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Quiz 7 Study Guide- Module 9 Chapters to review: Chapter 20 pp. 463-476; 481 In which order do we perform our cardiac assessment? Auscultation What should we hear when listening to the heart? What are normal heart sounds? When does S1 occur? When does S2 occur? Where do you hear S1 the best? Where do you hear S2 the best? What order to we auscultate the heart in? What valve is associated with each location? There will be pictures Be familiar with Erb’s point Abnormal Heart Findings Which are abnormal heart sounds…..S1, S2, S3, S4? What is a heave? What is a thrill? What is a thrill associated with? What is a murmur? What does a murmur sound like? Do you hear or feel a bruit? What does a bruit indicate? What is a rub? When do we hear it? Think about what is going on with that patient Cardiac Cycles What happens during systole? What happens during diastole? Palpation Where do we palpate the carotid pulse? What is important to remember when palpating the carotid pulse? How do we grade pulses? Where is the apical impulse…also called PMI (point of maximal impulse)? What causes us to feel the PMI? What guideline may be used to identify which heart sound is S1? What pulse does this sound coincide with? When might you palpate a thrill?

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