalva: | Hypertrophic cardiomyopathy |
| This murmur increases with standing | Hypertrophic cardiomyopathy |
| This murmur increases with squatting | Aortic stenosis |
| This murmur has a click, which lengthens with standing | Mitral valve prolapse |
| Midsystolic murmur that is located on the righ (the only murmur located on the right)t. I am: | Aortic stenosis |
| All midsystolic murmurs have a harsh quality, but I also am musical. I am: | Aortic stenosis |
| A midsystolic murmur that does NOT radiate to the neck. I am: | Hypertrophic cardiomyopathy |
| A midsystolic murmur that radiates to the carotids, down left sternal border & to the apex. I am: | Aortic stenosis |
| A midsystolic murmur that radiates to left shoulder & neck. I am: | Pulmonic stenosis |
| These are the 2 murmurs best heard at the apex: | Mitral regurg & mitral stenosis |
| This is the only murmur with a rumble | Mitral stenosis |
| This is the only high pitched murmur. I am also diastolic. | Aortic regurg |
| This is the only low pitched murmur. I am also diastolic | Mitral stenosis |
| Diastolic murmur, best heard at the apex. I am: | Mitral stenosis |
| I am a diastolic murmur & the only one with a rumble quality. I am: | Mitral stenosis |
| I am a diastolic murmur & the only one that may not radiate. I am: | Mitral stenosis |
| I am a diastolic murmur & I may have a thrill because my grade is from 1 - 4. I am: | Mitral stenosis |
| I am a diastolic murmur with a blowing decrescendo that may be mistaken for breath sounds. I am: | Aortic regurg |
| I am a diastolic murmur that is best heard in the left lateral position. Mild exercise may help my murmur to be more audible. I am: | Mitral stenosis |
| I am a diastolic murmur & the only one with an opening snap. I am: | Mitral stenosis |
| I am an extra heart sound, & my dull, low cadence sounds like "Kentucky". I'm am physiologic in pregnant women & people under 40. I am pathologic in those over 40. Which heart sound am I? | S3 |
| I am an extra heart sound, & my dull, low cadence sounds like "Tennessee". I'm am physiologic in athletes. I am heard best at the apex in the left lateral position. Which heart sound am I? | S4 |
| I am a heart sound that is present during systole & diastole. I'm located at the 3rd intercostal space on the left. I have little radiation, high pitch, & a scratching, scraping sound. I am: | Pericardial friction rub |