Heart & Neck

Question 1

Describe chest pain in terms of:

Answer 1

Type, location, radiation, duration & circumstances when occurs.

Question 2

Dizziness = Lightheadedness. T/F

Answer 2

False

Question 3

Nocturia is:

Answer 3

Frequent night-pees

Question 4

Age risk factors for heart disease?

Answer 4

M - over 45

F- over 55 (postmenopausal or ovaries removed)

Question 5

Other risk factors?

Answer 5

Family History
Metabolic Syndrome
Body weight (+20 pounds overweight)
Smoking

Question 6

Ethnic risk factors?

Answer 6

African American
Mexican American
Native American
Native Hawaiian
Asian American

Question 7

Bruit is:

Answer 7

Swooshing sound in carotid artery

Question 8

Bruit is caused by:

Answer 8

Turbulent bloodflow due to partial blockage

Question 9

T/F With complete blockage there is no bruit.

Answer 9

TRUE

Question 10

When palpating carotid arteries, you should:

Answer 10

Palpate lightly to avoid blocking

Question 11

When palpating carotid arteries, you should palpate ___ at a time.

Answer 11

One - to avoid stopping blood flow to brain

Question 12

A full/bounding pulse suggests:

Answer 12

Hypertension

Question 13

Loss of elasticity in carotid suggests:

Answer 13

Arteriosclerosis

Question 14

Vibrations that feel like a purring cat are:

Answer 14

Thrills. May be felt with partial obstruction.

Question 15

The base of the heart is located:

Answer 15

At the top

Question 16

The apex of the heart is located:

Answer 16

At the bottom

Question 17

2nd right intercostal:

Answer 17

Aortic

Question 18

2nd left intercostal:

Answer 18

Pulmonic

Question 19

4th or 5th intercostal on sternal border:

Answer 19

Tricuspid

Question 20

5th intercostal at left midclavicular:

Answer 20

Mitral (Apical)

Question 21

Auscultation locations represent anatomical positions of the heart. T/F?

Answer 21

False. They represent the direction in which sound produced by the valves travels.

Question 22

The difference between apical & radial pulse is:

Answer 22

Pulse deficit

Question 23

S1 is the ___ sound, S2 is the ____ sound.

Answer 23

S1 - Lub

S2- Dub

Question 24

S1 is produced by the:

Answer 24

Closing of the mitral & tricuspid valves.

Question 25

S2 is produced by the:

Answer 25

Closing of the aortic & pulmonic valves.

Question 26

S1 is louder at the:

Answer 26

Apex

Question 27

S2 is louder at:

Answer 27

Base

Question 28

S3 is produced by:

Answer 28

Blood hitting the ventricle walls.

Question 29

S3 sounds like this state.

Answer 29

Tennessee

Question 30

S4 is produced by the:

Answer 30

Late contraction of the atria.

Question 31

S4 sounds like this state:

Answer 31

Kentucky

Question 32

Murmurs are:

Answer 32

Blowing or swooshing sounds produced by turbulent blood flow.

Question 33

To auscultate murmurs we can: (2)

Answer 33

Have the client assume left lateral position OR

Sit up, lean forward & exhale while listening over apex.

Question 34

When a murmur is heard consider it:

Answer 34

Pathological and refer to physician.