Abnormal heart sounds and murmurs MCQ 17+

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• Causes of continuous murmur are
  ক

  Arteriovenous fistula

  খ

  Patent ductus arteriosus

  গ

  Ventricular septal defect

  ঘ

  Mitral regurgitation

  ঙ

  Tricuspid stenosis
• Causes of continuous murmur include
  ক

  Patent ductus arteriosus

  খ

  Ruptured sinus of valsalva

  গ

  Atrial septal defect

  ঘ

  Ventricular septal defect

  ঙ

  Tetralogy of fallot
• The characteristics of a functional murmur are as follows
  ক

  Seldom of more than grade ll intensity

  খ

  Best heard in the pulmonary area

  গ

  May be present in pregnant women

  ঘ

  Mid-diastolic

  ঙ

  Radiates to left axilla
• Diastolic murmur is found in
  ক

  Mitral stenosis

  খ

  Left atrial myxoma

  গ

  Aortic stenosis

  ঘ

  Mitral valve prolapse

  ঙ

  Pulmonary stenosis
• Causes of pansystolic murmur are
  ক

  VSD

  খ

  Mitral regurgitation

  গ

  Mitral stenosis

  ঘ

  Aortic stenosis

  ঙ

  PDA
• Ejection systolic murmur is present in
  ক

  Aortic stenosis

  খ

  Aortic regurgitation [Aortic flow murmur]

  গ

  Pulmonary stenosis

  ঘ

  Atrial septal defect [Pulmonary flow murmur]

  ঙ

  Tricuspid regurgitation
• Reverse splitting of second heart sound occurs in
  ক

  Left bundle branch block

  খ

  Left ventricular outflow tract obstruction

  গ

  Right ventricular pacing

  ঘ

  Right bundle branch block

  ঙ

  Right ventricular outflow tract obstruction
• A loud 1st heart sound is a feature of
  ক

  Mitral stenosis

  খ

  1st degree heart block

  গ

  Tachycardia

  ঘ

  Pericardial effusion

  ঙ

  Pulmonary hypertension
• Continuous murmur
  ক

  Begins in systole and continue in diastole

  খ

  Almost always arterial in origin

  গ

  Almost always vascular in origin

  ঘ

  Usually associated with a thrill

  ঙ

  Occurs in newborn
• Functional murmur
  ক

  Occurs in anaemia

  খ

  Is best heard in the pulmonary area

  গ

  Is mid-diastolic

  ঘ

  Radiates toward left axilla

  ঙ

  Is present in left atrial myxoma
• Features of innocent heart murmur are
  ক

  Mid systolic

  খ

  Heard at left sternal edge

  গ

  No radiation

  ঘ

  Pansystolic

  ঙ

  Loud with associated thrill
• Characteristics of innocent murmur are
  ক

  Seldom of more than grade 2 intensity

  খ

  Usually best heard in the pulmonary area

  গ

  Is not associated with cardiac enlargement

  ঘ

  It is always mid diastolic

  ঙ

  Radiates to left axilla
• Innocent murmur is
  ক

  Systolic in nature

  খ

  Less than grade 3

  গ

  Associated with structurally normal heart

  ঘ

  Associated with a thrill

  ঙ

  Does not vary with body posture
• Feature/s of innocent murmur include/s
  ক

  Heard usually at left parasternal edge

  খ

  Mid-systolic murmur

  গ

  Murmur without radiation

  ঘ

  Harsh in quality

  ঙ

  Heard throughout the cardiac cycle
• The fourth heart sound
  ক

  Follows the onset of p wave in ECG

  খ

  Is a high frequency sound

  গ

  Requires essentially compliant ventricle for its production

  ঘ

  May be physiological

  ঙ

  Is a characteristic of acute mitral regurgitation