Lecture 1 - Vital Signs and HEENT Flashcards Preview

Intro to Physical Exam - 2016 > Lecture 1 - Vital Signs and HEENT > Flashcards

Flashcards in Lecture 1 - Vital Signs and HEENT Deck (35)
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1

Irregularly irregular heart rhythm is indicative of?

Atrial fibrillation

2

Regularly irregular heart rhythm is indicative of?

Bigeminy or trigeminy

3

Lack of symmetry between right and left extremities suggests: ______?

impaired circulation

4

If femoral pulsation is absent, __________ must be suspected.

coarctation of the aorta

5

Arteries that can be auscultated:

1. temporal 2. carotids 3. subclavian 4. abdominal aorta 5. renal 6. iliac 7. femoral

6

Two variations from a normal arterial pulse are:

1. pulsus alternans 2. pulsus bisferiens

7

What is the clinical term for an alternation of a pulse of small amplitude with a pulse of large amplitude.

Pulsus alternans (alternating pulse)

8

What is the primary cause of pulsus alternans?

heart failure

9

What are the two causes of pulsus bisferiens?

Leaking aortic valve Hypertrophic obstructive cardiomyopathy

10

What is the clinical term for a double impulse best felt at the carotid?

Pulsus bisferiens

11

The image below is an example of?

Pulsus alternans

12

The image below is an example of?

 

Pulsus Bisferiens

13

Too small of a blood pressure cuff will lead to:

Artificially elevated blood pressure reading

14

The brachial artery being positioned too low will lead to:

Artificially elevated blood pressure reading

15

What type of sounds are first listened for when taking a blood pressure reading?

Korokoff sounds

16

The _____ pressure is the mmHG at the level where you hear two consecutive beats.

systolic

17

The _____ pressure is the mmHG at the level where the sounds become muffled and disappear.

diastolic

18

A difference of more than 10-15 mmHg between arms suggests:

arterial obstruction on the side with lower pressure

19

The ________ pressure is the more reliable indicator of true systolic pressure.

higher

20

An _____________ is the silent interval that may be present between the systolic and diastolic pressures.

auscultatory gap

21

An unrecognized auscultatory gap may lead to:

serious underestimation of the systolic pressure

22

An increase in pulse of greater than 20 beats per minute, OR a decrease in systolic of more than 20 mmHg is called:

Orthostatic hypertension (postural hyptertension)

23

A difference in systolic pressure of >10 mmHg during inspiration and expiration is called:

Pulsus Paradoxus

24

________ is rapid, shallow breathing.

Tachypnea

25

What is kussmaul breathing?

Deep breathing due to meatbolic acidosis

26

______ is periods of no breathing

apnea

27

__________ breathing is defined as periods of deep-breathing with periods of no breathing.

Cheyne-Stokes Breathing

28

What are causes of Cheyne-Stokes breathing?

heart failure; brain damage (typically in both hemispheres)

29

What causes obstructive breathing?

Forms of COPD - especially asthma

30

Which temperature locations are typically higher, middle, and lowest?

Rectal, oral, axillary

31

Pupillary inequality of <.5 mm also called ________ is visible in of normal people>

anisocoria

32

The iris is examined for what two features?

1. Color

2. Presence of arcus senilus

33

What occurs during lidlag?

As eyes look down, white surrounds the iris

34

What occurs during nystagmus?

Fine, rhythmic oscillation of the eyes;

a few beats on extreme lateral gaze are within normal limits

35

What is presbyopia?

Impaired near vision