Heart murmurs video
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Questions and Answers

Which of the following is a characteristic of aortic stenosis?

  • Systolic crescendo decrescendo ejection murmur (correct)
  • Pansystolic murmur
  • Continuous machinery murmur
  • Diastolic crescendo decrescendo ejection murmur
  • What is the clinical association of aortic stenosis known as 'pulses parvus at tardis'?

  • Pulsus alternans
  • Weak and delayed carotid upstroke (correct)
  • Bounding carotid upstroke
  • Pulsus paradoxus
  • What symptoms might patients with aortic stenosis experience?

  • Palpitations and dysphagia
  • Syncope and angina (correct)
  • Chest pain and tachypnea
  • Hemoptysis and orthopnea
  • Which valve abnormality is usually associated with aortic regurgitation?

    <p>Aortic valve stenosis</p> Signup and view all the answers

    When does aortic stenosis murmur occur in the cardiac cycle?

    <p>Between S1 and S2</p> Signup and view all the answers

    Which of the following is true about heart sounds?

    <p>Heart sounds can be detected visually and acoustically.</p> Signup and view all the answers

    What is the purpose of discussing normal heart sounds before abnormal heart sounds?

    <p>To provide a baseline for detecting abnormalities</p> Signup and view all the answers

    Which heart sound occurs during the isovolumetric contraction phase?

    <p>S1</p> Signup and view all the answers

    What does the S1 heart sound indicate about the cardiac cycle?

    <p>The beginning of systole</p> Signup and view all the answers

    Which of the following is a high yield topic related to heart sounds and murmurs?

    <p>Aortic stenosis</p> Signup and view all the answers

    Which type of splitting is associated with a left to right shunt?

    <p>Fixed splitting</p> Signup and view all the answers

    What is the main characteristic of paradoxical splitting?

    <p>The aortic sound occurs before the pulmonic sound</p> Signup and view all the answers

    Which type of splitting is associated with pulmonic stenosis?

    <p>Wide splitting</p> Signup and view all the answers

    What happens to the timing of the pulmonic sound when a person with aortic stenosis takes a deep breath in?

    <p>The pulmonic sound occurs earlier</p> Signup and view all the answers

    What mnemonic can be used to remember the different types of splitting?

    <p>Wiper first aid pal</p> Signup and view all the answers

    During inhalation, what happens to the right ventricle filling and ejection time?

    <p>They increase</p> Signup and view all the answers

    What is the net effect of decreased intrathoracic pressure during inhalation?

    <p>Increased blood flow to the right ventricle</p> Signup and view all the answers

    What is the normal splitting of the second heart sound (S2) caused by?

    <p>Increased blood flow over the pulmonic valve</p> Signup and view all the answers

    What causes wide splitting of the second heart sound (S2)?

    <p>Pulmonary stenosis</p> Signup and view all the answers

    What is the classic example of fixed splitting of the second heart sound (S2)?

    <p>Atrial septal defect</p> Signup and view all the answers

    Which of the following conditions can cause fixed splitting of S2?

    <p>Atrial septal defect</p> Signup and view all the answers

    What is the main cause of paradoxical splitting of S2?

    <p>Left bundle branch block</p> Signup and view all the answers

    During inhalation, what happens to the blood flow in the right ventricle of a patient with an atrial septal defect?

    <p>It remains the same</p> Signup and view all the answers

    Which component of S2 occurs first in paradoxical splitting?

    <p>P2</p> Signup and view all the answers

    What happens to the closure of the aortic valve in aortic stenosis during inhalation?

    <p>It is delayed</p> Signup and view all the answers

    Which valves are responsible for the S1 heart sound?

    <p>Mitral and tricuspid valves</p> Signup and view all the answers

    During which phase of the cardiac cycle does the S2 heart sound occur?

    <p>Isovolumetric relaxation phase</p> Signup and view all the answers

    What is the significance of the S1 and S2 heart sounds in determining the phase of the cardiac cycle?

    <p>S1 indicates systole, while S2 indicates diastole</p> Signup and view all the answers

    What causes the wide splitting of the S2 heart sound?

    <p>Pulmonic stenosis</p> Signup and view all the answers

    What is the significance of wide splitting of the S2 heart sound?

    <p>It can be a sign of pulmonic stenosis or right bundle branch block</p> Signup and view all the answers

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