Heart sounds

S2

"DUB"---Distole----is louder than S1---heard on Rt side

S1

"LUB"---Systole----heard loudest at Mitral --5th Intercostal space midclav. line

Systolic murmurs occur between S2 and S1.

False

The S2 signals the beginning of systole

False

The bell of the stethoscope should be applied firmly on the chest wall.

False

The tricuspid area is located in the...

Fifth intercostal space at the left sternal border

S3

It's a key diagnostic sign of heart failure----Gallop Ken-tuck-y

S4

It's often associated with hypertension and myocardial infarction Very rare

IV Grade 4

Loud with assic thrill

Which area is directly over the left ventricular apical impulse?

Mitral

Which cardiac cycle event is associated with S1?

Mitral valve closure

Rapid ventricular filling in early diastole is frequently associated with which heart sound?

S3

Auscutation is used to assess the apical impulse.

True

Regurgitation murmurs occur when the affected valve is open.

True

The diaphragm of the stethoscope is used to auscultate high-pitched sounds.

True

The nurse would expect to hear the S2 more loudly than the S1 in the aortic area

True

I Grade 1

barely audible i quiet room

II Grade 2

clearly audible bt quiet

V Grade 5

very loud, thrill easily heard