Congenital

Question 1

Systolic ejection murmur at the 2nd left ICS

Widely split S2

Answer 1

Atrial Septal Defect

Question 2

Continuous “machinery-like” murmur at the 2nd left infra-clavicular area

Answer 2

Patent Ductus Arteriosus

Question 3

Single and loud S2
No murmur if with intact ventricular septum
On xray: “egg-shaped heart”

Answer 3

Transposition Of the Great Arteries

Question 4

Grade 3-5/6 systolic ejection murmur at the mid and upper left sternal border with radiation to the back
Loud and single S2
On xray: “boot-shaped heart”

Answer 4

Tetralogy of Fallot

Question 5

Systolic murmur at left sternal border
Murmurs may not be present
On xray: “Snowman Sign” or “Figure of 8”

Answer 5

Total Anomalous Pulmonary Venous Return

Question 6

Systolic regurgitant murmur at left lower sternal border

Single S2

Answer 6

Truncus Arteriosus

Question 7

Systolic regurgitant murmur at left lower sternal border

Systolic ejection murmur at upper left sternal border

Answer 7

Tricuspid Atresia

Question 8

Holosystolic murmur best heard over LLSB, radiating to RLSB

Grade 2-5/6 systolic regurgitant murmur at the LLSB
Loud and single S2 (in pulmonary hypertension)

Answer 8

Ventricular Septal Defect