Murmur

Question 1

Opening snap followed by a mid diastolic murmur?

Answer 1

Mitral stenosis

Question 2

Loud S1

Answer 2

mitral stenosis

Question 3

Late diastolic decrescendo murmur or pre systolic accentuation

Answer 3

mitral stenosis

Question 4

Soft S1?

Answer 4

aortic stenosis

Question 5

harsh ejection decrescendo crescendo systolic murmur?

Answer 5

aortic stenosis

Question 6

prominent s4

Answer 6

aortic stenosis

Question 7

split s2

Answer 7

aortic stenosis

Question 8

Loud P2

Answer 8

pulmonary hypertension

Question 9

Hoarse voice, pink frothy sputum and hemoptysis

Answer 9

mitral stenosis

Question 10

Sycope
Angina
Dyspnea on exertion

Answer 10

aortic stenosis

Question 11

What would cause a broad notched P wave?

Answer 11

Mitral stenosis or mitral regurgitation due to a dilated LA

Question 12

ECG - double density border of right heart and straightening of left heart border?

Answer 12

Mitral stenosis

Question 13

What is the 4th most common valve disease in the world?

Answer 13

Aortic regurgitation

Question 14

what is the most common valve disease of rheumatic heart disease?

Answer 14

mitral stenosis

Question 15

what is the most common valve disease in the aging population

Answer 15

aortic stenosis

Question 16

What valve disease causes an Austin flint murmur and what is it?

Answer 16

Aortic regurgitation
Austin flint murmur is a mid to end diastolic blowing murmur heard best over the apex that does not radiate to the carotids

Question 17

What is the 4th most common VHD?

Answer 17

Aortic regurgitation

Question 18

What valve disease commonly occurs with syphilis?

Answer 18

chronic aortic regurgitation

Question 19

What valve disease commonly occurs with ankylosing spondylitis?

Answer 19

chronic aortic regurgitation

Question 20

What valve disease occurs due to aortic dissection?

Answer 20

acute aortic regurgitation

Question 21

What valve disease has a bounding pulse and hyper dynamic circulation?

Answer 21

Chronic aortic regurgitation

Question 22

What VHD causes an early diastolic blowing murmur heard best at the 3rd to 4th ICS at the left sternal border?

Answer 22

chronic aortic regurgitation

Question 23

What VHD would you expect if you heard a short early diastolic blowing murmur and reduced intensity of S1?

Answer 23

Acute aortic regurgitation

Question 24

A patient presents and is positive for corrigans pulse and Hills sign. What VHD is this?

Answer 24

chronic AR

Question 25

A patient presents and is showing symptoms of heart failure, their CXR shows a normal heart size but pulmonary edema what would you expect?

Answer 25

acute AR

Question 26

A patient presents and is showing signs of pulmonary congestion with an enlarged LV and aortic root, what could this be?

Answer 26

chronic AR

Question 27

An ECG shows an increased QRS voltage in all precordial leads and an inverted T wave. What could this be?

Answer 27

LV hypertrophy

Question 28

An echocardiogram shows a normal LV size but early closure of the mitral valve and reduced LV EF. What could this be?

Answer 28

Acute AR