Heart Auscultation

Question 1

Areas for listening to the heart

Answer 1

Mnemonic: All People Enjoy Time Magazine

1. Aortic: Rt 2nd Intercostal Space
2. Pulmonary: Lt 2nd Intercostal Space
3. Erb’s point: Lt 3rd intercostal space
4. Tricuspid: lower left sternal border (4th space)
5. Mitral: Lt. 5th intercostal space midclavicular line

Question 2

Aortic Area

Answer 2

2nd Right Intercostal Space
= Systolic murmur
== 1. Aortic Stenosis
== 2. Aortic Valve Sclerosis
== 3. Flow Murmur (eg physiologic murmur)

Question 3

Pulmonary Area

Answer 3

2nd Left Intercostal Space
= Systolic Ejection Murmur
== 1. Flow Murmur
== 2. Pulmonic Stenosis

Question 4

Erb’s Point

Answer 4

Left Sternal Border (3rd Space)
= Diastolic Murmur
== 1. Aortic Regurgitation 
== 2. Pulmonic Regurgitation
= Systolic Murmur
== 1. Hypertrophic Cardiomyopathy

Question 5

Tricuspid Area

Answer 5

Lower Left Sternal Border (4th Space)
= Diastolic Murmur
== 1. Atrial Septal Defect
== 2. Tricuspid Stenosis
= Holosystolic Murmur
== 1. Tricuspid Regurgitation
== 2. Ventricular Septal Defect

Question 6

Mitral Area

Answer 6

5th Left Intercostal Space Med-clavicular Line
= Holosystolic Murmur 
== 1. Mitral Regurgitation
= Systolic Murmur
== 1. Mitral Valve Prolapse
= Diastolic murmur
== 1. Mitral Stenosis