In which of the following patient categories would the intensity ...

[Alainaaa8]

In which of the following patient categories would the intensity of the point of maximal impulse (PMI) be most difficult to palpate?
 
  a. Chronic pulmonary hyperinflation
  b. Mitral (bicuspid) stenosis
  c. Left ventricular hypertrophy
  d. Right ventricular hypertrophy

Question 2

The first heart sound (S1) is created primarily by which of the following?
 
  a. Closure of the semilunar valves
  b. Opening of the semilunar valves
  c. Opening of the atrioventricular valves
  d. Closure of the atrioventricular valves

[Christopher]

Answer to Question 1

ANS: A
In patients with chronic pulmonary hyperinflation (emphysema), the PMI may be difficult to lo-cate. Because of the increase in anteroposterior diameter and the changes in lung tissue, systolic vibrations are not well transmitted to the chest wall.

Answer to Question 2

ANS: D
The first heart sound (S1) is produced by closure of the mitral and tricuspid (atrioventricular AV) valves during contraction of the ventricles.

[Alainaaa8]

Wow, this really help

[dyrone]

Thanks for the timely response, appreciate it