These videos show examples of cardiovascular examinations under MRCPCH exam conditions. Scroll to the bottom to find additional information about each video.
Background to Videos
Cardiovascular Video 1
This revision video shows a demonstration of a full cardiovascular examination on a 6 year old. Discover the key points for a cardiovascular examination.
Cardiovascular Video 1a
Presentation of the examination findings from the cardiovascular examination above. Discussion of investigations of a cardiac murmur and advice to parents on innocent murmurs. Brief synopsis of signs of heart failure. Possible questions after a cardiovascular station the examiner may ask you are highlighted.
Cardiovascular Video 2
Demonstration of another cardiovascular examination for the MRCPCH Clinical exam.
Brilliant videos, thank you!
very smart presentation
Hi! I could have sworn I’ve been to this web site before but after browsing through many of the
posts I realized it’s new to me. Anyways, I’m certainly happy I stumbled upon it and I’ll be
bookmarking it and checking back often!
Re: Station 5
– this murmur has all the characteristics of Aortic Stenosis (radiates to carotids, suprasternal thrill)… but there are two concerns
1) Why is it loudest at the Left Upper Sternal Edge – shouldn’t this be Right?
2) The candidate describes the murmur as 2/6 but says there is a palpable thrill – this should automatically make it 4/6?
Thanks everyone for your help.
Hi Cardioman, this is a fair point. Aortic stenosis is most commonly heard loudest in the right upper sternal edge. However, this is live video taken under exam conditions, so the answers may not be perfect. Also as you suggest, you would also not normally be able to palpate a 2/6 murmur.
Can I ask a question actually? The girl in cardiovascular video 1, does she have a diagnosis? She seems to have hyperexpanded chest and possibly low set ears? Or is it a normal variant?
Thanks!
PS, Great website, thanks for the tips!
Hi Demetra, thank you for your comment. Video 1 is just intended to demonstrate the cardiovascular examination. Video 1a gives an example of how to rationalise your findings to your differential diagnosis.
thanks ..very benificial
good videos thanks, bit confused because the differential of innocent murmur in 1a is strange with carotid radiation
Can I please ask what was the diagnosis in video 4 of the cardiovascular examination?
Hi Demetra, the main learning point from this video is to be able to notice the left thoracotomy scar, and then make a differential diagnosis based upon this. Some example diagnoses might be: PDA ligation, PA banding, a BT shunt (old fashioned – no pulse on ipsilateral side; new fashioned: pulse present), and coarctation of aorta repair.
Excellent videos. Well done and thank you!
In the fifth video, the candidate mentions that the murmur is loudest at the left upper sternal edge. This is not consistent with aortic stenosis, which will be maximally heard at the right rather than the left upper sternal edge.
Thanks Mohamad. Aortic stenosis is most commonly heard loudest in the right upper sternal edge. However, this is live video taken under exam conditions, so the answers may not be perfect.
This site had helped me a lot in passing the MRCPCH EXAM
Sincere thanks for those who have taken the effort to put up this.
Nice and guiding videos. When ever listening for murmurs or heart sounds , pulses were not being palpated for timing of murmurs.