AANP & Murmurs Exam Questions With
Answers
What valves are closed during S1/ Systole? - Answer -Mitral
Tricuspid &
AV close
(Ventricular Contraction)
S2 ("Dub" sound) is? - Answer -Diastole
What valves are closed during S2? - Answer -Aortic
Pulmonic
Semilunar valves close
(Ventricular Dilation)
The period b/t S1 & S2 is? - Answer -Systole
The period b/t S2 & S1 is? - Answer -Diastole
What are murmurs? - Answer -Turbulent blood flow through vessels across a heart
valves
Where do you hear the Aortic Valve? - Answer -2nd RIGHT ICS; Right Sternal Border
Where do you hear the Pulmonic Valve? - Answer -2nd Left ICS ; Left Sternal Border
Where do you hear the second pulmonic area (Erbs)? - Answer -3rd Left ICS at Left
Sternal Border
Where do you hear Tricuspid? - Answer -4th Left ICS; Lower Left Sternal Border
Where do you here Mitral Valve? - Answer -5th ICS; Left Midclavicular line the "apical"
area
Toward LEft Axilla
IF the rate sounds irregular what do you do? - Answer -Compare the beats per min.
over the heart with the radial pulse.
Murmurs in conjunction with carotid pulse are? - Answer -Systolic (S1)- should Coincide
with the rise of the Carotid pulse (Ask pt to hold breath during EXPIRATION while
listening)
Systolic Murmurs - MR Peyton Manning AS MVP - Answer -Mitral Regurgitation
Physiologic Murmur
Aortic Stenosis
, Mitral Valve Prolapse
Stenotic valves dont....??? - Answer -OPEN properly
Regurgitant valves dont....??? - Answer -Close properly
What does Holosystolic / Pansystolic mean? - Answer -Herd during All of systole (b/t
S1-S2) end of S1 to the beginning of S2
Which Murmurs are Holosystolic / Pansystolic ? - Answer -MITRAL
REGURGITATION!!!!!!!
Tricuspid Regurgitation
VSD
On examination you find the PMI (point of maximal impulse) is displaced laterally & is
diffuse. What do you associate with this finding? - Answer -MITRAL
REGURGITATION!!!!
Diffuse Amplitude (found by tapping) could be CHF
A blowing systolic murmur at the apex, radiating to the axillae on exam is consistent
with?? - Answer -Mitral Regurgitation
What are symptoms of Mitral Regurgitation? - Answer -CHF
Fatigue
SOB
Bacterial Endocarditis
What does it mean to have a Midsystolic Murmur? - Answer -Turbulent blood flow over
the Aortic or Pulmonary Valves
Is a Physiologic Murmur an example of a Midsystolic Murmur? - Answer -YEP
What are example of physiological conditions that can increase the blood flow across
the semilunar valves? - Answer -Pregnancy
Fever
Anemia
What are possible causes of S3? - Answer -Physiologic Murmurs
Pregnancy
Fever
Anemia
Normal finding in children
When can you hear a physiologic murmur the best? - Answer -during Inspiration
phys-I-ologic; I-nspiration
Answers
What valves are closed during S1/ Systole? - Answer -Mitral
Tricuspid &
AV close
(Ventricular Contraction)
S2 ("Dub" sound) is? - Answer -Diastole
What valves are closed during S2? - Answer -Aortic
Pulmonic
Semilunar valves close
(Ventricular Dilation)
The period b/t S1 & S2 is? - Answer -Systole
The period b/t S2 & S1 is? - Answer -Diastole
What are murmurs? - Answer -Turbulent blood flow through vessels across a heart
valves
Where do you hear the Aortic Valve? - Answer -2nd RIGHT ICS; Right Sternal Border
Where do you hear the Pulmonic Valve? - Answer -2nd Left ICS ; Left Sternal Border
Where do you hear the second pulmonic area (Erbs)? - Answer -3rd Left ICS at Left
Sternal Border
Where do you hear Tricuspid? - Answer -4th Left ICS; Lower Left Sternal Border
Where do you here Mitral Valve? - Answer -5th ICS; Left Midclavicular line the "apical"
area
Toward LEft Axilla
IF the rate sounds irregular what do you do? - Answer -Compare the beats per min.
over the heart with the radial pulse.
Murmurs in conjunction with carotid pulse are? - Answer -Systolic (S1)- should Coincide
with the rise of the Carotid pulse (Ask pt to hold breath during EXPIRATION while
listening)
Systolic Murmurs - MR Peyton Manning AS MVP - Answer -Mitral Regurgitation
Physiologic Murmur
Aortic Stenosis
, Mitral Valve Prolapse
Stenotic valves dont....??? - Answer -OPEN properly
Regurgitant valves dont....??? - Answer -Close properly
What does Holosystolic / Pansystolic mean? - Answer -Herd during All of systole (b/t
S1-S2) end of S1 to the beginning of S2
Which Murmurs are Holosystolic / Pansystolic ? - Answer -MITRAL
REGURGITATION!!!!!!!
Tricuspid Regurgitation
VSD
On examination you find the PMI (point of maximal impulse) is displaced laterally & is
diffuse. What do you associate with this finding? - Answer -MITRAL
REGURGITATION!!!!
Diffuse Amplitude (found by tapping) could be CHF
A blowing systolic murmur at the apex, radiating to the axillae on exam is consistent
with?? - Answer -Mitral Regurgitation
What are symptoms of Mitral Regurgitation? - Answer -CHF
Fatigue
SOB
Bacterial Endocarditis
What does it mean to have a Midsystolic Murmur? - Answer -Turbulent blood flow over
the Aortic or Pulmonary Valves
Is a Physiologic Murmur an example of a Midsystolic Murmur? - Answer -YEP
What are example of physiological conditions that can increase the blood flow across
the semilunar valves? - Answer -Pregnancy
Fever
Anemia
What are possible causes of S3? - Answer -Physiologic Murmurs
Pregnancy
Fever
Anemia
Normal finding in children
When can you hear a physiologic murmur the best? - Answer -during Inspiration
phys-I-ologic; I-nspiration
