Health Assessment Exam Review (Exam 2) | Questions with
100% Verified Answers | Latest Update 2026/2027
Question: APE To Man
Answer: Aortic, Pulmonic, Erb's point, Tricuspid, Mitral; the order of cardiac auscultation areas.
Question: Aortic auscultation area
Answer: 2nd right intercostal space; best area for aortic valve sounds and aortic stenosis
murmur.
Question: Pulmonic auscultation area
Answer: 2nd left intercostal space; best area for pulmonic valve sounds and S2 splitting.
Question: Erb's point
Answer: 3rd left intercostal space; useful for S2 and some murmurs.
Question: Tricuspid auscultation area
Answer: Left lower sternal border; best for tricuspid valve sounds.
Question: Mitral/apical auscultation area
Answer: 5th intercostal space at midclavicular line; best for mitral valve, PMI, S1, S3, and S4.
Question: S1
Answer: First heart sound, "lub"; closure of mitral and tricuspid valves; best heard at the apex.
Question: S2
Answer: Second heart sound, "dub"; closure of aortic and pulmonic valves; best heard at the
base.
Question: Physiologic split S2
Answer: Normal split during inspiration because the pulmonic valve closes slightly later.
Question: Abnormal split S2
Answer: Fixed or wide split may suggest ASD, right bundle branch block, or pulmonary
hypertension.
Question: S3
Answer: Extra sound after S2; associated with volume overload, heart failure, dilated
cardiomyopathy; sounds like "Kentucky."
Question: S4
Answer: Extra sound before S1; associated with stiff ventricle, HTN, LVH, ischemia; sounds like
"Tennessee."
, Question: Bruit
Answer: Whooshing sound over an artery; suggests turbulent blood flow from stenosis or
atherosclerosis.
Question: Pulse grade 0
Answer: Absent pulse.
Question: Pulse grade 1+
Answer: Weak, diminished, or thready pulse.
Question: Pulse grade 2+
Answer: Normal pulse.
Question: Pulse grade 3+
Answer: Increased or full pulse.
Question: Pulse grade 4+
Answer: Bounding pulse.
Question: JVD assessment
Answer: Assess with patient at 30-45 degrees; normal is usually less than 3-4 cm above
sternal
angle.
Question: Elevated JVD
Answer: Suggests right-sided heart failure, fluid overload, pulmonary hypertension, or cardiac
tamponade.
Question: Allen test
Answer: Assesses radial and ulnar artery circulation; color should return after releasing ulnar
artery.
Question: Orthopnea
Answer: Shortness of breath when lying flat; ask how many pillows the patient sleeps on.
Question: Paroxysmal nocturnal dyspnea
Answer: Waking suddenly at night gasping for air; associated with left-sided heart failure.
Question: Palpitations
Answer: Fluttering/racing/skipped heartbeat sensation; consider arrhythmia, stimulants,
thyroid
disease, anxiety, electrolytes.
100% Verified Answers | Latest Update 2026/2027
Question: APE To Man
Answer: Aortic, Pulmonic, Erb's point, Tricuspid, Mitral; the order of cardiac auscultation areas.
Question: Aortic auscultation area
Answer: 2nd right intercostal space; best area for aortic valve sounds and aortic stenosis
murmur.
Question: Pulmonic auscultation area
Answer: 2nd left intercostal space; best area for pulmonic valve sounds and S2 splitting.
Question: Erb's point
Answer: 3rd left intercostal space; useful for S2 and some murmurs.
Question: Tricuspid auscultation area
Answer: Left lower sternal border; best for tricuspid valve sounds.
Question: Mitral/apical auscultation area
Answer: 5th intercostal space at midclavicular line; best for mitral valve, PMI, S1, S3, and S4.
Question: S1
Answer: First heart sound, "lub"; closure of mitral and tricuspid valves; best heard at the apex.
Question: S2
Answer: Second heart sound, "dub"; closure of aortic and pulmonic valves; best heard at the
base.
Question: Physiologic split S2
Answer: Normal split during inspiration because the pulmonic valve closes slightly later.
Question: Abnormal split S2
Answer: Fixed or wide split may suggest ASD, right bundle branch block, or pulmonary
hypertension.
Question: S3
Answer: Extra sound after S2; associated with volume overload, heart failure, dilated
cardiomyopathy; sounds like "Kentucky."
Question: S4
Answer: Extra sound before S1; associated with stiff ventricle, HTN, LVH, ischemia; sounds like
"Tennessee."
, Question: Bruit
Answer: Whooshing sound over an artery; suggests turbulent blood flow from stenosis or
atherosclerosis.
Question: Pulse grade 0
Answer: Absent pulse.
Question: Pulse grade 1+
Answer: Weak, diminished, or thready pulse.
Question: Pulse grade 2+
Answer: Normal pulse.
Question: Pulse grade 3+
Answer: Increased or full pulse.
Question: Pulse grade 4+
Answer: Bounding pulse.
Question: JVD assessment
Answer: Assess with patient at 30-45 degrees; normal is usually less than 3-4 cm above
sternal
angle.
Question: Elevated JVD
Answer: Suggests right-sided heart failure, fluid overload, pulmonary hypertension, or cardiac
tamponade.
Question: Allen test
Answer: Assesses radial and ulnar artery circulation; color should return after releasing ulnar
artery.
Question: Orthopnea
Answer: Shortness of breath when lying flat; ask how many pillows the patient sleeps on.
Question: Paroxysmal nocturnal dyspnea
Answer: Waking suddenly at night gasping for air; associated with left-sided heart failure.
Question: Palpitations
Answer: Fluttering/racing/skipped heartbeat sensation; consider arrhythmia, stimulants,
thyroid
disease, anxiety, electrolytes.
