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Medicine General fe50e1c0

Continuous murmur is seen in all the following except:

A
Aoic sinus of valsalva rupture
B
Coarctation of Aoa
C
AV malformations
D
Peripheral pulmonary stenosis
High-Yield Explanation
Answer is D (Peripheral Pulmonary Stenosis) The 'num:11r of pglmonary stenosis is harsh systolic ejection murmur typically preceded by a systolic ejection sound. It is not a continuous murmur. Continuous murmurs result from continuous flow between a high pressure and low pressure area that persists through the end of systole and beginning of diastole. Common Causes of continuous murmurs Systemic aeriovenous fistula Q (congenital /acquired) Coronary aeriovenous fistula Q Anomalous origin of Left coronary aery from pulmonary aery Communication between sinus of valsalva and right side of hea e (i.e.Ruptured sinus of valsalva into right side of hea) Coarctation of Aoa : Continuous murmur in the back Patent Ductus Aeriosus e (PDA) Surgically created shunts e.g. Blalock-Tausig shunt

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