heart & lung sounds

Question 1

bronchial

Answer 1

high pitched, louder tubular or hollow quality; expiratory > inspiratory

Question 2

bronchovesicular

Answer 2

medium pitched and intensity; expiratory = inspiratory

Question 3

vesicular

Answer 3

low pitched, soft and airy or rustling quality; expiratory < inspiratory

Question 4

crackles, fine (Rales)

Answer 4

high pitched, discontinuous and brief popping or crackling sound; sounds like wood burning

Question 5

crackles, coarse (rales)

Answer 5

lower pitched, popping sound, “bubbling” or moist quality; sounds like snow shovel scraping on concrete or ripping open velcro
*louder and last longer in duration than fine crackles

Question 6

wheezes

Answer 6

continuous musical or whistling sound, high pitched; sounds like squeaking

Question 7

rhonchi

Answer 7

continuous, lower pitched; snoring, gurgling, moan

Question 8

stridor

Answer 8

loud, high-pitched, wheezing/whistling or crowing like sound

Question 9

pleural friction rub

Answer 9

creaking or grating sound, low pitched, sounds like walking on fresh snow

Question 10

mediastinal crunch (“Hamman’s sign)

Answer 10

precordial crackles synchronous with heart beat

Question 11

S1

Answer 11

lub

Question 12

S2

Answer 12

dub

Question 13

S3 gallop

Answer 13

lub-dub-ta
ken-tuck-y

Question 14

S4 gallop

Answer 14

ta-lub-dub
ten-nes-see

Question 15

murmur

Answer 15

harsh, musical, sharp, dull, blowing, booming during diastolic or systolic

Question 16

S2 split

Answer 16

S2 sounds split-high pitched sound

Question 17

aortic regurgitation

Answer 17

lub-pewwwww

Question 18

mitral stenosis

Answer 18

loud S1

Question 19

Mitral prolapse

Answer 19

Mid systolic click