| Phase | Hint | Answer | % Correct |
|---|---|---|---|
| diastolic | early diastolic high pitched blowing decrescendo murmur; quincke, muller, and de musset sign, waterhammer pulse; wide pulse pressure; aortic root dilatation; hyperdynamic circulation | aortic regurgitation | 100%
|
| diastolic | s3 gallop | heart failure (systolic), dilated cardiomyopathy, normal variation (children); mitral regurgitation | 100%
|
| diastolic | s4 gallop | restrictive cardiomyopathy, heart failure (diastolic), LVH, HOCM | 100%
|
| diastolic | wide split s2 | right bundle branch block, pulmonic stenosis, atrial septal defect, ventricular septal defect | 100%
|
| diastolic | new diastolic decrescendo murmur | aortic dissection | 50%
|
| systolic | mid-systolic rumble with a wide and fixed splitting of S2 | atrial septal defect | 50%
|
| systolic | holosystolic high-pitched blowing murmur loudest at the apex and radiating to the axilla | mitral regurgitation | 50%
|
| diastolic | low-pitched diastolic murmur w/ opening snap, loud S1, and rumbling apical decrescendo | mitral stenosis | 50%
|
| systolic | mid-systolic high pitched crescendo-decrescendo w/ mid systolic ejection click; increased intensity w/ valsalva | mitral valve prolapse | 50%
|
| diastolic | continuous machine-like murmur | patent ductus arteriosus | 50%
|
| systolic | systolic crescendo/decrescendo murmur radiating to the carotids w/ increased intensity upon squatting; narrow pulse pressure; ejection click; paradoxical split S2 and pulsus parvus et tardus; | aortic stenosis | 0%
|
| systolic | continuous mid-systolic murmur best heard at left intrascapular space | coarctation of the aorta | 0%
|
| systolic | harsh mid-systolic crescendo-decrescendo murmur w/ a loud S2; increased intensity w/ valsalva | hypertrophic cardiomyopathy | 0%
|
| diastolic | high-pitched diastolic decrescendo that increases w/ inspiration | pulmonic regurgitation | 0%
|
| systolic | mid-systolic crescendo-decrescendo w/ beginning ejection click and wide split S2; increases on inspiration | pulmonic stenosis | 0%
|
| systolic | harsh systolic murmur in the LUSB w/ ventricular heave; digital clubbing, and cyanosis, boot shaped heart | tetralogy of fallot | 0%
|
| systolic | holosystolic blowing murmur that increases w/ inspiration and radiates to R sternal border; C-V wave fusion (lancisi's sign) on examination of JVP | tricuspid regurgitation | 0%
|
| diastolic | diastolic murmur increasing w/ inspiration; accentuated a wave, slow y descent, JVP | tricuspid stenosis | 0%
|
| systolic | loud, high pitched, harsh holosystolic murmur radiating everywhere with wide fixed split S2 | ventricular septal defect | 0%
|