The pulmonary valve is best heard over the: A. left second ...

[captainjonesify]

The pulmonary valve is best heard over the:
 
  A. left second intercostal space left sternal border
  B. left fifth intercostal space mid-clavicular line
  C. right fourth intercostal space right sternal border
  D. right second intercostal space right sternal border

Question 2

The pain of ____ can frequently be mistaken for cardiac chest pain.
 
  A. Gastroesophageal reflux disease (GERD)
  B. Peptic ulcer disease (PUD)
  C. Cholecystitis
  D. All of the above

[sarajane1989]

Answer to Question 1

ANS: A
The valves are best heard over the chest at specific areas. The aortic valve is best heard over the second intercostal space right sternal border and the pulmonic valve is best heard over the second intercostal space left sternal border. The mitral valve is best heard over the fifth intercostal space mid-clavicular line.

Answer to Question 2

ANS: D
It is often difficult to differentiate the symptoms of gastroesophageal reflux disease (GERD) or peptic ulcer disease (PUD) from cardiac symptoms. A thorough history and diagnostic tests are necessary. Patients with a history of GERD or PUD should still be worked up for a cardiac etiology, particularly if the characteristics of the symptoms or the history have changed to raise the index of suspicion for cardiac disease. The pain of cholecystitis, also sometimes mistaken for cardiac pain, typically presents with right upper quadrant pain with radiation to the thoracic region of the back.

[captainjonesify]

Thank you

[sarajane1989]

No problemo