Assessment Notes

Question 1

Bell of stethoscope is used for

Answer 1

• Low tones

- Extra heart sounds S3/S4

Question 2

Diaphragm of stethoscope is used for

Answer 2

• Mid high pitched sounds
• Mitral regurgitation
• Aortic stenosis

Question 3

Heart Sounds S1

Answer 3

• S1: closure of the mitral and tricuspid valves

Question 4

Heart sounds S2

Answer 4

-S2: closure of the pulmonic and aortic valves

Question 5

Heart Sounds S3

Answer 5

• S3: Kentucky, CHF, Normal findings in 35 and under; over 35 is pathologic

Question 6

Heart Sounds S4

Answer 6

-S4: Tennessee, Stiff left ventricle (LV hypertrophy), some cardiomyopathies (hypertrophic/restrictive)