Gen Med

Question 1

What are the two main sounds produced by the heart during each heartbeat?

Answer 1

The first sound (S1) and the second sound (S2)

Question 2

Which heart sound is associated with the closing of the atrioventricular valves?

Answer 2

The first heart sound (S1)

Question 3

Which heart sound is associated with the closing of the semilunar valves?

Answer 3

The second heart sound (S2)

Question 4

True or False: The first heart sound (S1) is longer and lower in pitch than the second heart sound (S2).

Answer 4

True

Question 5

What is the term for the brief silence between the first and second heart sounds?

Answer 5

Isovolumic relaxation

Question 6

Fill in the blank: The first heart sound (S1) is also known as the _______ sound.

Answer 6

Lub

Question 7

Fill in the blank: The second heart sound (S2) is also known as the _______ sound.

Answer 7

Dub

Question 8

What is the term for an extra heart sound heard immediately after S2?

Answer 8

Third heart sound (S3)

Question 9

What is the term for a sound sometimes heard after S2, associated with stiffening of the ventricles?

Answer 9

Fourth heart sound (S4)

Question 10

What is the term for the sound of blood hitting the walls of the ventricles and atria during rapid filling?

Answer 10

Heart murmur

Question 11

What is the term for a high-pitched, blowing sound heard over an artery?

Answer 11

Bruits

Question 12

True or False: Heart murmurs are always indicative of a heart abnormality.

Answer 12

False

Question 13

What is the term for a harsh, scraping sound heard over the precordium?

Answer 13

Pericardial friction rub

Question 14

What is the term for the sound produced by turbulent blood flow within the heart?

Answer 14

Gallop rhythm

Question 15

Which heart sound is often associated with heart failure (ventricular gallop)?

Answer 15

Third heart sound (S3)

Question 16

Which heart sound is often associated with hypertension, aortic stenosis, and hypertrophic cardiomyopathy?

Answer 16

Fourth heart sound (S4)

Question 17

What is the term for a vibrating sensation felt on the chest wall over the heart?

Answer 17

Thrill

Question 18

True or False: Heart sounds can be transmitted to other areas of the body through bone conduction.

Answer 18

True

Question 19

What is the term for the abnormal sound of blood flowing through a narrowed heart valve?

Answer 19

Stenotic murmur

Question 20

What is the term for the abnormal sound of blood flowing backward through a leaky heart valve?

Answer 20

Regurgitant murmur

Question 21

What is the term for the sound produced by the collision of blood columns within the heart?

Answer 21

Click

Question 22

What is the term for the sound produced by the opening of the semilunar valves?

Answer 22

Ejection click

Question 23

What is the term for the sound produced by the opening of the atrioventricular valves?

Answer 23

Opening snap

Question 24

True or False: Heart sounds are primarily caused by blood flow within the heart chambers.

Answer 24

True

Question 25

Which side of the stethoscope should be placed against the skin, when auscultating heart sounds?

Answer 25

The bell

Question 26

Are heart sounds low or high frequency?

Answer 26

Low

Question 27

Where would you auscultate to listen to the aortic valve?

Answer 27

2nd intercostal space on the R of the sternum

Question 28

Where would you auscultate to listen to the pulmonary valve?

Answer 28

2nd intercostal space on the L of the sternum

Question 29

Where would you auscultate to listen to the tricuspid valve?

Answer 29

4th intercostal space on the L of the sternum

Question 30

Where would you auscultate to listen to the mitral/bicuspid valve?

Answer 30

5th intercostal space on the L of the sternum

Question 31

What are not normal heart sounds?

Answer 31

S3 & S4

Question 32

When does S3 (ventricular gallop) occur?

Answer 32

At the beginning of diastole (after S2)

Question 33

When does a diastolic murmur occur?

Answer 33

Between S1 & S2 when heart is filling

Question 34

When is S4 heard?

Answer 34

Abnormal heart sound at the end of systole (after S1)

Question 35

When are the heart sounds heard?

Answer 35

When the valves are closing