HEAT SOUNDS

Question 1

WHAT HAAPENS AT S1

Answer 1

ATRIAL VALVES CLOSE - MV AND TV CLOSE

Question 2

WHAT HAPPENS AT S2

Answer 2

VRNTRICULAR VALVES CLOSE- AV AND PV CLOSE

Question 3

OPENING SNAP

Answer 3

MEANS MITRAL STENOSIS

Question 4

CLICK

Answer 4

MVP

Question 5

EJECTION CLICK

Answer 5

BV, TURNERS, COARCTATION OF AORTA

Question 6

NORMAL S2 ON INSPIRTATION

Answer 6

A2 CLOSES FIRST P2 CLOSES LAST CALLED PHYSIOLOGICAL SPLIT S2

Question 7

NORMAL S2 ON EXPIRATION

Answer 7

S2 AND P2 CLOSE AT THE SAME TIME SO ONE S2 SOUND IS HEARD

Question 8

S2 SPLIT INCREASED - DUE TO AORTIC VALVLE CLOSING EARLIER

Answer 8

MR, VSD

Question 9

S2 SPLIT INCREASED DUE TO PULMONIC VALVE CLOSING MUCH LATER

Answer 9

PS, PULMONDARY HTN(LOUD P2), RBBB, PE

Question 10

FIXED SPLIT S2

Answer 10

ASD

Question 11

PARADOXICAL SPLIT OR REVERSE SPLIT S2 DUE TO AORTIC VALVLE CLOSING MUCH LATER THAN P2

Answer 11

AS, HTN, LBBB

Question 12

S3+ MEANS

Answer 12

MEANS CHRONIC FLOW

Question 13

S3+ ABNORMAL IN

Answer 13

CHRONIC MR, CHF, TR, PDA

Question 14

S3+ BENIGN IN

Answer 14

KIDS AND PREGNANCY

Question 15

S4+ MEANS

Answer 15

DECREASED COMPLIANCE OF THE VENTRICLE(STIFF)

Question 16

S4+ POSTMENOPAUSAL FEMALE

Answer 16

ACUTE MR, ISCHEMIA OR IWMI WITH SOB ON EXERTION AND NO CP

Question 17

S4+

Answer 17

LVH, HOCM, SEVERE AS

Question 18

PERICARDIAL FRICTION RUB

Answer 18

SUPERFICIAL SCRATCHY SOUND BEST HEARD AT LEFT STERNAL BORDER WHEN PT IS UPRIGHT AND LEANING FORWARD WITH DEEP BREATH - IN PERICARDITIS

Question 19

SHARP EARLY DIASTOLIC SOUND OR EARLY 3RD SOUND

Answer 19

PERICARDIAL KNOCK IN CONSTRICTIVE PERICARDITIS