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Flashcards in Murmurs and such Deck (43):
1

Thready carotid pulses

aortic stenosis

2

Bounding pulses/widened pulse pressures

aortic regurg

3

Left sided atrial enlargement and ventricular hypertrophy on CXR

Aortic valve disorders

4

Atrial enlargement alone on CXR

Mitral valve disorders

5

2nd right intercostal space

Aortic stenosis

6

Apex

Mitral stenosis and regurg

7

2nd-4th left intercostal space

Aortic regurgitation

8

Radiates to neck and LSB

Aortic stenosis

9

Radiates to left axilla

Mitral regurg

10

Radiates to apex and RSB

Aortic regurgitation

11

No radiation

Mitral stenosis

12

Holosystolic

Mitral regurg
Tricuspid regurg

13

Diastolic decrescendo blowing

Aortic regurg

14

Diastolic rumble

Mitral stenosis

15

Systolic crescendo-decrescendo

Aortic stenosis

16

Harsh midsystolic ejection cresc-desrescedo

Pulmonic stenosis

17

Left lower sternal boarder

Tricuspid regurgitation

18

2nd-3rd left intercostal space

Pulmonic stenosis

19

Radiate to right sternum and xiphoid area

Tricuspid regurg

20

Radiate to left shoulder and neck

Pulmonic stenosis

21

____ murmurs are intensified when pts sit up and lean forward

Aortic

22

____ murmurs are intensified when pts lay on LEFT side

Mitral

23

Squatting/leg raise/laying down increase ___ murmurs

All murmurs (increase venous return) EXCEPT hypertrophic cardiomyopathy and MVP

24

Squatting/leg raise/laying down decrease ___ murmurs

hypertrophic cardiomyopathy and MVP

25

Valsalva/standing increase ___ murmurs

hypertrophic cardiomyopathy and MVP

26

Valsalva/standing decrease ___ murmurs

All murmurs (decrease venous return) EXCEPT hypertrophic cardiomyopathy and MVP

27

Inspiration increase venous return to (right/left) side

right --> right sided murmurs (pulmonic/tricuspid) best heard w/ inspiration

28

Expiration increase venous return to (right/left) side

left --> left sided murmurs (aortic/mitral) best heard w/ expiration

29

Hand grip decreases ___ murmurs

AS
MVP
Hypertrophic cardiomyopathy

30

Hand grip increases ___ murmurs

AR, MR (d/t increased backward flow)
MS (d/t increased afterload)

31

Hand grip (increases/decreases) afterload and (increases/decreases) backward flow

increases, increases

32

Amyl nitrate (increases/decreases) afterload and (increases/decreases) backward flow

decreases, decreases

33

Amyl nitrate increases ___ murmurs

AS
MVP
Hypertrophic cardiomyopathy

34

Amyl nitrate decreases ___ murmurs

AR, MR

35

Widely split fixed S2

ASD

36

MC cause of paradoxical S2 split

Left bundle branch block

Paradoxical split = occurs w/ expiration, disappears w/ inspiration

37

Aortic Stenosis: (Wide/narrow) pulse pressure

Narrow

38

Aortic Regurgitation: (Wide/narrow) pulse pressure

Wide

39

pulsus parvus et tardus =
Seen in ___

Weak, delayed pulse
Aortic stenosis

40

PDA: (Wide/narrow) pulse pressure

Wide
Bounding peripheral pulses

41

(Wide/narrow) (paradoxical/ fixed) split S2 and Grade II/VI (diastolyic/systolic) mumur heard at ____ in Atrial Septal Defect

WIDE FIXED split S2 SYSTOLIC heart over PULMONIC REGION

42

(Wide/narrow) (paradoxical/ fixed) split S2 and Grade III/VI HOLO(diastolyic/systolic) mumur heard at ____ in Ventricular Septal Defect

WIDE FIXED split S2 and Grade III/VI HOLOSYSTOLIC mumur heard at LEFT STERNAL BORDER in Ventricular Septal Defect

43

Opening snap associated with ___

Mitral stenosis