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Flashcards in Pedia 3B - Applied Cardio Deck (49):
0

Splitting of 2nd heart sound is best appreciated

Pulmonic Area
2nd Upper left sternal border

1

Systolic murmur starting a few ms into systole, peaking in mid-systole and ending before second heart sound =

Mid-systolic murmur "Flow Murmur"

(Early systolic = Ejection murmur)

2

Louder murmur w/thrill

Grade IV

INSERT Grades here
I
II
III loudest w/o thrill
IV louder w/thrill
V Audible w/portion of diaphragm off chest
VI Audible w/stethoscope held off chest

3

Thrill and radiation of murmur away from point of origin indicate an ______ murmur

Organic

4

Twaning string murmur of Still is musical and best heard

Mid-precordium
Left of lower sternum

5

Apex beat corresponds to ___-most and ____-most point of cardiac impulse

Lowermost
Outermost

6

High frequency heart sounds are best heard w/the ____ of the stethoscope
Low frequency heart sounds are best heard w/the ____ of the stethoscope

High frequency - Diaphragm
Low frequency - Bell

7

Clicking sound in diastole immediately ff 2nd sound (indicating stenotic mitral valve w/mobile anterior leaflet:

Opening snap

8

Purring sensation under palm over precordium in the presence of certain organic heart diseases is called

THRILL

9

First heart sound is short and sharp and caused by simultaneous closure of the

Mitral
Tricuspid valve

2nd Heart Sound - Pulmonary and Aortic Valves
3rd -
4th -

10

Chest circumference < Head in the first _____ months

4-6 or 9-12 depending on where in Silverman

11

Dullness of percussion is noticed normally over the liver on the right side at the

10th intercostals space on midclavicular line
8th rib on mid-axillary line
10th rib posteriorly

12

3rd Heart sound
- Normally heard during _____ over the ____ area
- Best heard when patient is in the _____ position
- Loudest during ______
- _______ intensity is often associated w/hyperdynamic state

3rd Heart sound
- Normally heard during diastole over the apex area
- Best heard when patient is in the LLD position
- Loudest during EXP
- INC intensity is often associated w/hyperdynamic state

13

Continuous musical sound which may be high-pitched or low-pitched

Wheezes

14

To-and-fro murmur over L infra-clavicular area radiating to 2nd and 3rd L intercostal spaces para-sternally is seen in

PDA

15

Clinical Observation: 4 month old w/head > chest
Clinical Conditions:

Normal
H>C up to 6 months

16

Clinical Observation: 12 month old w/Head > Chest
Clinical Conditions:

Marasmus
Hydrocephalus

17

Clinical Observation: Rapid pulse during INSP and slower at EXP
Clinical Conditions:

Sinus arrhythmia

18

Clinical Observation: Noisy musical sound on respiration heard even w/o stethoscope
Clinical Conditions:

Wheeze

19

Clinical Observation: Unsteady gait secondary to failure of muscle coordination
Clinical Conditions:

Ataxia

20

Vocal Fremitus DEC in which
- Atelectasis
- Pleural Effusion
- Consolidation

Atelectasis
Pleural effusion

21

Percussion is a ______ method in examining heart size
- Poor
- Preferred

POOR

22

Splitting of 2nd heart sound is best heard over the

Pulmonary Area

23

Murmur heard throughout systole

Holosystolic
- VSD
- MR

24

______ murmur ALWAYS indicates a PATHOLOGICAL state

Diastolic Murmur = ABNORMAL

25

Abdominal Breathing is normal until ____ years old

4-5 years old

26

Pigeon chest

Rickets

27

Head bobbing is synchronous w/patient's respiration

Bobbing - Respiration
Nodding - Heart Rate
DOUBLE CHECK

28

Manifests w/visible pulsations on R side of chest
- Dextrocardia
- Scoliosis
- R Pneumothorax
- Enlarged R V

Dextrocardia
Scoliosis
Enlarged R V

29

2nd heart sound accentuated in

Pulmonary HPN

30

3rd heart sound is heard in

Normal adolescent
_____ ????

31

Percussion in children may be useful in finding
- Heart size
- AR
- Pericardial effusion
- MS

Pericardial effusion

32

PDA characterized by

CONTINUOUS murmur

33

Murmur: Pulmonary Stenosis
Systolic/Diastolic:

Systolic

34

Murmur: Aortic Stenosis
Systolic/Diastolic:

Systolic

35

Murmur: Mitral stenosis
Systolic/Diastolic:

Diastolic

36

Murmur: Aortic regurgitation
Systolic/Diastolic:

Diastolic

37

Murmur: Mitral Regurgitation
Systolic/Diastolic:

Systolic

38

Murmur: Functional murmur
Systolic/Diastolic:

Systolic

39

Murmur: Atrial Septal Defect
Systolic/Diastolic:

Systolic

40

Fremitus: INC
Clinical Implication:

Consolidation
Lobar Pneumonia

41

Fremitus: DEC/Absent
Clinical Implication:

Pleural Effusion
Pleural Thickening
Pneumothorax
Atelectasis

42

Vocal resonance is ____ in emphysema

DECREASED

43

__________ crackles are indicative of restrictive lung disease

End/Late INSP crackles

44

End/Late INSP crackles are indicative of

Restrictive lung disease
Interstitial
Pneumonia

45

Abdominal respiration is expected until _____ years old

4-5 years old

46

Chest expansion can be accurately measured using a

Tape measure

47

In ______ brochovesicular breath sounds are normally heard over the entire chest wall

Neonates

48

Indications of upper airway obstruction (3)

INSP stridor
Supra-sternal retractions
Supra-clavicular retractions