Heart Murmur Auscultatory Findings

Question 1

systolic heart murmurs

Answer 1

mitral regurg
tricuspid regurg
aortic stenosis
ventricular septal defect
mitral valve prolapse

Question 2

diastolic heart murmurs

Answer 2

aortic regurg

mitral stenosis

Question 3

continuous heart murmurs

Answer 3

patent ductus arterosus

Question 4

mitral regurg

Answer 4

holosystolic, high-pitched
loudest at apex, radiates to axilla
enhanced by squatting and hand grip

Question 5

tricuspid regurg

Answer 5

holosystolic, high-pitched
loudest at left lower sternal border
enhanced by inspiration

Question 6

aortic stenosis

Answer 6

crescendo-decrescendo systolic ejection
loudest at heart base radiating to carotids
decreased with valsalva

Question 7

ventricular septal defect

Answer 7

holosystolic, harsh-sounding murmur
loudest at left lower sternal border
enhanced with hand grip

Question 8

mitral valve prolapse

Answer 8

late systolic crescendo with mid-systolic click
beast heard over apex
click occurs earlier with valsalva or standing

Question 9

aortic regurg

Answer 9

high-pitched early diastolic blowing decrescendo murmur

enhanced with hand grip

Question 10

mitral stenosis

Answer 10

opening snap with delayed rumble, late diastolic

enhanced by expiration

Question 11

patent ductus arterosus

Answer 11

continuous machine-like murmur

best heard at left infraclavicular area