Heart Sounds Quiz

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Question 1

Which stenosis is heard at the second right intercostal space?

	Mitral Stenosis
	Pulmonic Stenosis
	Tricuspid Stenosis
	Aortic Stenosis

Question 1 Explanation:

The aortic area is found in at the second intercostal space on the right side of the chest. Sounds heard at the aortic area: - Aortic Stenosis - Flow Murmur - Aortic Valve Sclerosis

Question 2

Where would you hear an ventricular septal defect when auscultating the heart?

	Aortic area
	Pulmonic area
	Tricuspid area
	Mitral area

Question 3

Where would you hear a mitral regurgitation?

	On the right side of the chest over the 2nd intercostal space
	On the left side of the chest over the apex of the heart.
	On the left sternal border.
	Over the tricuspid area

Question 3 Explanation:

The mitral area is located on the left side over the apex of the heart at the mid clavicular line. A systolic sound here would indicate mitral regurgitation. A diastolic sound here would indicate mitral stenosis.

Question 4

Where would you listen to hear pulmonic stenosis?

	apex of the heart at 4th or 5th intercostal space along the mid clavicular line.
	3rd to 5th intercostal space along the left sternal border.
	Along the right sternal border.
	2nd intercostal space along the left sternal border.

Question 5

Which of these would be heard while auscultating the right side of the chest?

	Aortic regurgitation
	Ventricular septal defect
	Mitral regurgitation
	Pulmonic stenosis

Question 6

Which one of these is NOT heard at the pulmonic area?

	Pulmonic regurgitation
	Pulmonic stenosis
	Flow mumur (e.g. atrial septal defect)

Question 6 Explanation:

First Aid for the USMLE has a good chart covering auscultation of the heart that shows where all these sounds are located.

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There are 6 questions to complete.