Best of Five 3.25

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BOF: 3.25

An 18-year-old male has been referred to the clinic by his GP. He had attended a medical examination when he applied to join the army and was told he had a hole in his heart. Which of the following physical signs would have made the examining doctor suspect that the patient has a ventricular septal defect (VSD)?

a)      Fixed splitting of the second heart sound

b)      A pan systolic murmur best heard at the left sternal edge

c)      A pan systolic murmur best heard at the apex

d)      An early diastolic murmur best heard at the left sternal edge

e)      A mid diastolic murmur best heard at the apex

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