Heart Sounds Quiz

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Question 1

Which stenosis is heard at the second right intercostal space?

A	Mitral Stenosis
B	Pulmonic Stenosis
C	Tricuspid Stenosis
D	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?

A	Aortic area
B	Pulmonic area
C	Tricuspid area
D	Mitral area

Question 3

Where would you hear a mitral regurgitation?

A	On the right side of the chest over the 2nd intercostal space
B	On the left side of the chest over the apex of the heart.
C	On the left sternal border.
D	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?

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

Question 5

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

A	Aortic regurgitation
B	Ventricular septal defect
C	Mitral regurgitation
D	Pulmonic stenosis

Question 6

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

A	Pulmonic regurgitation
B	Pulmonic stenosis
C	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.

Question 7

Which of the following options can be called an "opening snap"?

A	Aortic or Pulmonic Stenosis
B	Mitral Valve Regurgitation
C	Tricuspid or Mitral Stenosis
D	Aortic Regurgitation

Question 8

Which of the following options may be known as an "ejection click"?

A	Aortic or Pulmonic Stenosis
B	Mitral Valve Regurgitation
C	Mitral Valve Stenosis
D	Ventricular Septal Defects
E	Pulmonary Hypertension

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There are 8 questions to complete.