Murmurs

Question 1

Volume loaded, pansystolic murmur radiating to axilla

Answer 1

Mitral regurgitation

Question 2

Rheumatic fever commonly affects indigenous population and causes what valvular pathology?

Answer 2

Mitral STENOSIS

Question 3

Mid diastolic murmur with an opening snap

Answer 3

Mitral stenosis

Question 4

Tall lanky, late systolic murmur with mid systolic click

Answer 4

Mitral valve prolapse

Question 5

Pansystolic murmur at left lower sternal border

Answer 5

Ventricular septal defect

Question 6

Elevated jvp, dominant v wave, pulsatile hepatomegaly, pansystolic murmur

Answer 6

Tricuspid regurgitation

Question 7

DVT -> embolism in right arm. Ejection systolic murmur left upper sternal border split S2

Answer 7

Atrial septal defect

Commonly patent foremen ovale

Question 8

Continuous machinery murmur

Answer 8

Patent ductus arteriosus PDA

Question 9

Healthy male in 20s, exercises and suddenly dies

Answer 9

HCM hypertrophic cardiomyopathy

Question 10

Water hammer pulse, early diastolic murmur, bob head unconsciously, capillary pulsation,

Answer 10

Aortic regurgitation

Question 11

Atrial plop in diastole

Answer 11

Atrial myxoma

Question 12

Ejection systolic murmur but non radiating

Answer 12

Aortic sclerosis

Question 13

What does Stanford A and B classify?

Answer 13

Aortic dissection management
A ascending aorta managed surgically
B descending aorta managed medically

Question 14

Syncope, angina and Dyspnoea

Radiating to carotid

Answer 14

Aortic stenosis

Question 15

Ejection Systolic murmurs x 5

Answer 15

AS
A sclerosis 
Flow murmur 
PS
HOCM
ASD

Question 16

Pansystolic murmur x 3

Answer 16

MR
TR
VSD

Question 17

Early diastolic murmur x 2

Answer 17

AR

PR

Question 18

Mid diastolic murmur x 3

Answer 18

MS
TS
Atrial myxoma

Question 19

Continuous murmur x 2

Answer 19

PDA

Aortic coarctation

Question 20

Friction rub. Saddle ST waves. Pleuritic cp allev. Sitting forward

Answer 20

Pericarditis

Question 21

What valvular failure is most associated with pulmonary hypertension?

Answer 21

Mitral regurgitation

Question 22

Beck’s triad?

Answer 22

Muffled heart sounds
High JVP
Hypotension

Question 23

Pathophys. pain in Atrial fibrillation and Pulmonary embolism?

Answer 23

Ischemia of heart muscle due to working beyond oxygen capacity

Question 24

Prominent apex beat, jerky carotid pulse, harsh ejection systolic murmur

Answer 24

HOCM