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Question
The first sound of the heart beat occurs during 1______, associated with the closure of  2_______, and 3______, The second sound of the heart beat occurs during 4_____, associated with the closure of  5______, and 6______.
Options:
A .  1.Isovolumetric contraction   2.Mitral valve   3.Tricuspid valve  4. IsovolumetricRelaxation  5. Aortic valve   6. Pulmonary Valve
B .  1.Isovolumetric Relaxation  2. Aortic valve  3. Pulmonary Valve  4. Isovolumetric contraction   5.Tricuspid valve   6.Mitral valve
C .  1.Isovolumetric contraction   2.Mitral valve   3.Aortic valve   4.Isovolumetric Relaxation   5.Tricuspid valve   6.Pulmonary Valve
D .  1.Isovolumetric Relaxation   2.Mitral valve   3.Aortic valve   4.Isovolumetric contraction   5.Tricuspid valve  6. Pulmonary Valve
Answer: Option A
:
A
The most fundamental heart sounds are the first and second sounds, usually abbreviated as S1 and S2. S1 is caused by closure of the mitral and tricuspid valves at the beginning of isovolumetric ventricular contraction S1 is normally slightly split (~0.04 sec) because mitral valve closure precedes tricuspid valve closure; however, this very short time interval cannot normally be heard with the stethoscope and hence only a single sound is perceived. S2 is caused by closure of the aortic and pulmonic valves at the beginning of isovolumetric ventricular relaxation

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