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Barron's CCRN Review Test Prep. 
Describe normal heart sounds. - S1 
- Lub 
- Caused by closure of AV valves 
- Loudest at apex of the heart (midclavicular, 5th intercostal space) 
- Marks end of diastole, beginning of systole 
S2 
- Dub 
- Caused by closure of semilunar (aortic, pulmonic) valves 
- Loudest at the base (right sternal border, 2nd intercostal space) 
- Marks end of systole, beginning of diastole 
- Louder with pulmonary embolism 
Describe the heart auscultatory points on the ches...
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Barron's CCRN Review Test Prep. 
Describe normal heart sounds. - S1 
- Lub 
- Caused by closure of AV valves 
- Loudest at apex of the heart (midclavicular, 5th intercostal space) 
- Marks end of diastole, beginning of systole 
S2 
- Dub 
- Caused by closure of semilunar (aortic, pulmonic) valves 
- Loudest at the base (right sternal border, 2nd intercostal space) 
- Marks end of systole, beginning of diastole 
- Louder with pulmonary embolism 
Describe the heart auscultatory points on the ches...