Murmur

Question 1

name most common (systolic) murmur

radiate
loudest where
other findings/symptoms (6)
manage

Answer 1

aortic stenosis
(ejection systolic)

radiates to carotid 
loudest at aortic area 
need to REPLACE or TAVI 
symptoms: orthopnoea, SOBOE, PND, bibasal creps, inc JVP, bilateral ankle oedema 
manage symptoms of heart failure

Question 2

name most common pansystolic murmur

history
radiate
management

Answer 2

mitral regurgitation

rheumatic fever
radiates to left axilla
repair or replace (mechanical or tissue)

Question 3

what is a TAVI

Answer 3

trans-catheter aortic valve replacement

Question 4

give an example of an anti-fibrinolytic

Answer 4

tranexamic acid

Question 5

what type of murmur causes left ventricular hypertrophy

Answer 5

aortic stenosis

Question 6

what murmur causes left atrial hypertrophy

Answer 6

mitral stenosis

Question 7

which murmur causes left ventricular dilatation

Answer 7

aortic regurgitation

Question 8

which murmur causes left atrial dilatation

Answer 8

mitral regurgitation

Question 9

if give mechanical mitral valve replacement, wheat needs to happen

Answer 9

need to be on lifelong anticoagulants

Question 10

which murmur might show a collapsing pulse

Answer 10

aortic regurgitation