Murmurs

Question 1

Soft systolic murmur, musical/vibrating tone, best heard at LLSE, may disappear on standing

Answer 1

Still’s murmur (innocent)

Question 2

Pansystolic murmur at LLSE, may be associated with a thrill, split or loud single S2

Answer 2

Ventricular septal defect

Question 3

Systolic ejection murmur best heard at ULSE, wide split fixed S2, sometimes associated diastolic flow rumble at LLSE

Answer 3

Atrial septal defect

Question 4

Continuous machinery murmur at the ULSE, often associated with a thrill

Answer 4

Patent ductus arteriosus

Question 5

Systolic ejection murmur heard at ULSE and LLSE, thrill palpable at the ULSE, single S2

Answer 5

Tricuspid atresia

Question 6

Systolic ejection murmur at LSE, hyperdynamic precordium, single S2

Answer 6

Hypoplastic left heart syndrome

Question 7

Low-pitched, quiet mid-systolic ejection murmur in axilla or back

Answer 7

Peripheral pulmonary stenosis (innocent)

Question 8

Systolic ejection murmur at the ULSE with radiation to back, axilla, infraclavicular area, sometimes a “click” is heard, loud S1

Answer 8

Pulmonary stenosis

Question 9

Systolic ejection murmur at URSE with radiation to carotid arteries, left ventricular heave, and possible thrill

Answer 9

Aortic stenosis

Question 10

Systolic murmur at LLSE and mid-diastolic murmur at apex, single S2

Answer 10

Transposition of the great arteries

Question 11

Systolic ejection murmur at ULSE, mid-diastolic flow rumble at LLSE, wide split fixed S2

Answer 11

Total Anomalous Pulmonary Venous Drainage

Question 12

Systolic murmur, mid-diastolic rumble

Answer 12

Truncus arteriosus