Auscultory Findings

Question 1

How do valsava, nitroglycerin administration and abrupt standing affect the heart?

Answer 1

Decrease Preload

Question 2

How does sustained hand grip affect the heart?

Answer 2

Increase Afterlad

Question 3

How does passive leg raise affect the heart?

Answer 3

Increase Preload

Question 4

How does squatting affect the heart?

Answer 4

Increases Afterload and Preload

Question 5

What causes the murmur of hypertrophic cardiomyopathy to increase in intensity?

Answer 5

Decreasing Preload

Question 6

What causes the murmur of hypertrophic cardiomyopathy to decrease in intensity?

Answer 6

Increasing afterload and Increasing Preload

Question 7

How does exhalation affect the heart?

Answer 7

Increase flow to left side of the heart

Question 8

How does inhalation affect the heart?

Answer 8

Increases venous return to the right side of the heart

Question 9

What is mitral stenosis associated with?

Answer 9

Rheumatic fever

Question 10

Diastolic rumble after opening snap?

Answer 10

Mitral Stenosis

Question 11

What makes the murmur of mitral stenosis louder?

Answer 11

Squatting (increased venous return)

Question 12

What is associated with aortic stenosis?

Answer 12

Age and congenital bicuspid valves

Question 13

Systolic crescendo decrescendo mumur in the second right intercostal space

Answer 13

Aortic stenosis

Question 14

What decreases the murmur of aortic stenosis?

Answer 14

Valsava, standing (decreased venous return), and handgrip (decreased flow out of heart)

Question 15

What is associated with mitral regurg?

Answer 15

Hypertension, endocarditis, and MI with papillary muscle rupture

Question 16

Holosystolic murmur radiating to the axilla

Answer 16

Mitral regurgitation

Question 17

What increases the intensity of the MR murmur?

Answer 17

Squatting, exhalation, and leg raise (increased venous return) and handgrip (increases afterload)

Question 18

What is aortic regurg associated with?

Answer 18

MI
Htn
Endocarditis
Marfans
Syphilis
anything that dilates the heart

Question 19

What signs does AR present with?

Answer 19

Wide pulse pressure, nail bed pulsations, hill sign (BP way higher in legs then arms) and head bobbing

Question 20

Diastolic decrescendo murmur heard best at the left sternal boarder

Answer 20

Aortic Regurgitation

Question 21

What makes the mumur of aortic regurgitation louder?

Answer 21

Handgrip (Increased afterload)

Question 22

What makes the mumur of aortic regurgitation softer?

Answer 22

Valsalva and standing (decreased venous return)

Question 23

What is associated with MVP?

Answer 23

Normal anatomic varient, esp in women, also marfans and ehlers danlos

Question 24

Midsystolic click

Answer 24

MVP

Question 25

What increases the murmur of MVP?

Answer 25

Valsava, standing (decresed venous return)

Question 26

What diminishes the murmur of MVP?

Answer 26

Squatting, handgrip (increasing LV chamber size)

Question 27

Name the only 2 murmurs that do not increased with exhalation?

Answer 27

MVP and HOCM