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Exam (elaborations)

HAPE Final Exam Study Guide.

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HAPE Final Exam Study Guide. Mitral Valve Prolapse - answer*systolic click* caused by regurgitation of the mitral valve squatting delays quick, standing brings it closer to S1 Mitral Valve Stenosis - answer*opening snap* decrescendo and low-pitched rumble Physiologic S3 - answernormal in chil...

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  • September 29, 2024
  • 34
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • HAPE
  • HAPE
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HAPE Final Exam Study Guide.


Mitral Valve Prolapse - answer✔*systolic click*


caused by regurgitation of the mitral valve

squatting delays quick, standing brings it closer to S1


Mitral Valve Stenosis - answer✔*opening snap*


decrescendo and low-pitched rumble


Physiologic S3 - answer✔normal in children, young adults, and last trimester of pregnancy


Pathologic S3 - answer✔*ventricular gallop, sounds like Kentucky*


adults over 40

decreased contractility, heart failure, or volume overload of a ventricle


S4 - answer✔*atrial gallop, sounds like Tennessee*


caused by resistance to ventricular filling


S3 and S4 - answer✔*summation gallop*


quadruple rhythm


Mitral Regurgitation - answer✔mitral valve fails to close in systole

, ©BRAINBARTER 2024/2025


may have S3

harsh sounding


Tricuspid Regurgitation - answer✔tricuspid fails to close in systole


*blowing quality*


Ventricular Septal Defect - answer✔blood flows from LV to RV through a hole


*harsh, with a thrill*


Aortic Stenosis - answer✔loud with a thrill


*crescendo and decrescendo*

heard best leaning forward


Hypertrophic Cardiomyopathy - answer✔harsh


may have S3 and S4

decreases with squatting, increases with valsalva and standing


Pulmonic Stenosis - answer✔thrill


crescendo and decrescendo

Split S2, maybe S4


Aortic Regurgitation - answer✔*blowing with decrescendo*


heard best sitting, leaned forward, with breath held after expiration

, ©BRAINBARTER 2024/2025


Venous hum - answer✔continuous murmur


heard above clavicles

humming/roaring sounds


Pericardial Friction Rub - answer✔*scratchy, scraping sound*


increases with patient leaned forward, exhale, and hold breath


Patent Ductus Arteriosus - answer✔continuous murmur, fades in diastole


*harsh, machine-like*


Systolic and Diastolic Murmurs - answer✔venous hum


pericardial friction rub

patent ductus arteriosus


Diastolic murmurs - answer✔aortic regurgitation


mitral stenosis




(use pneumonic D-ARMS)


Systolic Murmurs - answer✔mitral regurgitation


physiologic

aortic stenosis

, ©BRAINBARTER 2024/2025


systolic

mitral valve prolapse




(use pneumonic MR PASS MVP)


Murmur Grading - answer✔1. faint, may not be heard in all positions


2. quiet, but heard immediately after placing stethoscope on chest

3. moderately loud

4. loud with palpable thrill

5. very loud, with thrill, may be heard with stethoscope slightly off skin

6. very loud, thrill, may be heard entirely off chest


Jugular Venous Pressure - answer✔measured best at right external jugular vein


hypovolemic patients need to lie flat to see neck veins

head elevated to 30 degrees

>3cm indicates JVD


Dyspnea - answer✔PE


spontaneous pneumothorax

anxiety

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