An S3 gallop is commonly heard in:

A. Children with fever
B. Adults with heart failure
C. Children with aortic stenosis
D. Adults with hypertension


ANS: B
Pathologic S3, also called a ventricular gallop, is heard in adults and is associated with decreased myocardial contractility, HF, and volume overload conditions, as can occur with mitral or tricuspid regurgitation. The sound is the same as a physiologic S3 and is heard just after S2 with the patient supine or in the left lateral recumbent position. The sound is very soft and can be difficult to hear.

Nursing

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