The radiation of a mitral valve murmur is commonly heard in the:
A. Carotid arteries
B. Left mid-axillary line
C. Base of the heart
D. Left mid-clavicular line
ANS: B
A thorough cardiac examination is performed with the patient sitting, leaning forward, lying, and in the left lateral recumbent position. Some murmurs are heard better in different positions. Listen over the carotids for radiation of an aortic or pulmonic murmur, in the left mid-axillary line for radiation of a mitral murmur, and in the epigastric area for a bruit, indicating an aneurysm.
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