6TH YEAR OSCA, CARDIAC MURMUR EXAMINERS MARK SHEET Inatructions 10 Candidate: MaMa GAN presenta Wan INenmienN shortness Of bresth. Please ‘examine the cardiovascular aysiem. Describe your actions and findings as you ga. You heve § ‘mindes lo complele the examination. SCORE 1 INSPECTION Mucous membranes 068 Cyanosis os Anaemia os (Clubbing 05 Splinter hsemorhages, Oslers nodes, Janeway leslon os Respirglory rete/petion 0s wxip 2. PULSE Rate Os Rhythm Os. Character (emote Os 3. BLOOD PRESSURE Student asks for BP messurement 1 STUDENT IF THEY ATTEMPT BP MEASUREMENT AND GIVE A VALUE OF 120/80 “ ave os BIQE STUDENT IF THEY ATTEMPT TO ASSESS AVP & GIVE A VALUE OF +2cm s ‘APEX BEAT Inspection Os Palpation score if carried out without being sshed) Os \F PALPATION NOT INITIATED, PLEASE ASK ‘STUDENT TO PALPATE APEX BEAT ANO DESCRIBE HISMER FINDINGS:OTH YEAR OSCA, 11 6. contd. ‘ % position character thet Poipation af both LSE and sortic eres AUSCULTATION PLEASE PROMPT STUDENT TO DESCRIBE AUSCULTATION W NECESSARY Heart sounds - (score for appropriate description of findings) Murmur ayslolickdiestobs ‘election or pen eysioac max intenalty Unten for basal crepliations PLEASE INSTRUCT THE STUDENT NOT TO PROCEED WITH FURTHER EXAMINATION ANO GIVE THE FOLLOWING PROMI OR WHEN ALL HAS BEEN ACHIEVED ‘Wheat valve is the most bhely oripin?* ‘What painophysiotogical features chsiinguish ecrtic stenosis from scterosis?” ‘anatomical stnormalty ‘Name af lnest two cinkcal fesiures which nero pulse pressure eR venisicatar rypertroptyy on ECO os Os os os 05 os os