MRCPCH Clinical Practice Questions - MRCPCH Clinical (OSCE) Exam

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You are asked to examine the cardiovascular system of a 5-year-old. Which feature would most strongly distinguish an INNOCENT murmur from a pathological one in your presentation?

A soft, short systolic murmur that varies with posture, with normal pulses and no thrill A pansystolic murmur radiating to the axilla A loud (grade 4) murmur associated with a palpable thrill A diastolic murmur at the apex

Correct Answer:

A soft, short systolic murmur that varies with posture, with normal pulses and no thrill

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