Murmurs

Question 1

Mitral Stenosis

Answer 1

Loud S1 murmur, low pitched, mid-diastolic; apical “crescendo” rumble.

Question 2

Mitral regurgitation

Answer 2

Systolic murmur at 5th intercostal space mid-clavicular line (apex); **may radiate to base or left axilla; **musical, blowing or high pitched; may follow an S3.

Question 3

Aortic stenosis

Answer 3

Systolic, “blowing,” rough harsh murmurs at the 2nd right ICS usually radiating to the neck.

Question 4

Aortic regurgitation

Answer 4

Diastolic, “blowing,” murmur at 2nd ICD.

Question 5

Where is the murmur? Apex or Base?

Answer 5

Apex= 5th ICS=mitral
Base=2nd or 3rd ICS=aortic

Question 6

Is the murmur systolic or diastolic?
MSARD
MRASS

Answer 6

MSARD:
Mitral
Stenosis
AOritc
Regurgitation
Diastolic

MRASS:
Mitral
Regurgitation
Aortic
Stenosis
Systolic