Heart Sounds (S.G)

Question 1

Auscultation areas of the heart acronym

Answer 1

All People Enjoy Time Magazine

Question 2

A: Aortic location

Answer 2

2nd R ICS

Question 3

P: Pulmonic location

Answer 3

2nd L ICS

Question 4

E: Erb’s point

Answer 4

3rd L ICS

Question 5

T: Tricuspid

Answer 5

4th/5th L ICS

Question 6

M: Mitral (apex)

Answer 6

5th MCL ICS

Question 7

Apex also known as

Answer 7

PMI-point of maximal impulse

Question 8

S1 valve occurance

Answer 8

CLOSURE of AV valves (mitral & tricuspid)

Question 9

S1 sound

Answer 9

“lubb” contraction of systole

Question 10

Where is S1 heard the loudest?

Answer 10

Apex of heart

Question 11

S2 valve occurance

Answer 11

CLOSURE of SEMILUNAR valves (aortic & pulmonic)

Question 12

S2 sound

Answer 12

“dubb” relaxation diastole

Question 13

Where is S2 heard the loudest?

Answer 13

base of the heart

Question 14

S3 pathophys.

Answer 14

Rapid ventricular filling

Question 15

S3 sound association

Answer 15

• ken-tu-cky

- heart fai-lure

Question 16

S3 dz assoc.

Answer 16

heart failure

Question 17

S4 pathophys.

Answer 17

Late diastole

Question 18

S4 sound assoc.

Answer 18

• ten-nne-see

- Hy-per-ten-sion

Question 19

S4 dz. assoc.

Answer 19

HTN

Question 20

Where are Heart murmurs heard best?

Answer 20

apex of the heart

Question 21

Causes of heart murmurs: SPAMS

Answer 21

S: stenosis of valves
P: Partial obstructions
A: Aneurysms
M: Mitral regurgitation
S: Septal defects

Question 22

Two types of heart murmurs

Answer 22

1. Systolic

2. Diastolic

Question 23

Heart murmur descriptive characteristics

Answer 23

• timing
• duration
• pitch/intensity (1-6 scale)
• Pattern
• quality
• radiation
• respiratory variation

Question 24

heart murmurs: Respiratory variation-

what if problem is on the RIGHT side of the heart?

Answer 24

INCREASE in intensity upon INSPIRATION

Question 25

heart murmurs: Respiratory variation-

what if problem is on the LEFT side of the heart?

Answer 25

intensity DECREASES or REMAINS THE SAME