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Step 1 > Diastolic Heart Murmurs (5 star!!!) > Flashcards

Diastolic Heart Murmurs (5 star!!!) Flashcards

1
Q

4 diastolic heart murmurs

A
  1. aortic regurgitation
  2. pulmonic regurgitation
  3. mitral stenosis
  4. tricuspid stenosis
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2
Q

after what heart sound would diastolic murmurs be heard

A

S2

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3
Q

rumbling late diastolic murmur with opening snap

A

mitral stenosis

*does not start at beginning of diastole; OS due to abrubt halt after rapid opening; stops b/c fused at leaflet tips

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4
Q

what can cause mitral stenosis

A

rheumatic fever; chronic M. stenosis can result in left atrial dilation

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5
Q

what can enhance mitral stenosis murmur

A

maneuvers that ↑ LA return like expiration

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6
Q

immediate high-pitched, blowing diastolic murmur; decrescendo

A

aortic regurgitation

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7
Q

what can ↑ intensity of aortic regurgitation

A

hand grip–> anything that increases SVR or afterload

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8
Q

causes of aortic regurgitation (3)

A
  1. aortic root dilation (syphilis and Marfans)
  2. Bicuspid aortic valve
  3. rheumatic fever (or endocarditis)
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9
Q

2 classic signs seen with aortic regurg

A
  1. head bobbing

2. bounding pulses–> due to widened pulse pressure

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10
Q

left sternal border usually means which valve is being auscultated

A

pulmonic–> can hear both pulmonic or aortic regurg here

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11
Q

where is a PDA best heard?

A

left infraclavicular area–> loudest at S2

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12
Q

after what heart sound would diastolic murmurs be heard

A

S2

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13
Q

rumbling late diastolic murmur with opening snap

A

mitral stenosis

*does not start at beginning of diastole; OS due to abrubt halt after rapid opening; stops b/c fused at leaflet tips

How well did you know this?
1
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2
3
4
5
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14
Q

what can cause mitral stenosis

A

rheumatic fever; chronic M. stenosis can result in left atrial dilation

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15
Q

what can enhance mitral stenosis murmur

A

maneuvers that ↑ LA return like expiration

How well did you know this?
1
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2
3
4
5
Perfectly
16
Q

immediate high-pitched, blowing diastolic murmur; decrescendo

A

aortic regurgitation

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2
3
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17
Q

what can ↑ intensity of aortic regurgitation

A

hand grip–> anything that increases SVR or afterload

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

causes of aortic regurgitation (3)

A
  1. aortic root dilation (syphilis and Marfans)
  2. Bicuspid aortic valve
  3. rheumatic fever (or endocarditis)
How well did you know this?
1
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2
3
4
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19
Q

2 classic signs seen with aortic regurg

A
  1. head bobbing

2. bounding pulses–> due to widened pulse pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

left sternal border usually means which valve is being auscultated

A

pulmonic–> can hear both pulmonic or aortic regurg here

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

where is a PDA best heard?

A

left infraclavicular area–> loudest at S2

How well did you know this?
1
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2
3
4
5
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22
Q

after what heart sound would diastolic murmurs be heard

A

S2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

rumbling late diastolic murmur with opening snap

A

mitral stenosis

*does not start at beginning of diastole; OS due to abrubt halt after rapid opening; stops b/c fused at leaflet tips

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what can cause mitral stenosis

A

rheumatic fever; chronic M. stenosis can result in left atrial dilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what can enhance mitral stenosis murmur

A

maneuvers that ↑ LA return like expiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

immediate high-pitched, blowing diastolic murmur; decrescendo

A

aortic regurgitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what can ↑ intensity of aortic regurgitation

A

hand grip–> anything that increases SVR or afterload

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

causes of aortic regurgitation (3)

A
  1. aortic root dilation (syphilis and Marfans)
  2. Bicuspid aortic valve
  3. rheumatic fever (or endocarditis)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

2 classic signs seen with aortic regurg

A
  1. head bobbing

2. bounding pulses–> due to widened pulse pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

left sternal border usually means which valve is being auscultated

A

pulmonic–> can hear both pulmonic or aortic regurg here

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

where is a PDA best heard?

A

left infraclavicular area–> loudest at S2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

after what heart sound would diastolic murmurs be heard

A

S2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

rumbling late diastolic murmur with opening snap

A

mitral stenosis

*does not start at beginning of diastole; OS due to abrubt halt after rapid opening; stops b/c fused at leaflet tips

34
Q

what can cause mitral stenosis

A

rheumatic fever; chronic M. stenosis can result in left atrial dilation

35
Q

what can enhance mitral stenosis murmur

A

maneuvers that ↑ LA return like expiration

36
Q

immediate high-pitched, blowing diastolic murmur; decrescendo

A

aortic regurgitation

37
Q

what can ↑ intensity of aortic regurgitation

A

hand grip–> anything that increases SVR or afterload

38
Q

causes of aortic regurgitation (3)

A
  1. aortic root dilation (syphilis and Marfans)
  2. Bicuspid aortic valve
  3. rheumatic fever (or endocarditis)
39
Q

2 classic signs seen with aortic regurg

A
  1. head bobbing

2. bounding pulses–> due to widened pulse pressure

40
Q

left sternal border usually means which valve is being auscultated

A

pulmonic–> can hear both pulmonic or aortic regurg here

41
Q

where is a PDA best heard?

A

left infraclavicular area–> loudest at S2

42
Q

after what heart sound would diastolic murmurs be heard

A

S2

43
Q

rumbling late diastolic murmur with opening snap

A

mitral stenosis

*does not start at beginning of diastole; OS due to abrubt halt after rapid opening; stops b/c fused at leaflet tips

44
Q

what can cause mitral stenosis

A

rheumatic fever; chronic M. stenosis can result in left atrial dilation

45
Q

what can enhance mitral stenosis murmur

A

maneuvers that ↑ LA return like expiration

46
Q

immediate high-pitched, blowing diastolic murmur; decrescendo

A

aortic regurgitation

47
Q

what can ↑ intensity of aortic regurgitation

A

hand grip–> anything that increases SVR or afterload

48
Q

causes of aortic regurgitation (3)

A
  1. aortic root dilation (syphilis and Marfans)
  2. Bicuspid aortic valve
  3. rheumatic fever (or endocarditis)
49
Q

2 classic signs seen with aortic regurg

A
  1. head bobbing

2. bounding pulses–> due to widened pulse pressure

50
Q

left sternal border usually means which valve is being auscultated

A

pulmonic–> can hear both pulmonic or aortic regurg here

51
Q

where is a PDA best heard?

A

left infraclavicular area–> loudest at S2

52
Q

after what heart sound would diastolic murmurs be heard

A

S2

53
Q

rumbling late diastolic murmur with opening snap

A

mitral stenosis

*does not start at beginning of diastole; OS due to abrubt halt after rapid opening; stops b/c fused at leaflet tips

54
Q

what can cause mitral stenosis

A

rheumatic fever; chronic M. stenosis can result in left atrial dilation

55
Q

what can enhance mitral stenosis murmur

A

maneuvers that ↑ LA return like expiration

56
Q

immediate high-pitched, blowing diastolic murmur; decrescendo

A

aortic regurgitation

57
Q

what can ↑ intensity of aortic regurgitation

A

hand grip–> anything that increases SVR or afterload

58
Q

causes of aortic regurgitation (3)

A
  1. aortic root dilation (syphilis and Marfans)
  2. Bicuspid aortic valve
  3. rheumatic fever (or endocarditis)
59
Q

2 classic signs seen with aortic regurg

A
  1. head bobbing

2. bounding pulses–> due to widened pulse pressure

60
Q

left sternal border usually means which valve is being auscultated

A

pulmonic–> can hear both pulmonic or aortic regurg here

61
Q

where is a PDA best heard?

A

left infraclavicular area–> loudest at S2

62
Q

after what heart sound would diastolic murmurs be heard

A

S2

63
Q

rumbling late diastolic murmur with opening snap

A

mitral stenosis

*does not start at beginning of diastole; OS due to abrubt halt after rapid opening; stops b/c fused at leaflet tips

64
Q

what can cause mitral stenosis

A

rheumatic fever; chronic M. stenosis can result in left atrial dilation

65
Q

what can enhance mitral stenosis murmur

A

maneuvers that ↑ LA return like expiration

66
Q

immediate high-pitched, blowing diastolic murmur; decrescendo

A

aortic regurgitation

67
Q

what can ↑ intensity of aortic regurgitation

A

hand grip–> anything that increases SVR or afterload

68
Q

causes of aortic regurgitation (3)

A
  1. aortic root dilation (syphilis and Marfans)
  2. Bicuspid aortic valve
  3. rheumatic fever (or endocarditis)
69
Q

2 classic signs seen with aortic regurg

A
  1. head bobbing

2. bounding pulses–> due to widened pulse pressure

70
Q

left sternal border usually means which valve is being auscultated

A

pulmonic–> can hear both pulmonic or aortic regurg here

71
Q

where is a PDA best heard?

A

left infraclavicular area–> loudest at S2

72
Q

after what heart sound would diastolic murmurs be heard

A

S2

73
Q

rumbling late diastolic murmur with opening snap

A

mitral stenosis

*does not start at beginning of diastole; OS due to abrubt halt after rapid opening; stops b/c fused at leaflet tips

74
Q

what can cause mitral stenosis

A

rheumatic fever; chronic M. stenosis can result in left atrial dilation

75
Q

what can enhance mitral stenosis murmur

A

maneuvers that ↑ LA return like expiration

76
Q

immediate high-pitched, blowing diastolic murmur; decrescendo

A

aortic regurgitation

77
Q

what can ↑ intensity of aortic regurgitation

A

hand grip–> anything that increases SVR or afterload

78
Q

causes of aortic regurgitation (3)

A
  1. aortic root dilation (syphilis and Marfans)
  2. Bicuspid aortic valve
  3. rheumatic fever (or endocarditis)
79
Q

2 classic signs seen with aortic regurg

A
  1. head bobbing

2. bounding pulses–> due to widened pulse pressure

80
Q

left sternal border usually means which valve is being auscultated

A

pulmonic–> can hear both pulmonic or aortic regurg here

81
Q

where is a PDA best heard?

A

left infraclavicular area–> loudest at S2

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