Murmurs

Question 1

Aortic Stenosis

Answer 1

Crescendo-Decrescendo mid systolic murmur that radiates to carotids
RSB 2nd ICS

Question 2

Aortic Regurgitation

Answer 2

Early diastolic murmur that radiates to apex
LSB at 2nd-4th ICS
Associated with Austin Flint murmur
Will increase with squatting/hand grip (increases LV volume)

Question 3

Austin flint murmur associated with

Answer 3

Aortic regurgitation

Question 4

Mitral stenosis

Answer 4

Mid diastolic that starts with an opening snap.
Apex in left lateral decubitus position.
increases with squatting.
Usually from rheumatic fever

Question 5

Mitral regurgitation

Answer 5

Holosystolic
Heard at apex, radiates to left axilla.
usually from chordae tendonae rupture, marfan syndrome, dilated cardiomyopathy

Question 6

Mitral valve prolapse

Answer 6

late systolic murmur with mid systolic click
Apex
valsalva maneuver will increase intensity (decrease LV volume), squatting will decrease murmur intensity

Question 7

Pulmonic stenosis

Answer 7

Midsystolic murmur
Left ICS that radiates to left shoulder/neck
usually from congenital heard disease

Question 8

Tricuspid regurgitation

Answer 8

Holosystolic that radiates to xiphoid/epigastrum
Left ICS 2nd-3rd ICS
JVD Present
intensity increases with inspiration

Question 9

JVD present in which murmur

Answer 9

Tricuspid regurg

Question 10

VSD

Answer 10

holosystolic murmur
Left ICS 3rd/4th interspace
most common congenital heart defect
L to R shunt (acyanotic)

Question 11

PDA

Answer 11

continuous “machinery” murmur

Question 12

Tetrology of Fallot

Answer 12

Crescendo-decrescendo holosystolic murmur
Heard best at LSB that radiates to back
R to L shunt (cyanotic)

Question 13

Holosystolic murmurs

Answer 13

VSD
ToF
Tricuspid Regurgitation
Mitral Regurgitaiton

Question 14

Mid systolic Murmur

Answer 14

Aortic stenosis
MVP
Pulmonary stenosis

Question 15

Diastolic murmur

Answer 15

Aortic regurgitation (Early)
Mitral stenosis (Late)