#1
Which of the following heart sounds is associated with the closure of the mitral valve?
S1
ExplanationFirst heart sound; closure of mitral and tricuspid valves.
#2
A diastolic murmur is heard best:
During diastole
ExplanationDiastolic murmurs occur during heart relaxation (diastole).
#3
What is the most common cause of aortic regurgitation?
Infective endocarditis
ExplanationInfection of heart valves leading to valve damage.
#4
Which of the following maneuvers can increase the intensity of mitral valve prolapse murmur?
Valsalva maneuver
ExplanationDecreased venous return to the heart increases the prolapse.
#5
Which of the following is a characteristic feature of aortic stenosis murmur?
High-pitched, crescendo-decrescendo murmur
ExplanationHarsh, diamond-shaped murmur during ventricular ejection.
#6
Which valve disorder is characterized by the narrowing of the aortic valve?
Aortic stenosis
ExplanationNarrowing of the aortic valve, leading to reduced blood flow from the heart.
#7
The presence of a mid-systolic click is typically associated with which valve disorder?
Mitral valve prolapse
ExplanationValve leaflets billow back into the left atrium during systole, causing the click.
#8
A continuous machinery-like murmur is characteristic of which condition?
Patent ductus arteriosus
ExplanationFailure of ductus arteriosus to close after birth.
#9
In which condition would you typically hear an opening snap followed by a diastolic rumble on auscultation?
Mitral stenosis
ExplanationNarrowed mitral valve restricts blood flow during diastole.
#10
What is the classic triad of symptoms associated with aortic stenosis?
Dyspnea, angina, syncope
ExplanationShortness of breath, chest pain, fainting due to reduced blood flow.
#11
In which position is the murmur of mitral stenosis usually accentuated?
Left lateral decubitus position
ExplanationMurmur intensifies when lying on the left side.
#12
Which of the following maneuvers can help differentiate between innocent and pathologic murmurs in children?
Standing from squatting position
ExplanationChange in murmur intensity with position indicates pathology.
#13
Which of the following is a characteristic feature of tricuspid regurgitation murmur?
Holosystolic murmur
ExplanationMurmur heard throughout systole due to backflow through the tricuspid valve.
#14
Which maneuver can help differentiate between mitral valve prolapse and hypertrophic cardiomyopathy murmurs?
Handgrip maneuver
ExplanationDecreased preload increases mitral valve prolapse murmur.
#15
Which of the following maneuvers decreases the intensity of mitral valve prolapse murmur?
Inspiration
ExplanationDecreased venous return to the heart reduces prolapse.