HEART AUSCULTATION

Question 1

what are normal heart sounds

Answer 1

S1 and S2

Question 2

what is the first heart sound from

Answer 2

the closure of the mitral and tricuspid valves , heard as a higher frequency sounds

Question 3

what is the second heart sound from

Answer 3

the closure of the aortic and pulmonic valve , heard as a lower frequency sound

Question 4

what is the surface land mark of the aortic valve

Answer 4

2nd intercostal space , right sternal border , S2 sound heard the best here

Question 5

what is the surface land marks fro the pulmonic valve

Answer 5

2nd intercostal space , left of the sternum

Question 6

what is the surface land marks for the tricuspid valve

Answer 6

4th intercostal space , left of the sternum

Question 7

what is the surface land marks for the mitral valve

Answer 7

5th intercostal space , in line with the midclavicular line, S1 sound best heard here

Question 8

where and how do you check S3 and S4 heart sounds

Answer 8

flip over to the bell , heard at the 5th intercostal space (apex) and have the paitents lean forward and to the left

Question 9

if you hear an S3 heart sound what does that imply

Answer 9

due to rapid ventricular filling at early diastole due to excess volume in atrial
- signals HF but normal in childern m adolscents , pregant ppl and atheltes

Question 10

what sound will you hear with an S3

Answer 10

Ken- TUCK- y

Question 11

if you hear a S4 sound what does that indicate

Answer 11

exaggerated atrial kick forcing blood into a stiff ventricle
-signs of HTN , diastolic HF , and actue myocardial ischemia

Question 12

S4 is also known as

Answer 12

atrial gallop

Question 13

when does S4 happen ? before or after S1 and S2

Answer 13

before S1 and S2 or S4 S1 S2