NU664B
NU664B - EXAM 1 STUDY GUIDE
QUESTIONS AND ANSWERS 2025
murmur grading: grade 1 -Correct Answer ✔very faint
murmur grading: grade 2 -Correct Answer ✔faint but can hear it immediately!!!
murmur grading: grade 3 -Correct Answer ✔moderately loud, no thrill
physical exam findings hyperlipidemia -Correct Answer ✔- xanthelasma
palpabrum (yellow patches on eyelids)
-xanthoma ((thickening of the tendon)
Inhaled Corticosteroids -Correct Answer ✔- ide or -sone
Long-Acting Muscarinic Antagonist (LAMA) -Correct Answer ✔-ium
short acting beta agonists -Correct Answer ✔albuterol, levalbuterol (leva =
decreased palpitations, better rate control
long acting beta 2 agonists -Correct Answer ✔- ol (salmeterol, fomoterol)
murmur grading: grade 4 -Correct Answer ✔loud, with a thrill
murmur grading: grade 5 -Correct Answer ✔loud, can hear with stethescope
partially off chest -- has thrill
heart sounds: All people enjoy time magazine -Correct Answer ✔Aortic - R sternal
border, 2nd intercostal space
Pulmonic - L sternal border, 2nd intercostal space
NU664B
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Erb's Point - L sternal border, 3rd intercostal space
Tricuspid - L sternal border, 4th intercostal space
Mitral - L sternal border, 5th intercostal space
S3 heart sound -Correct Answer ✔Increased ventricular filling pressure (e.g.,
mitral regurgitation, HF)
*during systole
common in pregnancy, children, and trained athletes
S4 heart sound -Correct Answer ✔coincides with atrial contraction in late diastole
and "a" wave in jugular venous pressure curve; due to increased resistance to
ventricular filling following vigorous atrial contraction
**think aortic gallop*
this is always abnormal
Which murmurs are associated with SYSTOLE? -Correct Answer ✔TPAM =
RSSR
tricuspid regurgitation
pulmonic stenosis
aortic stenosis
mitral regurgitation
Mnemonic for remembering where the valves are? -Correct Answer ✔TINY
PEOPLE ARE MIGHTY
tricuspid, pulmonic, aortic, mitral
NU664B
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Which murmurs are associated with DIASTOLE -Correct Answer ✔TPAM =
SRRS
tricuspid stenosis
pulmonic regurgitation
aortic regurgitation
mitral stenosis
what type of problem is regurgitation? -Correct Answer ✔closing
- valves do not close fully, so we have blood leaking back through!
what time of problem is stenosis? -Correct Answer ✔opening
- valves cannot open all the way, not as much blood can pass
what sound does regurgitation usually make? -Correct Answer ✔High pitched and
blowing
what sound does stenosis usually make? -Correct Answer ✔Harsh, low rumbling
mitral regurgitation -Correct Answer ✔blood goes back to L atrium during
SYSTOLE!
- heard best at 5th intercostal space, L sternal border (aka the apex)
- high pitched and LOUD BLOWING
aortic stenosis -Correct Answer ✔restricts forward flow of blood during
SYSTOLE
- best heard at 2nd intercostal space R sternal edge
NU664B
NU664B - EXAM 1 STUDY GUIDE
QUESTIONS AND ANSWERS 2025
murmur grading: grade 1 -Correct Answer ✔very faint
murmur grading: grade 2 -Correct Answer ✔faint but can hear it immediately!!!
murmur grading: grade 3 -Correct Answer ✔moderately loud, no thrill
physical exam findings hyperlipidemia -Correct Answer ✔- xanthelasma
palpabrum (yellow patches on eyelids)
-xanthoma ((thickening of the tendon)
Inhaled Corticosteroids -Correct Answer ✔- ide or -sone
Long-Acting Muscarinic Antagonist (LAMA) -Correct Answer ✔-ium
short acting beta agonists -Correct Answer ✔albuterol, levalbuterol (leva =
decreased palpitations, better rate control
long acting beta 2 agonists -Correct Answer ✔- ol (salmeterol, fomoterol)
murmur grading: grade 4 -Correct Answer ✔loud, with a thrill
murmur grading: grade 5 -Correct Answer ✔loud, can hear with stethescope
partially off chest -- has thrill
heart sounds: All people enjoy time magazine -Correct Answer ✔Aortic - R sternal
border, 2nd intercostal space
Pulmonic - L sternal border, 2nd intercostal space
NU664B
,NU664B
Erb's Point - L sternal border, 3rd intercostal space
Tricuspid - L sternal border, 4th intercostal space
Mitral - L sternal border, 5th intercostal space
S3 heart sound -Correct Answer ✔Increased ventricular filling pressure (e.g.,
mitral regurgitation, HF)
*during systole
common in pregnancy, children, and trained athletes
S4 heart sound -Correct Answer ✔coincides with atrial contraction in late diastole
and "a" wave in jugular venous pressure curve; due to increased resistance to
ventricular filling following vigorous atrial contraction
**think aortic gallop*
this is always abnormal
Which murmurs are associated with SYSTOLE? -Correct Answer ✔TPAM =
RSSR
tricuspid regurgitation
pulmonic stenosis
aortic stenosis
mitral regurgitation
Mnemonic for remembering where the valves are? -Correct Answer ✔TINY
PEOPLE ARE MIGHTY
tricuspid, pulmonic, aortic, mitral
NU664B
, NU664B
Which murmurs are associated with DIASTOLE -Correct Answer ✔TPAM =
SRRS
tricuspid stenosis
pulmonic regurgitation
aortic regurgitation
mitral stenosis
what type of problem is regurgitation? -Correct Answer ✔closing
- valves do not close fully, so we have blood leaking back through!
what time of problem is stenosis? -Correct Answer ✔opening
- valves cannot open all the way, not as much blood can pass
what sound does regurgitation usually make? -Correct Answer ✔High pitched and
blowing
what sound does stenosis usually make? -Correct Answer ✔Harsh, low rumbling
mitral regurgitation -Correct Answer ✔blood goes back to L atrium during
SYSTOLE!
- heard best at 5th intercostal space, L sternal border (aka the apex)
- high pitched and LOUD BLOWING
aortic stenosis -Correct Answer ✔restricts forward flow of blood during
SYSTOLE
- best heard at 2nd intercostal space R sternal edge
NU664B
