Murmurs Only

Question 1

Causes of acute MR vs. chronic MR

Answer 1

Acute MR: papillary/trabeculae dysfunction, IE, volume overload

Chronic: MVP, myxomatous degeneration

Question 2

MR murmur

Answer 2

Blowing at apex and radiates to axilla

Decreased S1

Question 3

TR is associated with what diseases?

Answer 3

Pulm HTN
Lung disease
RV infarct
Inferior wall STEMI
IE

Question 4

TR murmur

Answer 4

Blowing at 4th ICS, increasing with inspiration

Question 5

V wave on JVP

Answer 5

TR murmur

Question 6

Aortic stenosis symptoms

Answer 6

DOE
Syncope
Angina

Question 7

AS murmur

Answer 7

Crescendo-decrescendo murmur, harsh at 2nd ICS at RSB that radiates to sternal notch and carotids.

Decreased S2

Question 8

PS is caused by:

Answer 8

Congential problems, like ToF

Question 9

PS murmur

Answer 9

Crescendo-decrescendo murmur at the 2-3rd ICS at LSB that radiates to left shoulder/clavicle

Question 10

VSD murmur

Answer 10

Holosystolic at LSB w/ thrill

Question 11

Blowing at apex and radiates to axilla

Decreased S1

Answer 11

MR

Question 12

Blowing at 4th ICS, increasing with inspiration

Answer 12

TR

Question 13

Crescendo-decrescendo murmur, harsh at 2nd ICS at RSB that radiates to sternal notch and carotids.

Decreased S2

Answer 13

AS

Question 14

Crescendo-decrescendo murmur at the 2-3rd ICS at LSB that radiates to left shoulder/clavicle

Answer 14

PS

Question 15

At LSB w/ fixed splitting of S2

Answer 15

ASD

Question 16

MS is caused by:

Answer 16

RHD
Congential
MACa++

Question 17

MS murmur

Answer 17

Low pitched rumbling at apex with an increased S1 and S2 with an opening snap

Question 18

TS is caused by?

Answer 18

RHD, assoc. with MS (F>M)

Question 19

TS murmur

Answer 19

At LSB, increasing w/ inspiration

Question 20

A wave on JVP

Answer 20

TS

Question 21

Acute vs. chronic causes of AR

Answer 21

Acute - IE, aortic dissection, trauma

Chronic - calcification, BAV, etc.

Question 22

Pathology of AR

Answer 22

Vol overload -> LVH -> LSHF

Question 23

AR murmur

Answer 23

Decrescendo murmur at 3rd ICS at LSB

Question 24

Low pitched rumbling at apex with an increased S1 and S2 with an opening snap

Answer 24

MS

Question 25

At LSB, increasing w/ inspiration

Answer 25

TS

Question 26

Decrescendo murmur at 3rd ICS at LSB

Answer 26

AR

Question 27

ACE-I and ARBs are given to which patients?

Answer 27

AR patients