Murmurs

Question 1

Aortic stenosis

Answer 1

Systolic

Crescendo- decrescendo systolic ejection murmur

Radiates to carotids

SAD (syncope, angina, dyspnea)

Question 2

Mitral/ tricuspid regurgitation

Answer 2

Holosystolic, high-pitched blowing murmur

Loudest at apex/ tricuspid area

Radiates to axilla/ right sternal border

Question 3

Mitral valve prolapse

Answer 3

Late systolic crescendo murmur with midsystolic click.

Most frequent valvular lesion

Marfans, ehlers- danlos syndrome, rheumatic fever, chordae rupture, Graves disease and polycystic kidney disease.

Question 4

Ventricular septal defect

Answer 4

Holosystolic, loudest at tricuspid area

Question 5

Aortic regurgitation

Answer 5

High-pitched blowing early diastolic

Decrescendo murmur

Increases aortic pulse pressure

Flow from aorta to ventricle

Question 6

Mitral stenosis

Answer 6

Follows opening snap, heard first

Delayed rumbling late diastolic murmur

Beat heard at Apex

Question 7

Patent ductus arteriosus

Answer 7

Continuous machine like murmur