Heart Sounds

Question 1

Mitral stenosis

Answer 1

Mitral opening snap and diastolic murmur; rheumatic fever, IE

LUB derrr

Question 2

S4 gallop

Answer 2

LVH; HTN, LVOT - atria pushing blood into stiff ventricle “ten-neh-see” or tor-ON-to

Question 3

S3 gallop

Answer 3

Normal and cardiomyopathy, KEN-TUH-key or MON-TRE- al

Question 4

Mitral regurgitation

Answer 4

Classic MR or VSD; holosystolic murmur

Brrr

Question 5

Aortic regurgitation

Answer 5

Early diastolic murmur

Question 6

Mitral regurgitation due to mitral valve prolapse

Answer 6

Late systolic murmur

Question 7

Ischaemic cardiomyopathy with mitral regurgitation

Answer 7

S4 and mid-systolic murmur

Question 8

S2 = A2 +P2

Answer 8

Split S2 is best heard at the pulmonic valve listening post, as P2 is much softer thanA2