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 EMQ 8

 

   

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EMQ: 8

Heart sounds and murmurs

a)      Mitral stenosis

b)      Mitral regurgitation

c)      Aortic stenosis

d)      Aortic regurgitation

e)      Mitral valve prolapse

f)        Hypertrophic obstructive cardiomyopathy

g)      Pulmonary stenosis

h)      Atrial septal defect

i)        Tricuspid regurgitation

j)        Ventricular septal defect

1) A young female with a mid systolic click and late systolic murmur best heard at the apex.

2) A young boy with fixed splitting of the second heart sound and an ejection systolic murmur in the pulmonary area

3) An elderly lady with a loud first heart sound, opening snap and a rumbling murmur in mid diastole best heard just medial to the apex beat.

4) A middle-aged man who is known to have ankylosing spondylitis. He has a blowing early diastolic murmur best heard at the left sternal edge.

5) An elderly lady with a soft first heart sound and a blowing pan systolic murmur best heard at the mitral area and radiating to the axilla.

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