HEART MURMURS AND CHANGES IN VOLUME

Question 1

WHAT HAPPENS TO MURMUR WITH VOLUME?

Answer 1

INCREASE VOLUME-INCREASE MURMURS EXCEPT IN HOCM AND MVP DECREASE IN MURMURS

Question 2

WHAT POSITIONS INCREASE VOLUME

Answer 2

SITTING
SQUATTING
LEG RAISING

Question 3

WHAT MURMURS DECREASE VOLUME

Answer 3

STANDING
VALSALVA

Question 4

WHAT HAPPENS TO VOLUME WITH INSPIRATION

Answer 4

INCREASE FLOW TO THE RIGHT SIDE OF THE HEART SO ALL RIGHT SIDE HEART MURMURS INCREASE-MORE BLOOD ON THE RIGHT SIDE OF THE HEART- TS MURMUR INCREASES ON INSPIRATION

Question 5

WHAT HAPPENS TO VOLUME WITH EXPIRATION?

Answer 5

INCREASE FLOW TO THE LEFT SIDE OF THE HEART SO MORE BLOOD ON THE LEFT HEART- ALL LEFT SIDED MURMURS INCREASE EXCEPT HOCM AND MVP MURMURS WILL DECREASE

Question 6

WHAT HAPPENS TO MURMUR WITH HANDGRIP OR PHENYLEPHRINE?

Answer 6

HANDGRIP INCREASES AFTERLOAD SO LV CAVITY SIZE INCREASE SO THE VOLUME INCREASES

Question 7

WHAT HAPPENS TO MURMUR WITH HANDGRIP OR PHENYLEPHRINE?
IN MR

Answer 7

MR MURMUR INCREASES

Question 8

WHAT HAPPENS TO MURMUR WITH HANDGRIP OR PHENYLEPHRINE? IN MVP

Answer 8

MVP SYSTOLIC CLICK INTENSITY INCREASES, BUT THE DURATION DECREASES - THE CLICK OCCURS LATER

Question 9

WHAT HAPPENS WITH INCREASE VOLUME- SITTING, SQUATTING, LEG RAISE WITH MVP?

Answer 9

MVP SYSTOLIC CLICK INTENSITY INCREASES, BUT THE DURATION DECREASES - THE CLICK OCCURS LATER

Question 10

WHAT HAPPENS TO MURMUR WITH HANDGRIP OR PHENYLEPHRINE?IN HOCM

Answer 10

HOCM MURMUR DECREASES

Question 11

WHAT HAPPENS WITH INCREASE VOLUME- SITTING, SQUATTING, LEG RAISE WITH HOCM

Answer 11

THE HOCM MURMUR DECREASES

Question 12

WHAT HAPPENS WITH MURMURS WITH AMYL NITRATE USE

Answer 12

IT DECREASES THE AFTERLOAD, LV CAVITY SIZE IS DECREASED AND THE VOLUME DECREASES

Question 13

WHAT HAPPENS WITH MURMURS WITH AMYL NITRATE USE AND MVP

Answer 13

MVP DURATION INCREASES AND THE FLOPPING OCCURS EARLIER

Question 14

WHAT HAPPENS WITH MURMURS WITH AMYL NITRATE USE, DEXREASE VOLUME, STANDING, AND VALSALVA IN MVP

Answer 14

MVP DURATION INCREASES AND THE FLOPPING OCCURS EARLIER

Question 15

WHAT HAPPENS WITH MURMURS WITH AMYL NITRATE USE WITH HOCM

Answer 15

THE LV VOLUME DECREASES AND HOCM MURMUR INCREASES

Question 16

WHAT HAPPENS WITH MURMURS WITH AMYL NITRATE USE, DEXREASE VOLUME, STANDING AND VALSALVA WITH HOCM MURMUR

Answer 16

HOCM MURMUR INCREASES

Question 17

WHAT HAPPENS WITH MURMURS WITH AMYL NITRATE USE WITH AS

Answer 17

VOLUME GETTING OUT INTO AORTA DECREASES SO AS MURMUR INCREASES

Question 18

WHAT HAPPENS WITH MURMURS WITH AMYL NITRATE USE STANDING, AND VALSALVA WITH AS

Answer 18

VOLUME DECREASES AND AS MURMUR INCREASES

Question 19

WHAT HAPPENS WITH MURMURS WITH AMYL NITRATE USE STANDING, AND VALSALVA WITH MR

Answer 19

DECREASE IN LV VOLME AND MR MURMUR WILL DECREASE

Question 20

WHAT HAPPENS TO MUMUR POST PVC?

Answer 20

POST PVC VOLUME POTENTION AND DECREASED AFTER LOAD–LEADS TO RAPID EMPTYING AND VOLUME DECREASES QUICKLY

Question 21

WHAT HAPPENS TO MUMUR POST PVC WITH HOCM?

Answer 21

HOCM MURMUR INCREASES

Question 22

WHAT HAPPENS TO MUMUR POST PVC WITH MVP

Answer 22

MVP DURATION INCREASES SO THE FLOPPING OCCURS EARLIER

Question 23

WHAT HAPPENS TO MUMUR POST PVC WITH AS

Answer 23

AS MURMURS WILL INCREASE

Question 24

WHAT HAPPENS TO BLOOD THAT RETURNS TO THE HEART DURING VALSALVA MANEUVER?

Answer 24

INCREASES IKNTRATHORACIC PRESSUREAND DECREASES BLOOD RETURN TO THE HEART

Question 25

MURMURS INCREASED ON INSPIRATION

Answer 25

TS

Question 26

MURMUR OF AS IS BEST HEARD ON ?

Answer 26

EXPIRATION

Question 27

WHICH MURMUR DECREASES POST PVC?

Answer 27

MR

Question 28

WHICH MURMUR INCREASES POST PVC?

Answer 28

-HOCM MURMUR INCREASES -MVP DURATION INCREASES SINCE FLOP OCCURS EARLIER -AS MURMUR INCREASES

Question 29

WHICH MANEUVER WILL DISTINGUISH HOCM VS AS?

Answer 29

VALSALVA HOCM INCREASES AS DECREASES

Question 30

WHAT HAPPENS TO AS AND HOCM WITH AMYL NITRATE

Answer 30

VOLUME DECREASES HOCM INCREASES AS INCREASES

Question 31

WHAT HAPPENS TO AS AND HOCM WITH HANDGRIP

Answer 31

INCREASE AFTERLOAD HOCM DECREASES AS DECREASES

Question 31

WHAT HAPPEN WITH STANDING IN AS MR MVP HOCM

Answer 31

AS DECREASE MR DECREASE MVP INCREASE HOCM INCREASE

Question 32

WHAT HAPPENS WITH VALSALVA IN AS MR MVP HOCM

Answer 32

AS DECREASE MR DECREASE MVP INCREASE HOCM INCREASE

Question 33

WHAT HAPPENS POST PVC WITH AS MR MVP HOCM

Answer 33

AS INCREASE MR DECREASE MVP INCREASE HOCM INCREASE

Question 34

WHAT HAPPENS WITH HANDGRIP IN AS MR MVP HOCM

Answer 34

AS DECREASE MR INCREASE INTENSITY/DECREASE DURATION MVP DECREASE HOCM DECREASE

Question 35

+MURMUR AT LLSB -4TH ICS STERNAL BORDER, RADIATING THROUGH OUT THE PRECORDIUM AND NO CHANGE WITH RESPIRATION OR VALSALVA AND EKG+LVH DX?

Answer 35

VSD

Question 36

MOST COMMON MURMUR AT THE LLSB?

Answer 36

VSD - MC OVERALL TR- MC IN ADULTS