Murmurs

Question 1

Ejection systolic murmur, upper left sternal edge, radiating to back

Answer 1

ASD or pulmonary stenosis

Question 2

Systolic murmur between scapula with week femorals or radiofemoral delay

Answer 2

Coarctation of the aorta

Question 3

Ejection systolic murmur, right upper sternal edge, radiating to carotids

Answer 3

Aortic stenosis

Question 4

Pan systolic murmur at apex, radiating into axilla

Answer 4

Mitral regurgitation

Question 5

Pansystolic murmurs

Answer 5

VSD, mitral regurgitation or tricuspid regurgitation

Question 6

Cyanotic congenital heart disease

Answer 6

R -> L shunt:

Transposition
Tetralogy of Fallot
Pulmonary stenosis/atresia
Single ventricle

Question 7

VSD treatment

Answer 7

Small VSD - close on its own
Large VSD - L->R shunt, pulmonary overcirculation, pul HTN, heart failure

Treatment: diuretics, pulmary artery banding, surgical repair

Question 8

Causes of splenomegaly

Answer 8

Sphenocytosis, thalassaemia, sickle cell, portal hypertension,