A 50 year old man with weakness of left arm and hand during the previous month Carotid Bruit Lessons Chart Auscultation Diagnosis Signup Now. Unlock lessons and more. SignUp Listen to the three heart sounds and two carotid sounds. What are your observations? play pause play pause play pause play pause play pause Heart Sounds S2 is louder than S1 at the mitral area.A fourth HS gallop is heard on the right side.Turbulence of diminished intensity relative to ICA Right is heard at 2RICS. Carotid Sounds Turbulence is heard during systole on the left side.Turbulence is heard at the right internal carotid.The turbulence heard at ICA right is of short duration. Table of Contents Carotid Artery Exam 170 year old man in doctor’s office for annual exam 285 year old man with recent onset of shortness of breath with exertion 360 year old woman executive requests physical for life insurance authorization 4A 50 year old man with weakness of left arm and hand during the previous month 5A 60 year old man complaining of slurred speech and left leg paralysis 6A 65 year old man in emergency room after fainting episode Today's Score 0 correct out of 0 attempted.