This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Hea Sounds, Subject name: Medicine
All right sided events tend to increase with inspiration except: 
Select and explain. 
A. Pulmonary ejection click, B. Tricuspid stenosis, C. Tricuspid regurgitation, D. Pulmonic regurgitation
A: Pulmonary ejection click
Answer: A: Pulmonary ejection click 
Explanation: All right sided events increase with inspiration except pulmonic ejection click of pulmonic stenosis Left sided events reduce with inspiration. Normal person -On deep inspiration -More negative pressure is created -More blood is sucked into right side of hea-Louder murmurs. Pulmonary stenosis- Hyperophy of RV-On inspiration-Thickened RV does not distend normally, Pressure rises and pulmonary valve is paially opened-When RV contracts-Ejection click is softer