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Heart Sounds: An Overview

Description

Presenting a range of Multiple Choice questions across the spectrum of cardiac Auscultation
Chris Mulryan
Quiz by Chris Mulryan, updated more than 1 year ago
Chris Mulryan
Created by Chris Mulryan about 7 years ago
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Resource summary

Question 1

Question
Physiological splitting of the second heart sound is best audible in which one of the following situations?
Answer
  • Hypovolemia
  • Inspiration
  • Expiration
  • Hyperkalemia

Question 2

Question
A decrescendo murmur is most likely to be associated with which one of the following valve defects?
Answer
  • Pulmonary stenosis
  • Aortic Regergitation
  • Mitral stenosis
  • Ventricular septal defect

Question 3

Question
The murmur of pulmonary stenosis will radiate to which one of the following locations?
Answer
  • The carotid arteries
  • The axilla
  • Under the left clavical
  • Eurb's point

Question 4

Question
An "opening snap" is associated with which one of the following?
Answer
  • Left ventricular hypertrophy
  • Bicuspid aortic valve
  • Mitral stenosis
  • Aortic stenosis

Question 5

Question
Ejection Clicks are most likely to be associated with which one of the following?
Answer
  • Calcified aortic valve
  • A bicuspid aortic valve
  • Flow murmurs
  • Endocarditis

Question 6

Question
A third heart sound occurs at which one of the following locations within the cardiac cycle?
Answer
  • Early diastole
  • Late diastole
  • Early systole
  • Late systole

Question 7

Question
The term holosystolic murmur refers to which one of the following situations?
Answer
  • A murmur which is caused by a septal defect, eg a hole in the heart
  • A murmur which gradually increases then decreases in volume as systole progresses
  • A murmur which is present for the complete duration of systole
  • A murmur which worsens when a person lays flat.

Question 8

Question
An S4 sound is created by which one of the following situations?
Answer
  • Increased blood volume
  • Increased flow
  • Left atrial hypertophy
  • Ventricualr Fibrosis (Poorly compliant ventricle)

Question 9

Question
The detection of Mitral stenosis can be optimised by the aid of which one of the following?
Answer
  • The patient held in deep inspiration
  • Leaning forwards
  • Lying on the left side
  • Squatting

Question 10

Question
Reverse splitting of the second heart sound can be caused by which one of the following?
Answer
  • Left bundle branch block
  • Right bundle branch block
  • Reflex tachycardia
  • Aortic Stenosis
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