Murmurs

Question 1

Systolic ejection murmur

Answer 1

Pulmonic/ aortic stenosis

Question 2

Early diastolic murmur

Answer 2

Aortic regurgitation

Question 3

Holosystolic (pansystolic) murmur if chronic

Answer 3

Tricuspid/ mitral regurgitation

Question 4

Early systolic murmur if acute

Answer 4

Tricuspid/ mitral regurgitation

Question 5

Carvallo sign: murmur that increases with inspiration

Answer 5

Tricuspid regurgitation

Question 6

Late diastolic murmur

Answer 6

Tricuspid/ mitral stenosis

Question 7

Systolic click with mid-to-late systolic murmur

Answer 7

Mitral valve prolapse

Question 8

Grade of murmur: faint, needs concentration; no thrill

Answer 8

Grade 1

Question 9

Grade of murmur: faint but can be heard readily; no thrill

Answer 9

Grade 2

Question 10

Grade of murmur: moderately loud; no thrill

Answer 10

Grade 3

Question 11

Grade of murmur: Loud; (+) thrill

Answer 11

Grade 4

Question 12

Grade of murmur: Very loud, heard with stet lightly pressed on skin; (+) thrill

Answer 12

Grade 5

Question 13

Grade of murmur: Exceptionally loud; heard w stet above chest wall; (+) thrill

Answer 13

Grade 6