USMLE cardiology pearls re: murmurs

Question

what are some pearls for USMLE cardiac physical exam/murmurs?

A. what are the four causes of cardiac murmurs?

B. what seven factors identify a specific murmur?

C. What is a mneunonic for areas of auscultation of cardiac valves?

D. What is a pneumonic for order valve closure?

E. What are some usually recognizable unusual murmurs/causes?

Answer 1

A. Valvular stenosis, insufficiency, congenital defects, increased blood flow

B. Timing in cardiac cycle, intensity,Shape, pitch, location, radiation, response to Dynamic maneuvers

C. All Patients Take Medicine

1. Aortic: RUSB * Pulmonic: LUSB
2. Tricuspid: LLSB. *Mitral: Apex

D. Many Things Are Possible

Mitral, tricuspid, aortic, pulmonic