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PCM FINAL OSCE 2/17/15 > Final Stuff > Flashcards

Flashcards in Final Stuff Deck (5)
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1

A: What does [Maximal height of Internal Jugular Vein] represent?

B: What are the 4 Steps to measure this?

A: [Maximal height of Internal Jugular Vein] indicates Right Atrial pressure--->reflects hydration & volume status

B:
1st: STAND on pt R side and have them lay back with table at 30-45º

2nd: Turns pt head to the left and point out [Maximal height of RIGHT Internal Jugular Vein]

3rd: Take ruler and measure from [Sternal Angle of Louis] to the maximal height of R Internal Jug Vein

4th: Add 5 cm to that measurement = JVP

2

A: How do you determine correct BP cuff size for a pt?
[2]

B: What are the 4 principal factor that influence Arterial Blood pressure?

1. WIDTH OF CUFF should be 40% of patient arm circumference

2. LENGTH OF BLADDER should be 80% of patient arm circumference
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B:
4 principal factor that influence Arterial Blood pressure
* PDSB *
-Peripheral Vascular Resistance
- DISTENSIBILITY of Aorta and Large Arteries
-Stroke Volume of LV
-Blood Volume

3

Where is the surface projection on the precordium of the Right Ventricle?
1. RV occupies MOST of _____ _____ surface

2. RV is a _____-like structure sitting _____ and to the _____ of the sternum

3. RV inferior border is just below junction of _____ and _____ _____

4. RV narrows superiorly and meets the [_____ Artery] at the Left _____ [_____ Space]
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B: What about the Left Ventricle?

1. RV occupies MOST of anterior cardiac surface

2. RV is a wedge-like structure sitting BEHIND and to the LEFT of the sternum

3. It's inferior border is just below junction of sternum and xiphoid process

4. RV narrows superiorly and meets the [Pulmonary Artery] at the Left 3rd [Intercostal Space]
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B: Left Ventricle lies on the LEFT lateral border of the [Anterior cardiac surface]

4

A: Where is the surface projection on the precordium of the R Atrium?

A: Right Heart Border is from the [R 2nd ICS] ----> [R 4th ICS]

5

A: SPLITTING OF S2 is best auscultated in the ______

A: SPLITTING OF S2 is best auscultated in the [Pulmonic Area] = L 2nd ICS