BARKLEY 3P EXAM QUESTIONS AND ANSWERS UPDATE.

BARKLEY 3P EXAM QUESTIONS AND ANSWERS UPDATE.
Question :You are auscultating Jon's chest. When he sits
up and leans forward, you can hear a high pitched,
blowing murmur at S2. What does this type of murmur
most likely indicate?
a. Mitral stenosis
b. Aortic Stenosis
c. Mitral regurgitation
d. Aortic regurgitation
Correct answer:d. Aortic regurgitation
Aortic regurg is soft, high pitched, blowing diastolic
decrescendo that best heard at the 3rd left interspace at
base. Murmur initiated w/ S2 and heard when Pt sits up
and leans forward. Mitral Stenosis= low pitched diastolic
rumble & doesn't radiate. Best heard in apex when in left
lateral position. Aortic stenosis= loud, harsh murmur
midsystole, radiated down the side of neck and down
apex. Mitral regurg= loud blowing murmur heard at apex
and is pansystolic.

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