Murmurs

Question 1

Name the murmur
Clinical Features:
- chest pain
- dyspnoea
- syncope
- ejection systolic murmur which radiates to the carotids (decreased following Valsalva manoeuvre)

Answer 1

Aortic Stenosis

Question 2

Murmur commonly associated with malar flush

Answer 2

Mitral stenosis

Question 3

Narrow pulse pressure most characteristically present in which murmur?

Answer 3

Aortic stenosis

Question 4

Which murmur had a Split S2?

Answer 4

Mitral regurgitation

Question 5

Which murmur is associated with a slow rising pulse?

Answer 5

Aortic stenosis

Question 6

What are some of the features of severe aortic stenosis?

Answer 6

Narrow pulse pressure
Slow rising pulse
Delayed ESM
Soft/absent S2
S4
Thrill
Left vent. Hypertrophy or failure

Question 7

Which murmur?
Mid-diastolic murmur heard loudest over the apex.
Accentuated with the patient in the left lateral position.

Answer 7

Mitral stenosis

Question 8

Which murmur?
Commonly causes AF secondary to enlargement which may result in emboli sequelae e.g. stroke, TIA, mesenteric ischaemia.

Answer 8

Mitral stenosis

Question 9

Which murmur?
Early diastolic heard loudest over the aortic area and/or left sternal border
Less commonly associated with AF.

Answer 9

Aortic regurgitation

Question 10

Where should you hear aortic stenosis loudest?

Answer 10

Aortic area - right sternal edge

Question 11

Where should you hear aortic regurgitation loudest?

Answer 11

Left sternal border

Question 12

Where should you hear mitral regurgitation loudest?

Answer 12

At the apex during expiration