Murmurs

Question 1

ejection systolic

Answer 1

aortic stenosis

Question 2

2nd intercostal space, left sternal edge

Answer 2

aortic region

Question 3

radiates to carotids

Answer 3

aortic stenosis

Question 4

dyspnoea, angina, syncope, sudden death, slow rising pulse

Answer 4

aortic stenosis

Question 5

pan-systolic

Answer 5

mitral regurgitation

Question 6

apex (5th intercostal space, mid-clavicular line)

Answer 6

mitral region

Question 7

displaced apex beat, AF

Answer 7

mitral regurgitation

Question 8

early diastolic

Answer 8

aortic regurgitation

Question 9

left sternal edge, 4th intercostal space

Answer 9

tricuspid region

Question 10

best heard sitting forwards

Answer 10

aortic regurgitation

Question 11

water hammer pulse, collapsing pulse, displaced apex, SOB

Answer 11

aortic regurgitation

Question 12

mid-diastolic

Answer 12

mitral stenosis

Question 13

opening snap, AF

Answer 13

mitral stenosis

Question 14

best heard if patient rolls onto side

Answer 14

mitral stenosis

Question 15

continuous machine-like murmur

Answer 15

patent ductus arteriosus

Question 16

radiofemoral delay

Answer 16

coarctation of the aorta

Question 17

bounding pulse

Answer 17

acute CO2 retention, sepsis

Question 18

slow rising pulse

Answer 18

aortic stenosis

Question 19

collapsing pulse

Answer 19

aortic regurgitation

Question 20

jerky pulse

Answer 20

hypertrophic obstructive cardiomyopathy/mitral regurgiation

Question 21

pulsus bisferiens (double peaked pulse)

Answer 21

hypertrophic obstructive cardiomyopathy

Question 22

pulsus paradoxus (abnormally large drop in systolic BP during inspiration)

Answer 22

cardiac tamponade, constrictive pericarditis, cardiogenic shock