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Heart Sounds and Cardiac Assessment Quiz

Total questions: 25

Worksheet time: 12mins

Name
Class
Date
1.

What is the range for a normal apical heart rate heard during auscultation?

a)

40-60

b)

60-100

c)

100-140

d)

120-160

2.

Which of the following is assessed when checking if the heart sounds are regular or irregular?

a)

Rate

b)

Rhythm

c)

Pitch

d)

Splitting

3.

What event produces the S2 heart sound?

a)

Opening of AV valves

b)

Closure of semilunar valves

c)

Vibration of ventricles

d)

Atrial contraction

4.

Aortic stenosis is best described as:

a)

Narrowing of the right ventricle

b)

Narrowing at the exit of the left ventricle

c)

Inflammation of the pericardium

d)

Blockage of the pulmonary artery

5.

Which symptom is commonly associated with aortic stenosis when lying down or at night?

a)

Headache

b)

Shortness of breath (SOB)

c)

Rash

d)

Fever

6.

What is the pericardium?

a)

The muscle of the heart

b)

The inner lining of the ventricles

c)

A double-walled sac around the heart

d)

The valve between atria and ventricles

7.

What causes the audible friction in a pericardial rub?

a)

Blood flow turbulence

b)

Inflammation

c)

Valve closure

d)

Muscle contraction

8.

Which of the following is NOT a cause of heart murmurs?

a)

heart Valve defects

b)

Unusual openings in the chambers of the heart

c)

Increased blood viscosity

d)

Dilated chambers of the heart

9.

What is analyzed when assessing the timing of a murmur?

a)

Whether it occurs during systole or diastole

b)

The pitch of the murmur

c)

The quality of the murmur

d)

The radiation of the murmur

10.

If a patient presents with an audible pericardial rub, what is the most likely underlying condition?

a)

Aortic stenosis

b)

Pericarditis

c)

Myocardial infarction

d)

Heart failure

11.

What does the grade 1/6 murmur indicate?

a)

Very faint, not heard in all positions

b)

Loud, with palpable thrill

c)

Heard with stethoscope off the chest

d)

Soft, heard in all positions

12.

Which of the following is NOT a characteristic analyzed in heart murmur assessment?

a)

Timing

b)

Color

c)

Pitch

d)

Pattern

13.

A murmur that grows louder and then tapers off is describing which characteristic?

a)

Pattern

b)

Pitch

c)

Quality

d)

Radiation

14.

Which of the following is a possible quality of a murmur?

a)

Blowing

b)

Blue

c)

Circular

d)

Pulsating

15.

Which of the following best describes the function of pericardial fluid?

a)

To provide nutrients to the heart

b)

To allow smooth movement between pericardial layers

c)

To conduct electrical impulses

d)

To increase heart rate

16.

What does the "position" characteristic refer to when assessing heart murmurs?

a)

placement of the body changes the murmur sound

b)

The high or low sound the murmur makes

c)

The type of sound the murmur makes

d)

The number associated with the murmur sound

17.

Which grade of murmur is described as "soft, heard in all positions"?

a)

1/6

b)

2/6

c)

3/6

d)

4/6

18.

A murmur heard with a palpable thrill but not with the stethoscope off the chest is what grade?

a)

3/6

b)

4/6

c)

5/6

d)

6/6

19.

Which heart sound is produced by the closure of the atrioventricular (AV) valves?

a)

S4

b)

S2

c)

S1

d)

S3

20.

What characteristic of a murmur is being assessed when determining if the sound "travels" to the neck or axilla?

a)

Quality

b)

Pattern

c)

Radiation

d)

Pitch

21.

Which of the following best describes a grade 6/6 heart murmur?

a)

Heard with the stethoscope completely off the chest

b)

Heard only with a stethoscope pressed firmly on the chest

c)

Heard with a palpable thrill

d)

Very faint, heard only in some positions

22.

What phase of the ventilation cycle can you hear a Splitting of the S1 and S2 heart sounds.

a)

resting

b)

exhalation

c)

inspiration

d)

expiration

23.

The 'lub' sound produced after

a)

semilunar valves close

b)

atria are fully contracted

c)

ventricles start to relax

d)

bicuspid and mitral (tricuspid) valves close

24.

Where can the S1 heart sound be heard best (the loudest)?

a)

Apex

b)

Base

c)

Pulmonic

d)

Mitral

25.

Where can the S2 heart sound be heard best (Loudest)?

a)

Mitral

b)

Pulmonic

c)

Base

d)

Apex