Physical Exam of the Cardiovascular System

Question 1

Four parts of the Cardio exam

Answer 1

(a) Inspection
(b) Palpation
(c) Percussion (Omitted for the heart examination)
(d) Auscultation

Question 2

Wide apical pulsation indicates what?

Answer 2

left ventricular hypertrophy

Question 3

Loss of palpable apical pulsation may indicate what?

Answer 3

may indicate fluid, air, or displacement

Question 4

Thrills are associated with what?

Answer 4

failure of semilunar valve to close, aortic or pulmonary stenosis, or atrial septal defect

Question 5

Loud S1 suggests what?

Answer 5

increased blood velocity, mitral stenosis, heart block,

hypertension, or calcification of mitral valve.

Question 6

Loud S2 suggests what?

Answer 6

hypertension, valve disorder, stenosis, or fluid.

Question 7

Friction rubs could indicate what?

Answer 7

(a) Pericardial sac inflammation.

(b) Rough parietal and visceral layers make a sound like grating, machine-like rubbing.