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Aortic Area - CORRECT ANSWER: 2nd ICS, right sternal border
Apical pulse - CORRECT ANSWER: Auscultate the apical pulse with either the bell or
the diaphragm of stethoscope and assess the heart rate in beats/minute (may listen for
15 seconds and multiply by 4).
Describe the rhythm (e.g., regular, irregular). Be specific when discussing finding (e.g.,
HR 80 and regular).
Are murmur and bruits the same? - CORRECT ANSWER: Inside the heart (such as the
heart valves), audible turbulence is called a murmur.
Outside of the heart (such as the carotids, etc.), audible turbulence is referred to as a
bruit
Ausculation findings - CORRECT ANSWER: After listening with the diaphragm of
stethoscope in all five (5) areas on the chest wall, be specific when discussing findings
(did you hear S1, S2, murmurs?).
After listening with the bell of stethoscope in all five (5) areas on the chest wall, be
specific when discussing findings (did you hear extra sounds, murmurs?).
Ausculation Techniques - CORRECT ANSWER: Use both diaphragm and bell of
stethoscope when listening to each area on the chest wall. Listen first with the
diaphragm in the five (5) areas, then with the bell in the five (5) areas and discuss
findings
, Auscultation General Guidelines Related to Clothing - CORRECT ANSWER: You should
not auscultate through clothing for the following reasons:
1. Listening to heart sounds through clothing carries the risk of missing soft extra
sounds such as murmurs and low-pitched sounds such as S3 and S4.
2. Auscultating through clothing can create extra sounds (background noise) referred to
as "artifacts," which can make it difficult to hear heart sounds and murmurs. Therefore, it
is important to optimize
Brachial Pulse - Technique & Landmark - CORRECT ANSWER: Palpate the brachial
pulse with the pads of your fingers on the artery just medial to the biceps tendon at the
antecubital crease. Flex the patient's elbow slightly when assessing the brachial pulse.
Assess and grade pulses bilaterally.
Cardiac Cycle - First heart sound (S1) - CORRECT ANSWER: S1 represents closure of
the mitral and tricuspid valves
Cardiac Cycle - Heart Sounds - CORRECT ANSWER: Closure of the heart valves
produce the heart sounds of S1 and S2
Cardiac Cycle - Intensity of heart sounds - CORRECT ANSWER: S1 is usually louder
than S2 at the apex. S2 is usually louder than S1 at the base
Cardiac Cycle - Second heart sound (S2) - CORRECT ANSWER: S2 represents closure
of the aortic and pulmonic valves
Cardiac Cycle - Systole and Diastole - CORRECT ANSWER: Systole is the interval
between S1 and S2 and diastole is the interval between S2 and S1.
Cardiac Cycle - Ventricular Contraction - CORRECT ANSWER: Systole is the period of
ventricular contraction and occurs when the aortic and pulmonic valves are open, and
the mitral and tricuspid valves are closed.