Heart Sounds & Assessment Quiz

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S3 is heard?

After S2

S2 represents the closure of?

Aortic and Pulmonic valves

The order of heart valve auscultation is the following (starting at the angle of Louis..downward):

Aortic, pulmonic, tricuspid, mitral

S1 is best heard where?

Apex of the heart

The ____________ separate the atria and ventricles.

Atrioventricular valves

S2 is best heard where?

Base of the heart

S4 is heard?

Before S1

During _______, the ventricles are relaxed and the AV valves are ________ to allow blood to flow through the atria and ventricles.

Diastole, opened

True or False: S1 split is due to the asynchronous closing of the aortic and pulmonic values.

False

True or False: The semilunar valves are the tricuspid and mitral valves.

False

While auscultating heart sounds you heard a blowing/swooshing noise over the apex of the heart. You note when you lift up the chest piece of the stethoscope you can still hear the sound through the ear pieces (a thrill is also present as well). You would grade this heart murmur as:

Grade 6

In order to auscultate for an aortic regurgitation heart murmur, what is the best position to place the patient in?

Have the patient sitting-up, leaning forward

Which of the following conditions can cause the extra heart sound S4?

Hypertrophic left ventricle

Select ALL the statements that are TRUE:

It is best to listen with the bell of the stethoscope for S3 and S4..The pulmonic valve is auscultated on the left of the sternum in 2nd intercostal space. S2 is louder than S1 at the base of the heart.

What is the best way to assess for extra heart sounds, such as S3 and S4?

Place the patient on their left side and listen with the bell of the stethoscope over the apex of the heart.

S1 split can be caused by which of the following:

Right bundle branch block

The contraction phrase of the heart so blood can be pumped through the body's system and lungs is known as?

Systole

What is a cause of the extra heart sounds known as S3?

Ventricle filling due to fluid volume overload or heart failure


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