Cardiac Examination

Question 1

Aortic valve anatomical position

Answer 1

2nd intercostal space right sternal edge

Question 1

pulmonary valve anatomical position

Answer 1

2nd intercostal space left sternal edge

Question 2

tricuspid valve anatomical position

Answer 2

5th intercostal space, left sternal edge

Question 3

mitral valve anatomical position

Answer 3

5th intercostal space mid clavicular line

Question 4

s3 sound best heard

Answer 4

bell of stethoscope at the apex in early diastole

Question 5

s3 sound is caused by

Answer 5

rapid ventricular filling causing taughtening of papillary muscles and ventricular distension

Question 6

s3 is normal in

Answer 6

children, fit and healthy <30y old

Question 7

s3 abnormal in

Answer 7

cardiomyopathy, aortic and mitral regurg, constrictive pericarditis

Question 8

s4 cause

Answer 8

due to blood being forced into non compliant ventricles

Question 9

s4 is normal in

Answer 9

never physiological

Question 10

s4 is abnormal in

Answer 10

hypertrophic cardiomyopathy
systemic hypertension