Question 1

Which of the following murmurs is descibed as an A2 opening "snap" decreasing in interval as the condition progresses and heard best at the apex. The ECG will show LA abnormalities.

Accepted Answer

MS

Question 2

A patient with a PMH of Endocarditis presents to the ED with a loud decrecendo murmur at the LSB that's accentuated when they sit, lean forward, and exhale. What exam finding would not be present?

Accepted Answer

Cavallery's Sign

Question 3

A patient with a PMH of RV dilation and a recent pacemaker placement due to right-sided heart failure may develop what heart murmur?

Accepted Answer

A blowing holosystolic murmur +/- S3

Question 4

Which of the following would increase or accentuate a murmur with multiple mid-systolic "clicks" at the LLSB in a female patient with pectus excavatum?

Accepted Answer

Standing

Question 5

What other PE findings would you expect to find with a patient who has a harsh systolic murmur, that radiates to the neck with a paradoxically split S2?

Accepted Answer

Diminished Carotid Pulses

Question 6

You are listening to a patient with a PMH of MVP c/o DOE and SOB at night. On ascultation, you hear a loud, S3 pansystolic murmur . Where would this murmur radiate?

Accepted Answer

Axilla

Question 7

Where would your diapragm be placed if you are listening to a pt's heart and hear an opening click that decreases with inspiration and a high-pitched ejection murmur radiating to the left shoulder?

Accepted Answer

Upper LSB

Question 8

Which of the following heart abnormalities does not potentially occur from rhuematic fever?

Accepted Answer

Mitral Valve Prolapse, Aortic Stenosis

Question 9

During ascultation of patient's heart you hear a loud, rumbling, Graham-Steel murmur at the 2nd ICS, which is indicative of what valvluar dysfunction:

Accepted Answer

Pulmonary Regurgitation

Question 10

What is used to listen to all aortic and pulmonic valvular conditions?

Accepted Answer

Diaphagm of the Stethoscope

Question 11

What is one thing distinguishing the clinical findings of tricuspid regurgitation from mitral regurgitation?

Accepted Answer

Carvallo's Sign

Question 12

A patient with a chronic wide pulse pressure and high stroke volume w/ a PMH of a bicuspid aortic valve should be treated with:

Accepted Answer

Beta Blockers

Question 13

What condition may cause a female patient to develop a murmur at mid to late diastole with a loud S1 at the LLSB that radiates to the apex ?

Accepted Answer

Rheumatic Fever

Question 14

Which of the following is not a systolic murmur?

Accepted Answer

MS

Question 15

Which of the following valvular disorders is not usually asymptomatic and will present signs or symptoms prior to increasing in severity?

Accepted Answer

Mitral Regurgitation

Question 16

A mid-systolic click followed by a late systolic murmur best heard at the apex and LLSB is known as

Accepted Answer

MVP

Valvular Diseases - Test Review

2) A patient with a PMH of Endocarditis presents to the ED with a loud decrecendo murmur at the LSB that's accentuated when they sit, lean forward, and exhale. What exam finding would not be present?

3) A patient with a PMH of RV dilation and a recent pacemaker placement due to right-sided heart failure may develop what heart murmur?

4) Which of the following would increase or accentuate a murmur with multiple mid-systolic "clicks" at the LLSB in a female patient with pectus excavatum?

5) What other PE findings would you expect to find with a patient who has a harsh systolic murmur, that radiates to the neck with a paradoxically split S2?

6) You are listening to a patient with a PMH of MVP c/o DOE and SOB at night. On ascultation, you hear a loud, S3 pansystolic murmur . Where would this murmur radiate?

7) Where would your diapragm be placed if you are listening to a pt's heart and hear an opening click that decreases with inspiration and a high-pitched ejection murmur radiating to the left shoulder?

8) Which of the following heart abnormalities does not potentially occur from rhuematic fever?

9) During ascultation of patient's heart you hear a loud, rumbling, Graham-Steel murmur at the 2nd ICS, which is indicative of what valvluar dysfunction:

10) What is used to listen to all aortic and pulmonic valvular conditions?

11) What is one thing distinguishing the clinical findings of tricuspid regurgitation from mitral regurgitation?

12) A patient with a chronic wide pulse pressure and high stroke volume w/ a PMH of a bicuspid aortic valve should be treated with:

13) What condition may cause a female patient to develop a murmur at mid to late diastole with a loud S1 at the LLSB that radiates to the apex ?

14) Which of the following is not a systolic murmur?

15) Which of the following valvular disorders is not usually asymptomatic and will present signs or symptoms prior to increasing in severity?

16) A mid-systolic click followed by a late systolic murmur best heard at the apex and LLSB is known as