Heart Auscultation and Heart sounds

Question 1

what areas are typically auscultated during heart auscultation? why?

Answer 1

aortic area
pulmonic area
tricuspid area
mitral area

auscultation is done to listen for heart sounds generated from the semilunar and atrioventricular valves

Question 2

aortic area location

Answer 2

2nd ICS at the right sternal border

Question 3

pulmonic area location

Answer 3

2nd ICS at the left sternal border

Question 4

tricupsid area location

Answer 4

4th ICS at the left sternal border

Question 5

mitral area location

Answer 5

5th ICS medial to the left midclavicular line

Question 6

what auscultation area is located at the 2nd ICS at the right sternal border?

Answer 6

aortic area

Question 7

what auscultation area is located at the 2nd ICS at the left sternal border?

Answer 7

pulmonic area

Question 8

what auscultation area is located at the 4th ICS at the left sternal border?

Answer 8

tricuspid area

Question 9

what auscultation area is located at the 5th ICS medial to the left midclavicular line?

Answer 9

mitral area

Question 10

what heart sounds may be heard upon heart auscultation?

Answer 10

S1
S2
S3
S4

Question 11

what heart sounds are considered normal?

Answer 11

S1 and S2 in adults
S1, S2 and S3 (3rd physiologic heart beat) in young children

Question 12

S1 heart sound clinical significance

Answer 12

normal, first heart sound heard upon atrioventricular valve closure at onset of ventricular systole

Question 13

S1 heart sound sounds like?

Answer 13

high frequency sounds with lower pitch and longer duration than S2 heart sound
“LUB”

Question 14

what heart sound is considered normal and is the first heart sound heard upon atrioventricular valve closure at onset of ventricular systole?

Answer 14

S1

Question 15

what heart sound is a high frequency sound with lower pitch and longer duration than S2; “LUB”?

Answer 15

S1

Question 16

S2 heart sound clinical significance?

Answer 16

normal heart sound heard with semilunar valve closure at the onset of ventricular diastole?

Question 17

S2 heart sound sounds like?

Answer 17

high frequency sound with higher pitch and shorter duration than S1 heart sound
“DUB”

Question 18

what heart sound is considered normal and is heard with semilunar valve closure during ventricular diastole?

Answer 18

S2

Question 19

what heart sound is a high frequency sound with higher pitch and shorter duration than S1; “DUB”?

Answer 19

S2

Question 20

S3 heart sound is considered __ in adults and __ in young, healthy children

Answer 20

abnormal in adults
normal in young, healthy children

Question 21

what heart sound is considered the 3rd, physiologic heart sound in young, healthy children?

Answer 21

S3

Question 22

S3 heart sound clinical significance in adults?

Answer 22

‘ventricular gallop’
may be associated with heart failure

Question 23

S3 heart sound sounds like?

Answer 23

vibration of distended ventricular walls due to passive blood flow from atria during rapid filling of diastole

Question 24

what heart sound is considered abnormal in adults, is known as a ventricular gallop and may be associated with HF?

Answer 24

S3

Question 25

S4 heart sound clinical significance?

Answer 25

abnormal- may be associated with HTN, hypertensive heart disease, stenosis and MI 'atrial gallop'

Question 26

S4 heart sound sounds like?

Answer 26

vibration of ventricular walls with ventricular filling and atrial contraction