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Cardiology · USMLE Step 1 · Healthcare and Nursing

USMLE Cardiology: Murmurs and Heart Sounds

Heart murmur and abnormal heart sound recognition tested on USMLE Step 1.

About this set

35 basic cards for USMLE Step 1 Cardiology. Set 3 of 4 in USMLE Cardiology. It opens with "What is the timing and quality of the aortic stenosis murmur?" and "Where does the aortic stenosis murmur classically radiate?". Study it alongside the other USMLE Step 1 sets below.

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What is the timing and quality of the aortic stenosis murmur?
Show answerA crescendo-decrescendo (harsh) systolic ejection murmur
Where does the aortic stenosis murmur classically radiate?
Show answerTo the carotid arteries
What carotid pulse finding is classic for severe aortic stenosis?
Show answerPulsus parvus et tardus (weak and delayed upstroke)
What is the timing and location of the mitral regurgitation murmur?
Show answerA holosystolic murmur best heard at the cardiac apex
Where does the mitral regurgitation murmur typically radiate?
Show answerTo the axilla
What two auscultatory findings characterize mitral stenosis?
Show answerA mid-diastolic rumble preceded by an opening snap
In mitral stenosis, what does a shorter S2-to-opening-snap interval indicate?
Show answerMore severe mitral stenosis
What is the timing and location of the aortic regurgitation murmur?
Show answerAn early diastolic, decrescendo murmur at the left sternal border
What pulse finding is associated with chronic, severe aortic regurgitation?
Show answerA wide pulse pressure with a bounding, water-hammer pulse
What is the timing and location of the tricuspid regurgitation murmur?
Show answerA holosystolic murmur at the lower left sternal border
What is Carvallo's sign?
Show answerThe tricuspid regurgitation murmur getting louder with inspiration
What is the character and location of the pulmonic stenosis murmur?
Show answerA systolic ejection murmur at the left upper sternal border
What is the classic murmur of a ventricular septal defect?
Show answerA holosystolic, harsh murmur at the left lower sternal border
What is the classic murmur of a patent ductus arteriosus?
Show answerA continuous, machine-like murmur
How does the hypertrophic obstructive cardiomyopathy murmur change with Valsalva or standing?
Show answerIt becomes louder

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