Author Question: Classically in mitral valve prolapse, the clinician can hear a(n) ____. A. Mid-systolic click ... (Read 37 times)

ssal · **on:** Jun 25, 2018

Classically in mitral valve prolapse, the clinician can hear a(n) ____.

A. Mid-systolic click followed by a grade I murmur that crescendos up to S2
B. Opening snap followed by a grade III holosystolic murmur
C. Crescendo-decrescendo grade I diastolic murmur after S2
D. Rough grade III holosystolic murmur that obscures S1 and S2

Question 2

The best diagnostic test that allows analysis of a heart murmur is:

A. CT scan
B. Echocardiogram
C. MRI
D. ECG

Smiles0805 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
In mitral valve prolapse (MVP), a portion of the mitral valve flops open up into the left atrium, giving rise to a classic mid-systolic click followed by a soft grade I murmur that crescendos up to S2. It is high pitched and is heard best at the apex or left sternal border.

Answer to Question 2

ANS: B
Echocardiography is the best diagnostic test for assessing a heart murmur. In addition to visualizing the diseased valve, echocardiography can assist in determining the size of the heart chambers involved in the heart murmur in real time.