AHN 568 Exam 2024 with Questions and Answers
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Where are arterial ulcers usually found? - ✔✔Tips of toes, metatarsal heads, lateral malleoli.
Homan's sign? - ✔✔Positive in 35 percent of DVTs.
Apical impulse? - ✔✔4th or 5th intercostal space.
Point of maximal impulse? - ✔✔4th or 5th intercostal space.
Where is aortic valve best heard? - ✔✔2nd intercostal space, right sternal border.
Where is pulmonic valve best heard? - ✔✔2nd intercostal space, left sternal border.
Where is tricuspid valve best heard? - ✔✔3rd or 4th intercostal space, left sternal border.
Where is mitral valve best heard? - ✔✔5th intercostal space, midclavicular line.
S1 - ✔✔Lub. Start of systole. Mitral and triscupid valves close.
Where is S1 best heard? - ✔✔Apex of heart, but can be heard everywhere.
S2 - ✔✔Dub. Start of diastole. Aortic and pulmonic valve close.
When is a split S2 most likely heard? - ✔✔Pulmonic area at the end of inspiration.
,Where is an aortic ejection click heard? - ✔✔Apex and base. Signals early systole.
What is an ejection click mean? - ✔✔Aortic stenosis.
What does a pulmonic ejection click indicate? - ✔✔Early systole. Heard in base only.
What does an S3 sound mean? - ✔✔Ventricular gallop. Decreased ventricular compliance or
volume overload.
Where is S3 best heard? - ✔✔Apex.
S4? - ✔✔Late diastole. Just before S1. Heard at apex in left lateral position.
Grade 4 murmur? - ✔✔Moderately loud, with a thrill.
Grade 5 murmur? - ✔✔Very loud, hear with one corner of stethoscope lifted off the chest.
Grade 6 murmur? - ✔✔Loudest, heard without a stethoscope.
Regurgitate murmur? - ✔✔Blood traveling through a valve that should be closed.
Stenotic murmur? - ✔✔Blood traveling through a valve that should be open.
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