Question 87 (part 2) · LEK · Mitral regurgitation

A new murmur is audible above the heart in a stable patient after myocardial infarction involving one of the papillary muscles. Which of these murmurs is the most probable?

  1. A. a holosystolic murmur at the apex.
  2. B. a late systolic murmur over the right second intercostal space near the sternal margin.
  3. C. a mid-systolic murmur over the left second intercostal space near the sternal margin.
  4. D. an early diastolic murmur over the right second intercostal space near the sternal margin.
  5. E. a pandiastolic murmur at the apex.
Hint

Papillary muscle damage impairs which valve, and where is the murmur of that valve's regurgitation best heard?

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