Basic Heart Sounds Lecture

Question 1

Auscultation Areas

All People Enjoy Time Magazine

Answer 1

• Aortic
• Pulmonic
• Erb’s point
• Tricuspid
• Mitral (Apex)

Question 2

What are the AV valves?

Answer 2

Mitral and Tricuspid

Question 3

What are the Semilunar Valves

Answer 3

Aortic and Pulmonic

Question 4

S1

Answer 4

closure of the AV valves (mitral/tricuspid)
“LUBB”
-isometric contraction (systole)

Question 5

S2

Answer 5

• closure of the Semilunar valves (aortic/pulmonic)
• “DUBB”
• Isometric relaxation (diastole)

Question 6

S3

Answer 6

Rapid ventricular filling

EARLY diastole

Question 7

S4

Answer 7

LATE diastole

Question 8

what heart sound will you hear in pregnant women and children and why?

Answer 8

S3

-d/t high fluid volume

Question 9

S3 heart disease

Answer 9

heart failure

Question 10

S4 heart disease

Answer 10

hypertension

Question 11

where is S1 heard loudest?

Answer 11

APEX

Question 12

Where is s2 heard loudest

Answer 12

BASE

Question 13

what position of patient is S3 heard best?

Answer 13

supine or in left lateral decubitis

Question 14

what activities increase incidence of S3?

Answer 14

excersice
abdominal pressure
lifting the legs

Question 15

Heart Murmurs is heard best where?

Answer 15

Apex of heart

Question 16

Heart murmurs causes:

SPAMS

Answer 16

S-stenosis of valve
P- partial obstruction
A- aneurysms
M- mitral regurgitation
S- septal defect

Question 17

Heart murmurs characteristics: Intensity

1-6

Answer 17

1: least
2: -
3.hear it with stethoscope
4: palpable thrill
5-
6:: almost hear it without stethoscope

Question 18

Heart murmur and respirations

-Inspiration with problems on the RIGHT side of the heart

Answer 18

-murmur INCREASES in intensity

Question 19

heart murmur and respirations

-Inspiration with probs on the LEFT side of heart

Answer 19

-murmur DECREASES or STAYS THE SAME in intensity