Murmurs

Question 1

Murmur heard in early diastole in aortic area. Best heard on end-expiration. Radiates to 4th intercostal space

Answer 1

Aortic regurgitation

Question 2

Ejection systolic murmur, heard in the aortic area, radiates to the carotids

Answer 2

Aortic stenosis

Question 3

Pansystolic, tricuspid area, radiating to 4th intercostal space

Answer 3

Tricuspid regurgitation

Question 4

Pansystolic, mitral area, radiating to axilla

Answer 4

Mitral regurgitation

Question 5

Mid diastolic, mitral area, radiating to axilla

Answer 5

Mitral stenosis

Question 6

When would you hear a late systolic murmur?

Answer 6

In mitral valve prolapse

In coarctation of the aorta

Question 7

A mid-diastolic murmur at the apex, enhanced when the patient lies in the left lateral position

Answer 7

Mitral stenosis

Question 8

Marfan’s syndrome and Ehlers-Danlos syndrome are associated with which murmur?

Answer 8

Mitral regurgitation

Question 9

A 35-year-old lady presents to cardiology for investigation of a pansystolic murmur. She has hypermobility of large and small joints bilaterally and marked striae on her abdomen and chest.

Answer 9

Mitral regurgitation

Widespread joint hypermobility along with skin changes indicated by striae should make you think of a collagen disorder - these findings are commonly present in Ehlers-Danlos syndrome.

Question 10

Mid-systolic murmur, heard best over the back?

Answer 10

coarctation of the aorta