Heart Sounds

Question 1

Wide splitting of S2

Answer 1

PS, AS, Ebsteins, ASD, TAPVR, RBBB

Question 2

Single S2

Answer 2

Pulmonary or aortic atresia
Severe stenosis
Truncus
TGA

Question 3

VSD

Answer 3

Pansystolic

LLSE

Question 4

ASD

Answer 4

ESM
ULSE
Fixed split S2

Question 5

Partial AVSD

Answer 5

ESM
Fixed S2
Apical pansystolic murmur of MR

Question 6

PDA

Answer 6

Continuous murmur
Under left clavicle
+/- Collapsing pulses

Question 7

TOF

Answer 7

P.S murmur ESM primarily heard
VSD pansystolic

Harsh long systolic murmur
ULSE
Cyanosed

TET spell –> decrease pbf murmur gets softer as blood shunted though vsd

Question 8

TGA

Answer 8

Loud single S2
No murmur if intact septum
Or ESM LSE if vsd with lvot

Question 9

Eisenmonger

Answer 9

often no murmur

Question 10

AS

Answer 10

ESM
URSE
Carotid thrill

Question 11

PS

Answer 11

ESM
ULSE
+/- Thrill ULSE

Question 12

TAPVR

Answer 12

ESM LUSE, Mid diastolic rumble(increases tricuspid flow)

Wide fixed splitting S2, S3

obstructed soft continuous murmur

Question 13

Truncus

Answer 13

ESM LSE, thrill, early ejection click, Loud single S2

Wide pulse pressure, Bounding pulses. Failure. Mild cyanosis.