Cardiac Sounds Flashcards

1
Q

S1 occurs as a result of…

A

AV valve closure

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2
Q

S2 occurs as a result of…

A

L ventricle filling/aortic valve closure

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3
Q

S3 is the result of…

A

L ventricle overload, left ventricular heart failure

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4
Q

S4 occurs due to…

A

forceful atrial contraction, occurs in late diastole just before S1, associated with increased LV end-diastolic pressure

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5
Q

S4 is typically only heard…

A

at apex with the bell in the left lateral decubitus position

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6
Q

MVP clinical features

A

thin, young female; complains of palpitations, dyspnea, exercise intolerance, dizziness

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7
Q

MVP diagnosed by…

A

maneuvers that decrease venous return, mid-systolic click and/or murmur of MR

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8
Q

Triad of critical aortic stenosis

A

chest pain, syncope, dyspnea

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9
Q

Lone aortic stenosis in sixth decade of life is most commonly associated with what congenital malformation?

A

bicuspid valves

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10
Q

tricuspid regurgitation is best heard…

A

at the LLSB

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11
Q

Tricuspid regurgitation is typically a consequence of…

A

pulmonary hypertension

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12
Q

Two most common causes of acute aortic regurgitation

A

endocarditis and aortic dissection

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13
Q

Chronic aortic regurgitation sound

A

high-pitched, decrescendo aortic diastolic murmur along LSB

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14
Q

Water-hammer pulse

A

rapid rise and fall with elevated systolic low diastolic pressure

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15
Q

Quincke pulses

A

pulsatile nail beds

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16
Q

Duroziez sign

A

to and from murmur over partially compressed femoral a.

17
Q

Musset sign

A

head bob with each pulse

18
Q

Hill sign

A

leg systolic pressure >40 mmHg higher than arm

19
Q

Chronic AR due to…

A

valvular disease, disease of aortic root dilatation

20
Q

The precordium is active with which kind of heart murmur

A

aortic regurgitation

21
Q

LVH is indicated by…

A

abnormally sustained PMI, lateral displacement

22
Q

ASD sound

A

loud systolic ejection murmur can be heard in second and third interspaces on both sides

23
Q

VSD small shunt sound

A

loud, harsh holosystolic murmur in third and fourth left ICS along sternum and mid-diastolic flow murmur

24
Q

PDA sound

A

continuous murmur, below left clavicle