Advanced Health
Assessment - Exam #2
Questions and Complete
Solutions Graded A+
Denning [Date] [Course title]
, Holosystolic murmur heard best at Apex, may transmit to axilla and sternum. - Answer: Mitral
Regurgitation
Symptoms of Mitral regurgitation - Answer: may be asymptomatic for decades, then SOB, Fatigue, HF
What increases the murmur of Mitral regurgitation, what decreases the murmur? - Answer: Decrease
murmur = stand up
Increase murmur = clench fist
Common causes of mitral regurgitation - Answer: Congenital abnormality, Rheumatic Heart disease,
acute endocarditis, Chordae tendinae dysfunction...
Mid-systolic grade II-III/VI, best heard between L. sternal border and apex. - Answer: physiologic
murmur - specifically "Still's Murmur" (usually ages 3-6)
Harsh, crescendo-decrescendo systolic murmur best heard at right sternal border. Can radiate to the
neck - Answer: Aortic Stenosis
What are the common symptoms of Aortic Stenosis - Answer: Chest pain, syncope, exercise
intolerance, dyspnea, CHF. May have a long latent period before sx.
what are patients at risk for with severe aortic stenosis - Answer: Sudden Death!
What am I associated with .... Medium pitched CONTINUOUS murmur in both systole/diastole. Usually
harsh, machinery like noise. Loud, sometimes a thrill is present. (heard best L infraclavicular fossa and
pulmonic area) - Answer: patent ductus arteriosus
Mid-to late systolic murmur, may have a mid-systolic click best heard over the lower left sternal border.
- Answer: Mitral Valve Prolapse
what are the symptoms associated with MVP? - Answer: Most people are asymptomatic. May have
chest pain, palpitation, mild dyspnea, fatigue, anxiety.
Assessment - Exam #2
Questions and Complete
Solutions Graded A+
Denning [Date] [Course title]
, Holosystolic murmur heard best at Apex, may transmit to axilla and sternum. - Answer: Mitral
Regurgitation
Symptoms of Mitral regurgitation - Answer: may be asymptomatic for decades, then SOB, Fatigue, HF
What increases the murmur of Mitral regurgitation, what decreases the murmur? - Answer: Decrease
murmur = stand up
Increase murmur = clench fist
Common causes of mitral regurgitation - Answer: Congenital abnormality, Rheumatic Heart disease,
acute endocarditis, Chordae tendinae dysfunction...
Mid-systolic grade II-III/VI, best heard between L. sternal border and apex. - Answer: physiologic
murmur - specifically "Still's Murmur" (usually ages 3-6)
Harsh, crescendo-decrescendo systolic murmur best heard at right sternal border. Can radiate to the
neck - Answer: Aortic Stenosis
What are the common symptoms of Aortic Stenosis - Answer: Chest pain, syncope, exercise
intolerance, dyspnea, CHF. May have a long latent period before sx.
what are patients at risk for with severe aortic stenosis - Answer: Sudden Death!
What am I associated with .... Medium pitched CONTINUOUS murmur in both systole/diastole. Usually
harsh, machinery like noise. Loud, sometimes a thrill is present. (heard best L infraclavicular fossa and
pulmonic area) - Answer: patent ductus arteriosus
Mid-to late systolic murmur, may have a mid-systolic click best heard over the lower left sternal border.
- Answer: Mitral Valve Prolapse
what are the symptoms associated with MVP? - Answer: Most people are asymptomatic. May have
chest pain, palpitation, mild dyspnea, fatigue, anxiety.
