Name that murmur

Question 1

A harsh systolic ejection murmur heard best at the right 2nd ICS. It radiates to the carotids.

Answer 1

Aortic valve stenosis

Question 2

A high pitched, blowing,

diastolic decrescendo murmur heard best with the patient sitting, leaning forward, and exhaling.

Answer 2

Aortic regurgitation

Question 3

A low pitched mid to late diastolic rumble heard at the apex of the heart.

Answer 3

Severe aortic regurgitation

This is called an Austin Flint murmur.

Question 4

Rumbling low pitched mid diastolic murmur with an opening snap and loud S1.
(Hint: best heard at in the lateral decubitus position)

Answer 4

Mitral Stenosis

Question 5

A holosystolic, blowing, high pitched, systolic murmur, that is heard best over the apex of the heart and radiates to the axillia.

Answer 5

Mitral regurgitation.

Question 6

A systolic ejection murmur heard best at the left upper sternal border, with an ejection click and splitting of S2. This murmur radiates to the back.

Answer 6

Pulmonic stenosis

Question 7

A high pitched an blowing early systolic decrescendo murmur, heard best over the 2nd and 3rd left ICS.

Answer 7

Pulmonic regurgitation

Question 8

A early/mid diastolic murmur with an opening snap, heard best at the lower left sternal border during inspiration.

Answer 8

Tricuspid stenosis

Question 9

A holosystolic murmur with S3 or S4 heard best at the left mid sternal border

Answer 9

Tricuspid regurgitation