MRCP UK EXAMINATIONS

CARDIOLOGY

VENTRICULAR SEPTAL DEFECT

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The healthcare provider is auscultating the heart of patient with valve disease. A quiet but immediately audible murmur is heard. How would this murmur be graded?
A
Grade I
B
Grade II
C
Grade III
D
Grade IV
E
Grade V
Explanation: 

Detailed explanation-1: -Grade 1 refers to a murmur so faint that it can be heard only with special effort. A grade 2 murmur is faint, but is immediately audible. Grade 3 refers to a murmur that is moderately loud, and grade 4 to a murmur that is very loud.

Detailed explanation-2: -Systolic Murmur Grades based on the intensity of the murmur I/VI: Barely audible. II/VI: Faint but easily audible. III/VI: Loud murmur without a palpable thrill. IV/VI: Loud murmur with a palpable thrill. V/VI: Very loud murmur heard with stethoscope lightly on chest.

Detailed explanation-3: -Grade 1: faint murmur, barely audible. Grade 2: soft murmur. Grade 3: easily audible but without a palpable thrill. Grade 4: easily audible murmur with a palpable thrill.

Detailed explanation-4: -When the valves close, they produce two sounds: a “lub” and a “dub.” If your heart makes a whooshing or swishing sound instead, that’s called a heart murmur. A murmur means blood is flowing abnormally across your heart valves. A murmur may mean there’s a problem with your heart.

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