Advanced Assessment Final Review
QUESTIONS AND ANSWERS |GRADED A
Which type of abnormal heart sound is best described below?
mid-systolic murmur located R 2nd interspace
radiates into the neck and down L sternal bord
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Advanced Assessment Final Review
QUESTIONS AND ANSWERS |GRADED A
Which type of abnormal heart sound is best described below?
mid-systolic murmur located R 2nd interspace
radiates into the neck and down L sternal border, even to apex
often loud with medium pitch, harsh quality
best heard it patient it sitting up and leaning forward Correct Answer: aortic
stenosis
Which type of abnormal heart sound is best described below?
best heard in 2nd-4th interspaces between L sternal border and apex of heart
rarely radiates
caused by temporary increase in blood flow (such as in anemia, pregnancy,
hyperthyroid, or fever) Correct Answer: physiologic or functional systolic murmur
Which type of abnormal heart sound is best described below?
located in 2nd-3rd L interspaces
radiates toward L shoulder and neck
soft-to-loud intensity, medium pitch, harsh quality
persist throughout respiratory cycle Correct Answer: pulmonic stenosis
Which type of abnormal heart sound is best described below?
best heard in the 3rd-4th L interspaces
radiates down L sternal border to apex and possibly base of heart
does NOT radiate to neck
medium pitch, harsh quality
decreases with squatting, increases with straining down Correct Answer:
hypertrophic cardiomyopathy
Which type of abnormal heart sound is best described below?
best heard at apex, radiates to L axilla
soft-to-loud intensity with medium-high pitch, blowing quality
does NOT become louder with inspiration Correct Answer: mitral regurgitation
Which type of abnormal heart sound is best described below?
best heard at lower L sternal border
radiates to R of the sternum (xiphoid area), NOT axilla
variable intensity, medium pitch, blowing quality
intensity increases slightly with inspiration Correct Answer: tricuspid regurgitation
Which type of abnormal heart sound is best described below?located in the 3rd,
4th, and 5th left interspaces
has a wide range of radiation
very loud intensity and high pitch with a harsh quality Correct Answer: ventricular
septal defect
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