15- Heart Sounds

Question 1

what does HOLO systolic mean?

Answer 1

hear the sound all the way across systole

Question 2

distinction between grading a 3/6 versus a 4/6

Answer 2

4+/6 requires a thrill or heave

Question 3

the murmur is heard at the same intensity as other heart sounds… grade it

Answer 3

3/6

Question 4

what side of the stethoscope do you use to hear low pitch?

Answer 4

bell

Question 5

What side of the stethoscope is S1 best heard?

Answer 5

diaphragm

Question 6

what does the s1 sound represent?

Answer 6

mitral and tricuspid valve closure

Question 7

you hear a widely split S1… what might it be?

Answer 7

complete right bundle branch block

Question 8

what does the S2 sound signify?

Answer 8

aortic and pulmonary valve closure

Question 9

when do you hear splitting of S2 (aka both an A2 and P2)

Answer 9

during inspiration

Question 10

increased intensity A2 =

Answer 10

systemic hypertension

Question 11

increased intensity P2 =

Answer 11

pulmonary arterial hypertension

Question 12

what side of the stethoscope to listen to S3 sounds?

Answer 12

bell

Question 13

why might you hear an S3 sound?

Answer 13

1- thyrotoxicosis

2- pregnancy

Question 14

“the ventricular gallop”

Answer 14

S3

the atrial gallop is S4

Question 15

if you hear an S4 what might be happening?

Answer 15

acute MI

or normal in older adults due to decreased ventricular compliance

Question 16

machine gun murmur

Answer 16

patent ductus arteriosus

Question 17

3 possible diagnoses for systolic murmur heard best at apex:

Answer 17

1. aortic outflow obstruction (stenosis)
2. mitral regurgitation
3. VSD ventricular septal defect

Question 18

apical diastolic murmur could be (2)

Answer 18

mitral stenosis or aortic regurgitation

Question 19

the austin flint murmur is associated with..

Answer 19

aortic regurgitation

heard at erbs point

Question 20

narrow pulse pressure - options?

Answer 20

stenosis

Question 21

wide pulse pressure - options?

Answer 21

regurgitation