peripheral

Question 1

What does the a wave represent

Answer 1

R atrial contraction

Question 2

What does the x decent represnt

Answer 2

R atrial relaxion into verntricular contraction

Question 3

what does the v wave represent

Answer 3

R atrium fills

Question 4

What does the y represent

Answer 4

occurs as blood flows into the r ventricle

Question 5

PAD symtoms

Answer 5

• fatigue aching numbness pain that limits walking
• ed
• poor/non healing wounds
• pain at rest in legs but disappears w movement
• abdominal pain post meals
• any first degree relatives with AAA

Question 6

Venous problem symptoms

Answer 6

Swelling in LL
Swollen, red, tender veins
-ulcers (around maleoli)
-thickened skin

Question 7

What represent true claudication

Answer 7

normal abi at rest and will drop w exercie

Question 8

S1 (where more loud)

Answer 8

closure of mitral + tricuspid

apex

Question 9

S2 (where more loud)

Answer 9

Closure of aortic/ pulmonic valves

-louder at base

Question 10

S3 (where)

Answer 10

Ventricular gallop

Apex for LV, 4th icsfor RV

Question 11

S4 *where(

Answer 11

Atrial gallop

Apex and L sternal border

Question 12

Ejection click (where)

Answer 12

Aortic valve stenois

2nd r ics

Question 13

Oppening snap (where

Answer 13

Mitral/ tricuspid valve stenosis

Apex, L sternal border

Question 14

Innocent/physiological murmur- when, best heard where, intensity

Answer 14

Mid systolic (bw s1-2)
2nd-4th ics no radiation
intensity 1-2

Question 15

Mitral regurgitation- when, where, radiation, associated w what

Answer 15

all thru systolic
Best heard at apex
radiates to axilla
-associated w lat displaced apical impulse

Question 16

Aortic stensosis- when, sound, where, radiation, associated w what

Answer 16

mid systolic
-harsh creshendo- decrescendo
-right 2, 3rd ICS
Radiates to caotid arteries, left sternal border, apex

Narrow pulse pressue

Question 17

Aortic regurgitation, when, sound, where, pitch, radiation, associated w what

Answer 17

early diasolic begins at s2
Decresendi into mid late diastole
2nd-4th intercostal
radiates to apex and right sternal border

bounding/ wide pulse (waterhammer)

Question 18

Mitral stenosis- when, sound, pos

Answer 18

Early to end of diastole begining with OS
decresendo to mid diastole than crescendo till s1
Best heard at apex w pt in left lat decubitus

Question 19

When is pericardial friction rub heard, pos, sound

Answer 19

During ventricular systol, vendricular and atrial diastol
scratchy, high pitched
best when leaning forward and expired