QuestionSBA
QuestionChoice
Tricuspid regurgitation would also present as a pan-systolic murmur. However, this type of murmur would be found at the left sternal border of the fifth intercostal space, rather than in the mid-clavicular line. Therefore, the murmur in this question is most likely to be mitral regurgitation.
10025051
b
Tricuspid regurgitation
QuestionChoice
Pulmonary stenosis is an ejection systolic murmur that is heard at the left sternal border of the second intercostal space. This is a pan-systolic murmur heard best in the fifth intercostal space at the mid-clavicular line, and is therefore more likely to be mitral regurgitation.
10025053
d
Pulmonary stenosis
QuestionChoice
Hypertrophic obstructive cardiomyopathy would produce an ejection-systolic murmur, rather than a pan-systolic murmur. It would be heard best at the fourth intercostal space on the left sternal border.
10025054
e
Hypertrophic obstructive cardiomyopathy
QuestionChoice
Aortic stenosis is an ejection systolic murmur, rather than a pan-systolic murmur. It is heard best in the second intercostal space at the right sternal border. The patient in this question is therefore most likely to have mitral regurgitation.
10025052
c
Aortic stenosis
QuestionChoice
Mitral Regurgitation is a pan-systolic murmur heard best in the fifth intercostal space at the mid-clavicular line.
10025050
a
Mitral Regurgitation
Concept
Chapter
2693
5820
Differentials of Pan-systolic murmur
Topic
134
Cardiology
17408
You are called to conduct a cardiology examination on an 89-year-old female on the cardiology ward. On examination, you hear a pansystolic murmur at the fifth intercostal space in the mid -clavicular line.

Which of the following is the most likely cause of her murmur?
a