FREE! Click here to Join FunTrivia. Thousands of games, quizzes, and lots more!
Quiz about Grab Your Stethoscope Its Time for Heart Sounds
Quiz about Grab Your Stethoscope Its Time for Heart Sounds

Grab Your Stethoscope! It's Time for Heart Sounds! Quiz


This quiz is meant to see if you can identify what heart sounds go with what heart diseases.

A multiple-choice quiz by Taxicab3. Estimated time: 7 mins.
  1. Home
  2. »
  3. Quizzes
  4. »
  5. Science Trivia
  6. »
  7. Diseases of Specific Systems
  8. »
  9. Heart Conditions

Author
Taxicab3
Time
7 mins
Type
Multiple Choice
Quiz #
278,945
Updated
Dec 03 21
# Qns
10
Difficulty
Difficult
Avg Score
5 / 10
Plays
913
Last 3 plays: Guest 73 (1/10), Guest 24 (4/10), Guest 96 (4/10).
- -
Question 1 of 10
1. A 45 year old man comes into your office complaining of heart palpitations. You listen at his heart apex with the diaphragm of the stethoscope and hear a mid systolic click (an extra beat in between the 1st and 2nd heart sound). What is the likely diagnosis? Hint


Question 2 of 10
2. A 50 year old woman comes into your office citing exercise intolerance. You listen to her heart at the lower left sternal border with the bell of the stethoscope and hear an S3 sound (an extra, low frequency heart beat occurring after the 2nd heart sound). What is the likely diagnosis? Hint


Question 3 of 10
3. If a patient has atrial fibrillation (the atria no longer respond to heart pace-making cells) an S4 heart sound (an extra, low frequency beat occurring before the first heart sound) will not exist.


Question 4 of 10
4. A 10 year old boy comes into your office with no symptoms or complaints. When listening with the bell of the stethoscope at the apex, you hear an S3 heart sound. What is the diagnosis? Hint


Question 5 of 10
5. A 40 year old man comes into your office complaining of exercise intolerance. You listen to his heart at the 3rd left intercostal space with the diaphragm and hear a murmur that is saw-like in quality that begins after S1 (first heart sound) and ends before S2 (2nd heart sound) during systole (while the heart is contracting). What is a likely diagnosis? Hint


Question 6 of 10
6. The diastolic murmur of tricuspid stenosis (narrowing and hardening of the tricuspid valve cusps) can only be heard with the diaphragm of the stethoscope.


Question 7 of 10
7. A 70 year old man comes into your office complaining of heart palpitations. You listen to his heart at the lower left sternal border with the bell of the stethoscope and hear a rumbling murmur that occurs only during diastole (while the ventricles are filling). What is the likely diagnosis? Hint


Question 8 of 10
8. A 55 year old woman comes into your office complaining of exercise intolerance. You listen to her heart at the 2nd right intercostal space with the diaphragm of the stethoscope and hear a diastolic murmur of blowing quality. What is the likely diagnosis? Hint


Question 9 of 10
9. A 67 year old man enters your office with no complaints. You listen to his heart at the apex and hear an opening snap when listening with the diaphragm and a rumbling diastolic murmur when listening with the bell. What is the likely diagnosis? Hint


Question 10 of 10
10. Now for a whopper: A 60 year old woman enters your office with no symptoms to complain of. You listen to her heart at the 2nd left intercostal space and hear a mid-systolic murmur accompanied with wide fixed splitting of the S2 heart sound (Usually the 2nd heart sound is split and widens with inspiration at the 2nd left intercostal space). What is the diagnosis? Hint



(Optional) Create a Free FunTrivia ID to save the points you are about to earn:

arrow Select a User ID:
arrow Choose a Password:
arrow Your Email:




Most Recent Scores
Feb 06 2024 : Guest 73: 1/10
Feb 04 2024 : Guest 24: 4/10
Feb 04 2024 : Guest 96: 4/10

Score Distribution

quiz
Quiz Answer Key and Fun Facts
1. A 45 year old man comes into your office complaining of heart palpitations. You listen at his heart apex with the diaphragm of the stethoscope and hear a mid systolic click (an extra beat in between the 1st and 2nd heart sound). What is the likely diagnosis?

Answer: Mitral valve prolapse

In this case the mid systolic click is caused by the mitral valve prolapsing into the left atrium during systole (while the heart is contracting).
2. A 50 year old woman comes into your office citing exercise intolerance. You listen to her heart at the lower left sternal border with the bell of the stethoscope and hear an S3 sound (an extra, low frequency heart beat occurring after the 2nd heart sound). What is the likely diagnosis?

Answer: Congestive heart failure

S3 sounds are classic for CHF. They are due to overfilling and dilation of on of the ventricles. Since we are listening at the lower sternal border, this would be dilation of the right ventricle.
3. If a patient has atrial fibrillation (the atria no longer respond to heart pace-making cells) an S4 heart sound (an extra, low frequency beat occurring before the first heart sound) will not exist.

Answer: True

The S4 heart sound is a sound that is produced by the atria. If the atria are in fibrillation and not contracting, the S4 sound can not exist.
4. A 10 year old boy comes into your office with no symptoms or complaints. When listening with the bell of the stethoscope at the apex, you hear an S3 heart sound. What is the diagnosis?

Answer: Normal heart sound

When an S3 or S4 sound is heard in a child, it is likely innocent.
5. A 40 year old man comes into your office complaining of exercise intolerance. You listen to his heart at the 3rd left intercostal space with the diaphragm and hear a murmur that is saw-like in quality that begins after S1 (first heart sound) and ends before S2 (2nd heart sound) during systole (while the heart is contracting). What is a likely diagnosis?

Answer: Aortic Stenosis

The murmur of aortic stenosis is called a "mid-systolic" murmur and is caused by blood being pushed through a narrow (stenotic) aortic valve. It is saw-like in quality and always begins before S1 and ends before S2.
6. The diastolic murmur of tricuspid stenosis (narrowing and hardening of the tricuspid valve cusps) can only be heard with the diaphragm of the stethoscope.

Answer: False

The rumbling diastolic murmurs of mitral and tricuspid stenosis are of such low frequencies that they can only be heard with the bell of the stethoscope.
7. A 70 year old man comes into your office complaining of heart palpitations. You listen to his heart at the lower left sternal border with the bell of the stethoscope and hear a rumbling murmur that occurs only during diastole (while the ventricles are filling). What is the likely diagnosis?

Answer: Tricuspid stenosis

The rumbling diastolic murmur in this question can only be due to tricuspid stenosis. This rumbling murmur is caused by blood entering through the stenotic tricuspid valve into the right ventricle during diastole. We know that it is the tricuspid valve versus the mitral valve because we are listening on the right side of the heart.
8. A 55 year old woman comes into your office complaining of exercise intolerance. You listen to her heart at the 2nd right intercostal space with the diaphragm of the stethoscope and hear a diastolic murmur of blowing quality. What is the likely diagnosis?

Answer: Aortic regurgitation

The blowing diastolic murmur of aortic regurgitation is caused by blood flowing back into the left ventricle during diastole. We know we are listening to the aortic valve because we are at the second right intercostal space.
9. A 67 year old man enters your office with no complaints. You listen to his heart at the apex and hear an opening snap when listening with the diaphragm and a rumbling diastolic murmur when listening with the bell. What is the likely diagnosis?

Answer: Mitral stenosis

These findings are common for mitral stenosis. The opening snap is due to the opening of the hardened mitral valve cusps. The murmur is due to blood flowing across a stenotic mitral valve during diastole.
10. Now for a whopper: A 60 year old woman enters your office with no symptoms to complain of. You listen to her heart at the 2nd left intercostal space and hear a mid-systolic murmur accompanied with wide fixed splitting of the S2 heart sound (Usually the 2nd heart sound is split and widens with inspiration at the 2nd left intercostal space). What is the diagnosis?

Answer: Atrial septal defect

These findings are classic for ASD. The murmur of ASD is not caused by the hole between the atria, but rather from the increased blood flow across the pulmonic valve. What distinguishes ASD from pulmonic regurgitation is the presence of wide fixed splitting of S2.
Source: Author Taxicab3

This quiz was reviewed by FunTrivia editor crisw before going online.
Any errors found in FunTrivia content are routinely corrected through our feedback system.
3/28/2024, Copyright 2024 FunTrivia, Inc. - Report an Error / Contact Us