Heart Sounds: An Overview

Descripción

Presenting a range of Multiple Choice questions across the spectrum of cardiac Auscultation
Chris Mulryan
Test por Chris Mulryan, actualizado hace más de 1 año
Chris Mulryan
Creado por Chris Mulryan hace más de 6 años
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1

Resumen del Recurso

Pregunta 1

Pregunta
Physiological splitting of the second heart sound is best audible in which one of the following situations?
Respuesta
  • Hypovolemia
  • Inspiration
  • Expiration
  • Hyperkalemia

Pregunta 2

Pregunta
A decrescendo murmur is most likely to be associated with which one of the following valve defects?
Respuesta
  • Pulmonary stenosis
  • Aortic Regergitation
  • Mitral stenosis
  • Ventricular septal defect

Pregunta 3

Pregunta
The murmur of pulmonary stenosis will radiate to which one of the following locations?
Respuesta
  • The carotid arteries
  • The axilla
  • Under the left clavical
  • Eurb's point

Pregunta 4

Pregunta
An "opening snap" is associated with which one of the following?
Respuesta
  • Left ventricular hypertrophy
  • Bicuspid aortic valve
  • Mitral stenosis
  • Aortic stenosis

Pregunta 5

Pregunta
Ejection Clicks are most likely to be associated with which one of the following?
Respuesta
  • Calcified aortic valve
  • A bicuspid aortic valve
  • Flow murmurs
  • Endocarditis

Pregunta 6

Pregunta
A third heart sound occurs at which one of the following locations within the cardiac cycle?
Respuesta
  • Early diastole
  • Late diastole
  • Early systole
  • Late systole

Pregunta 7

Pregunta
The term holosystolic murmur refers to which one of the following situations?
Respuesta
  • 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.

Pregunta 8

Pregunta
An S4 sound is created by which one of the following situations?
Respuesta
  • Increased blood volume
  • Increased flow
  • Left atrial hypertophy
  • Ventricualr Fibrosis (Poorly compliant ventricle)

Pregunta 9

Pregunta
The detection of Mitral stenosis can be optimised by the aid of which one of the following?
Respuesta
  • The patient held in deep inspiration
  • Leaning forwards
  • Lying on the left side
  • Squatting

Pregunta 10

Pregunta
Reverse splitting of the second heart sound can be caused by which one of the following?
Respuesta
  • Left bundle branch block
  • Right bundle branch block
  • Reflex tachycardia
  • Aortic Stenosis
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