with Verified Answers
Bruit - ANSWERSblowing, swooshing sound heard through a stethoscope when an
artery is partially occluded
Grading Murmurs - ANSWERSGrade 1 → barely audible with intense concentration
Grade 2 → faint but clear, quiet, audible immediately
Grade 3 → moderately loud, easily heard, no thrill palpable felt
Grade 4 → loud, easily heard with a palpable thrill felt
Grade 5 → very loud, audible with part of the stethoscope off the chest, the thrill
palpable
Grade 6 → audible without a stethoscope on the chest wall, thrill palpable
Thrill indicates a pathological murmur
Memory trick: imagine being thrilled by a visit from your favorite 4-year-old! (thrill starts
at grade 4). Picture also, sending the three amigos in a cab to see the cardiologist. At
grade 3= refer to cardiologist.
Grade one, listen here
Grade two, you can hear!
grade three- cardiology
grade four, thrills for sure
grade five, man alive!
grade six, hear it outside
Grade 1 Murmur - ANSWERSbarely audible
Grade 2 Murmur - ANSWERSQuiet, but heard immediately after placing the
stethoscope on the chest
Grade 3 Murmur - ANSWERSLoud murmur (easily heard when stethoscope is placed
on chest)
Grade 4 Murmur - ANSWERSloud with palpable thrill
Grade 5 Murmur - ANSWERSVery loud, with thrill. May be heard when the stethoscope
is partly off the chest
Grade 6 Murmur - ANSWERSVery loud, with thrill. May be heard with stethoscope
entirely off the chest
Precordium - ANSWERSarea of the chest wall overlying the heart and great vessels