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Anatomy · Thorax
Sample itemWhere is the cardiac apex normally auscultated most clearly?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Left fifth intercostal space at midclavicular line
The left ventricular apex lies near the left fifth intercostal space at the midclavicular line, where mitral sounds are best heard.
Option by option
A. Xiphisternal junction
The xiphisternal junction is inferior to the usual apex site.
B. Right second intercostal space at sternal edge
Right second space is an aortic auscultation area.
C. Left second intercostal space at sternal edge
Left second space is a pulmonary auscultation area.
D. Left fifth intercostal space at midclavicular line (correct)
Correct: this surface landmark corresponds to the cardiac apex.
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.