Auscultation of the heart

Question 1

Aortic area

Answer 1

Systolic murmur:

1) aortic stenosis
2) flow murmur
3) aortic valve sclerosis

Question 2

Pulmonic area

Answer 2

Systolic murmur:

1) pulm stenosis
2) flow murmur (atrial septal defect, PDA)

Question 3

Tricupid area

Answer 3

Pansystolic murmur

1) tricuspid regurg
2) VSD

Diastolic murmur

1) tricuspid stenosis
2) ASD

Question 4

Mitral area

Answer 4

Systolic murmur
1) mitral regurg

Diastolic murmur
1) mitral stenosis

Question 5

Left sternal border

Answer 5

Diastolic murmur

1) aortic regurg
2) pulm regurg

Systolic murmur
1) hypertrophic cardiomyopathy

Question 6

ASD murmur

Answer 6

Presents with pulm flow murmur (increased flow through pulm valve) and diastolic rumble (increased flow across tricuspid)

Flow across the actual ASD does not cause murmur since no pressure gradient.

The murmur later progresses to a louder diastolic murmur of pulm regurg from dilatation of the pulm artery.