Valves and Murmers

Question 1

Aortic stenosis

Answer 1

Systolic; R 2nd intercostal space during systole

Question 2

Tricuspid regurgitation

Answer 2

systolic; R 5th intercostal space (back to RA, so “downstream to RA”)

Question 3

Tricupsid Stenosis

Answer 3

Diastolic; L 5th intercostal space (Normally where tricuspid auscultation is)

Question 4

Pulmonary Regurgitation

Answer 4

Diastolic; L 5th intercostal space over RV

Question 5

Pulmonic Stenosis

Answer 5

systolic; above LA: behind: 2nd costal cartilage (by sternum)

Question 6

Mitral Regurgitation

Answer 6

systolic; Left axilla

Question 7

Aortic Regurgitation

Answer 7

diastolic murmur at apex of heart (At the 5th left intercostal space at the midclavicular line just below the left nipple.)

Question 8

Mitral Stenosis

Answer 8

diastolic; LV: At the 5th left intercostal space at the midclavicular line just below the left nipple.

Question 9

Tricuspid Valve Ausculatation

Answer 9

best over R ventricle in L 5th intercostal space at L sternal margin

Question 10

mitral valve auscultation

Answer 10

best over LV in L 5th intercostal space ~3 inches to left of the sternum

Question 11

aortic valve auscultation

Answer 11

best over ascending aorta in the R 2nd intercostal space at the sternal margin

Question 12

pulmonic valve

Answer 12

best over pulm trunk in L 1st/2nd intercostal space at L sternal margin