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Question

Which one of the following is characteristic of Opening Snap (on cardiac auscultation) ?

The correct answer is
High pitched, early diastolic

The characteristic sound of an Opening Snap during cardiac auscultation is described by its pitch and timing within the cardiac cycle.

Opening Snap Sound Characteristics

An Opening Snap is a distinct heart sound heard during auscultation. Its key features are:

  • Pitch: It is typically a high-pitched sound.
  • Timing: It occurs in early diastole.

Explanation of Timing and Pitch

The Opening Snap is heard early in diastole because it is caused by the abrupt opening of a stiff or stenotic valve, most commonly the mitral valve (in mitral stenosis) or sometimes the tricuspid valve.

  • Timing: This valve opening happens shortly after the beginning of diastole when the ventricular pressure falls below the atrial pressure, forcing the valve open.
  • Pitch: The sound is high-pitched due to the rapid deceleration of blood flow and the sudden tensing of the valve leaflets and associated structures (like chordae tendineae).

Therefore, the combination of a high-pitched sound occurring in early diastole is characteristic of an Opening Snap.

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    3. Iatrogenic-Post RT/Surgery
    4. Hypothyroidism
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