MRCP UK EXAMINATIONS

CARDIOLOGY

HEART AUSCULTATION

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Where is the pulmonic valve auscultated?
A
2nd intercostal space; left sternal border
B
2nd intercostal space; right sternal border
C
Either A or B
D
None of the above
Explanation: 

Detailed explanation-1: -Pulmonary valve: second intercostal space at the left sternal border. Tricuspid valve: fourth intercostal space at the left sternal border. Mitral valve: fifth intercostal space at the left midclavicular line.

Detailed explanation-2: -The pulmonary and aortic valves are both best heard in the 2nd intercostal space, to the left and right respectively.

Detailed explanation-3: -There is a strong tendency for the murmur to peak later in systole as stenosis becomes more severe. The murmur is best heard over the second intercostal space at the left sternal border and does not radiate. Its quality is similar to that of valvular aortic stenosis.

There is 1 question to complete.