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Physiology · Cardiovascular physiology
Sample itemWhat causes the first heart sound?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Closure of atrioventricular valves
The first heart sound is produced by closure and tensing of the mitral and tricuspid valves at the onset of ventricular systole.
Option by option
A. Closure of atrioventricular valves (correct)
Correct: S1 reflects atrioventricular valve closure.
B. Opening of semilunar valves
Semilunar valve closure produces the second heart sound, not S1.
C. Atrial contraction
Atrial contraction occurs before S1 and does not create the main first sound.
D. Venous return
Venous return affects filling but does not directly produce S1.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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