Chris Mulryan
Quiz by , created more than 1 year ago

Presenting a range of Multiple Choice questions across the spectrum of cardiac Auscultation

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Chris Mulryan
Created by Chris Mulryan over 6 years ago
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Heart Sounds: An Overview

Question 1 of 10

1

Physiological splitting of the second heart sound is best audible in which one of the following situations?

Select one of the following:

  • Hypovolemia

  • Inspiration

  • Expiration

  • Hyperkalemia

Explanation

Question 2 of 10

1

A decrescendo murmur is most likely to be associated with which one of the following valve defects?

Select one of the following:

  • Pulmonary stenosis

  • Aortic Regergitation

  • Mitral stenosis

  • Ventricular septal defect

Explanation

Question 3 of 10

1

The murmur of pulmonary stenosis will radiate to which one of the following locations?

Select one of the following:

  • The carotid arteries

  • The axilla

  • Under the left clavical

  • Eurb's point

Explanation

Question 4 of 10

1

An "opening snap" is associated with which one of the following?

Select one of the following:

  • Left ventricular hypertrophy

  • Bicuspid aortic valve

  • Mitral stenosis

  • Aortic stenosis

Explanation

Question 5 of 10

1

Ejection Clicks are most likely to be associated with which one of the following?

Select one of the following:

  • Calcified aortic valve

  • A bicuspid aortic valve

  • Flow murmurs

  • Endocarditis

Explanation

Question 6 of 10

1

A third heart sound occurs at which one of the following locations within the cardiac cycle?

Select one of the following:

  • Early diastole

  • Late diastole

  • Early systole

  • Late systole

Explanation

Question 7 of 10

1

The term holosystolic murmur refers to which one of the following situations?

Select one of the following:

  • 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.

Explanation

Question 8 of 10

1

An S4 sound is created by which one of the following situations?

Select one of the following:

  • Increased blood volume

  • Increased flow

  • Left atrial hypertophy

  • Ventricualr Fibrosis (Poorly compliant ventricle)

Explanation

Question 9 of 10

1

The detection of Mitral stenosis can be optimised by the aid of which one of the following?

Select one of the following:

  • The patient held in deep inspiration

  • Leaning forwards

  • Lying on the left side

  • Squatting

Explanation

Question 10 of 10

1

Reverse splitting of the second heart sound can be caused by which one of the following?

Select one of the following:

  • Left bundle branch block

  • Right bundle branch block

  • Reflex tachycardia

  • Aortic Stenosis

Explanation

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