Auscultation of the Heart

Question 1

Aortic area

Answer 1

Systolic Murmur:

• Aortic Stenosis
• Aortic Valve Sclerosis
• Flow Murmur

Question 2

Left Sternal Border

Answer 2

Systolic Murmur:
  -HCM
Diastolic Murmur:
  -Aortic Regurgitation
  -Pulmonic Regurgitation

Question 3

Pulmonic Area

Answer 3

Systolic Ejection Murmur:

• Pulmonic Stenosis
• Flow Murmur (ASD, PDA)

Question 4

Tricuspid Area

Answer 4

Pansystolic Murmur:
  -Tricuspid regurgitation
  -VSD
Diastolic Murmur:
  -Tricuspid stenosis
  -ASD

Question 5

Mitral Area

Answer 5

Systolic Murmur:
-Mitral regurgitation
Diastolic murmur:
-Mitral stenosis

Question 6

Inspiration causes…

Answer 6

Increased intensity of R heart sounds

Question 7

Expiration causes…

Answer 7

Increased intensity of L heart sounds

Question 8

Hand grip (increased systemic vascular resistance) causes…

Answer 8

• Increased intensity of MR, AR, VSD, MVP murmurs

- Decreased intensity of AS, HCM murmurs

Question 9

Valsalva (decreased venous return) causes…

Answer 9

• Increased intensity of MVP, HCM murmurs

- Decreased intensity of most murmurs

Question 10

Rapid squatting (increased VR, Preload, afterload with prolongued squating) causes…

Answer 10

-Decreased intensity of MVP, HCM

Question 11

What are all of the systolic heart sounds?

Answer 11

• AS/PS
• MR/TR
• VSD

Question 12

What are all of the diastolic heart sounds?

Answer 12

• AR/PR

- MS/TS