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When listening to heart sounds, which valve closures are heard best at the base of the heart. Select all that apply.

A.

pulmonic

B.

tricuspid

C.

aortic

D.

mitral

Question Solution

Correct Answer : A,C

A. Pulmonic valve closure is best heard at the base of the heart, near the second intercostal space at the left sternal border.

 

B. Tricuspid valve sounds are best heard at the lower left sternal border, near the apex rather than the base of the heart.

 

C. Aortic valve closure is also best heard at the base of the heart, near the second intercostal space on the right sternal border.

 

D. Mitral valve sounds are heard best at the apex of the heart, near the fifth intercostal space in the midclavicular line, not the base.


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View Related questions

Correct Answer is E

Explanation

A. Normal sounds against the sternum would not be low-pitched or soft; they would typically be more pronounced.

B. Bronchovesicular sounds are medium-pitched and are not expected in the lower lobes; they are usually heard in the central area.

C. Bronchial sounds are high-pitched and hollow, typically heard over the trachea, not in the lower lobes.

D. Normal sounds over the trachea would not be described as low-pitched or soft.

E. Vesicular breath sounds are soft, low-pitched, and normal over peripheral lung fields, including the lower lobes, making this the correct interpretation.

Correct Answer is A

Explanation

A. A heave (or lift) often indicates ventricular hypertrophy or enlargement, suggesting increased workload on the heart.

B. Turbulent blood flow may lead to murmurs but is not specifically associated with a heave.

C. A persistently slow heartbeat is referred to as bradycardia and does not correlate with a heave.

D. An extreme pulse deficit relates to discrepancies between heartbeats and palpable pulses but is not linked to a heave.

E. Coronary artery blockage would not directly produce a heave; it typically leads to ischemic changes.

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