Heart Sounds

Question 1

Systolic ejection murmur heard with

Answer 1

Aortic stenosis, pulmonic stenosis, atrial septal defect

Question 2

Pan systolic murmur

Answer 2

Ventral septal defect, tricuspid regurg, mitral regurg, prolapse

Question 3

Early diastolic murmur

Answer 3

Aortic regurg, pulmonic regurg

Question 4

Mid diastolic murmur

Answer 4

Mitral stenosis, tricuspid stenosis

Question 5

Crescendo decrescendo systolic murmur at base
Ejection click
Turbulent flow
Thrill
Radiates to neck/ carotid

Answer 5

Aortic stenosis

Question 6

Pan systolic murmur heard at apex
Radiates to axilla

What dz is this heart sound associated w

Answer 6

Mitral regurg

Rheumatic dz

Question 7

Crescendo decrescendo systolic murmur at base
Ejection click
Turbulent flow
Thrill
Radiates to neck/ L shoulder

Answer 7

Pulmonic valve stenosis

Question 8

Pan systolic murmur heard at apex

Does not radiate

Answer 8

Tricuspid regurg

Question 9

Mid to late (non-ejection) click

Heard at apex

Answer 9

Mitral prolapse

Question 10

Pansystolic murmur heard best at LLSB

harsh blowing thrill

Answer 10

Ventral Septal Defect

Question 11

Early diastolic murmur that decreases as pressure in the ventricle increases
Heard at L sternal border
Bounding carotid pulse
Radiates to apex

Answer 11

Aortic regurg

Question 12

Early diastolic murmur that decreases as pressure in the ventricle increases
Heard at upper L sternal border
Bounding carotid pulse
Radiates to apex

Answer 12

Pulmonic regurg

Question 13

Opening snap w mid diastolic rumble heard at the apex

Answer 13

Mitral stenosis

Question 14

Murmurs that increase w squatting

Answer 14

Aortic stenosis
Aortic regurg
Tricuspid stenosis

Question 15

Murmurs that increase w left lateral decubitus position

Answer 15

Mitral stenosis

Question 16

Murmurs that increase w inhalation

Answer 16

Tricuspid stenosis
Tricuspid regurg
Pulmonic regurg
(R side of the heart)

Question 17

Murmurs that increase w exhalation

Answer 17

Mitral stenosis
Aortic regurg

(L side of the heart)

Question 18

Pathological wide S2 splitting

Answer 18

Pulmonic stenosis
Mitral
RBBB

Question 19

Pathological fixed S2 splitting

Answer 19

Atrial septal defect

R Ventricle failure

Question 20

Pathological paradoxical S2 splitting

Answer 20

LBBB

Question 21

Abnormal carotid upstroke- small, threads, weak

Answer 21

Cardiogenic shock

Question 22

Abnormal carotid upstroke- bounding

Answer 22

Aortic regurg

Question 23

Abnormal carotid upstroke- delayed

Answer 23

Aortic stenosis

Question 24

Lifts or heaves

Answer 24

Ventricular hypertrophy

Hyper dynamic ventricular activity

Question 25

Thrills

Answer 25

Stenosis Septal defect Blood flow through something narrow

Question 26

Continuous murmur

Answer 26

Patent ductus arteriosus

Question 27

To and fro sys/ diastolic murmur

Answer 27

Severe aortic regurg | Aortic stenosis

Question 28

Loud S1

Answer 28

Tachy, fever, HTN, exercise, anemia, hyperthyroidism, mitral stenosis

Question 29

Soft S1

Answer 29

Thick chest wall, emphysematous lungs

Question 30

S3- where is it heard

Answer 30

with bell at Apex

Question 31

Healthy S3

Answer 31

kids, preggos

Question 32

Abnormal S3

Answer 32

Ventricular gallop Over age 40 Due to HF, anemia, volume overload of ventricle, decreased myocardial contractility

Question 33

S4- where is it heard

Answer 33

With bell at apex

Question 34

Healthy S4

Answer 34

Athletes | Geris

Question 35

Abnormal S4

Answer 35

Atrial gallop Resistance in ventricular filling- stiff heart muscle - HTN, CAD, AS, cardiomyopathy - pulm HTN or pulm stenosis