Pediatric Heart Sounds Questionnaire

Before completing this questionnaire, please read the book Pediatric Heart Sounds By Michael E. McConnell, M.D.

1. The normal second heart sound splits with inspiration.

True False

2. A Still’s murmur is often heard for the first time in a child 3 to 6 years of age.

True False

3. Functional murmurs often get softer when the patient stands.

True False

4. Murmurs of hypertrophic cardiomyopathy often get louder when the patient stands.

True False

5. The life expectancy of a patient with an atrial septal defect should be normal.

True False

6. The second heart sound in a patient with a large hemodynamically significant atrial septal defect and normal pulmonary vascular resistance should be narrowly split.

True False

7. The diastolic rumble in a patient with a large hemodynamically significant atrial septal defect and normal pulmonary vascular resistance is best heard at the apex.

True False

8. Muscular ventricular septal defects have a high likelihood of spontaneous closure in the first 6 years of life.

True False

9. The murmur of a ventricular septal defect should obscure the first heart sound.

True False

10. A patient with a large ventricular septal defect and pulmonary hypertension (Eisenmeinger’s syndrome) should have a loud systolic murmur.

True False

11. A patient with a large ventricular septal defect and a large left to right shunt should have a diastolic rumble a from excessive flow across the tricuspid valve.

True False

12. Patients with large patent arterial ducts are at increased risk for endocarditis.

True False

13. Aortic stenosis clicks are often best heard at the apex.

True False

14. Patients with bicuspid aortic valves and no aortic valve stenosis are at risk for aortic root dilation.

True False

15. Pulmonary valve stenosis clicks are best heard at the upper left sternal border.

True False

16. Pulmonary valve stenosis clicks do not vary with respiration.

True False

17. Patients with a cleft mitral valve often have an apical systolic murmur that obscures the first heart sound.

True False

18. In a patient with tetralogy of Fallot, the murmur is usually caused by the ventricular septal defect.

True False

19. After surgical repair for tetralogy of Fallot, the patient will often need additional surgery to replace the pulmonary valve .

True False

20. According to the 2007 AHA guidelines, patients with unrepaired tetralogy of Fallot do not need endocarditis prophylaxis at times of endocarditis risk.

True False