CARDIOLOGY
Recognize the response of cardiac murmurs to physical maneuvers.
Explanation:
Here we shall learn about HOCM and MVP - both of whose murmurs get louder on Valsalva (because the LV volume decreases and in HOCM the LV outflow tract becomes narrower whereas in MVP the chordae tendinae get even more lax and cannot hold the MV leaflets from prolapsing)
They can be best differentiated by hand grip which intensifies
MVP but softens HOCM.
Also read cardiac auscultation