Murmurs

Question 1

Rule for murmurs louder on expiration and inspiration?

Answer 1

RILE - Right side = Inspiration, Left side = Expiration

Question 2

Ejection systolic, louder on expiration? (2)

Answer 2

Aortic stenosis
HOCM

Question 3

Ejection systolic, louder on inspiration? (2)

Answer 3

Pulmonary stenosis
Atrial septal defect

Question 4

Ejection systolic murmurs?

Answer 4

Aortic stenosis (expiration)
HOCM
Pulmonary stenosis (inspiration)
Atrial septal defect
Tetralogy of Fallot

Question 5

Holosystolic/pansystolic murmurs?

Answer 5

Mitral regurgitation
Tricuspid regurgitation
Ventricular septal defect

Question 6

Holosystolic/pansystolic harsh murmur?

Answer 6

Ventricular septal defect

Question 7

Holosystolic/pansystolic, high-pitched + ‘blowing’, louder on inspiration?

Answer 7

Tricuspid regurgitation

Question 8

Holosystolic/pansystolic, high-pitched + ‘blowing’, no change on inspiration/expiration?

Answer 8

Mitral regurgitation

Question 9

Late systolic murmurs? (2)

Answer 9

Mitral valve prolapse
Coarctation of the aorta

Question 10

Early diastolic, high-pitched + ‘blowing’?

Answer 10

Aortic regurgitation
Graham-Steel murmur (pulmonary regurgitation)

Question 11

Mid-late diastolic murmur, ‘rumbling’?

Answer 11

Mitral stenosis
Austin-Flint murmur (severe aortic regurgitation)

Question 12

Continuous machine-like murmur?

Answer 12

PDA