Cardiac Murmurs

Question 1

What is suggested by the following observation? Systolic crescendo-decrescendo murmur

Answer 1

Aortic stenosis

Question 2

What is suggested by the following observation? Radiating to carotid arteries

Answer 2

Aortic stenosis

Question 3

What is suggested by the following observation? Blowing murmur

Answer 3

Regurgitation

Question 4

What is suggested by the following observation? systolic murmur radiating to axilla

Answer 4

Mitral regurgitation

Question 5

What is suggested by the following observation? systolic murmur radiating to right sternal border

Answer 5

Tricuspid regurgitation

Question 6

What is suggested by the following observation? Harsh-sounding systolic murmur loudest at tricuspid area

Answer 6

VSD

Question 7

What is suggested by the following observation? Widened pulse pressure, head bobbing

Answer 7

Aortic regurgitation

Question 8

What is suggested by the following observation? Late rumbling diastolic murmur

Answer 8

Mitral stenosis

Question 9

What is suggested by the following observation? Wide splitting

Answer 9

Pulmonic stenosis

Question 10

What is suggested by the following observation? Fixed splitting

Answer 10

ASD

Question 11

What is suggested by the following observation? Paradoxical splitting

Answer 11

Aortic Stenosis (also left bundle branch block)

Question 12

What is suggested by the following observation? murmur intensity decreases with squatting and hand grip

Answer 12

Hypertrophic cardiomyopathy

Question 13

What is suggested by the following observation? Murmur increases with hand grip

Answer 13

Mitral regurgitation, Aortic regurgitation, VSD

Question 14

What is suggested by the following observation? Standing up increases the intensity of the murmur

Answer 14

Hypertrophic cardiomyopathy

Question 15

What is suggested by the following observation? Rapid squatting increases the intensity of the murmur

Answer 15

Aortic stenosis