Pulse

Question 1

Def of Rhythm

Answer 1

interval between pulse waves.

Question 2

Normal Rhythm

Answer 2

Regular

Question 3

Irregular Pulse May be ………

Answer 3

Question 4

Compare Between AF & Multiple Extrasystole

Answer 4

Question 5

Compare Between AF & Multiple Extrasystole

• Counting Regular Beats

Answer 5

Question 6

Compare Between AF & Multiple Extrasystole

• Pulse deficit

Answer 6

Question 7

Compare Between AF & Multiple Extrasystole

• Effect of Exercise

Answer 7

Question 8

Compare Between AF & Multiple Extrasystole

• ECG

Answer 8

Question 9

Compare Between AF & Multiple Extrasystole

• A Wave in Neck Veins

Answer 9

Question 10

Slow AF

Answer 10

Question 11

Force & Tension

Answer 11

Question 12

Def of Volume

Answer 12

The difference between the force & tension

Question 13

Importance of Volume

Answer 13

it’s a rough estimation to the pulse pressure. (Normally it’s 30- 60 mmHg)

Question 14

Results of Volume

Answer 14

Question 15

• Causes of big pulse volume
• Causes of hyperdynamic circulation
• Causes of Corrigan pulse (water-hammer pulse)

Answer 15

Question 16

• Causes of small pulse volume
• Causes of quantitative low C.O.P
• Causes of pulsus pravus

Answer 16

Question 17

Causes of variable pulse volume

Answer 17

Question 18

Condition of the vessel wall

Answer 18

Question 19

Equality on both side

Answer 19

Question 20

Causes of unequal pulse in general

Answer 20

Question 21

Causes of unequal radial pulse

Answer 21

Question 22

Causes of radio-femoral delay

Answer 22

Question 23

Normally, The pulse wave consists of ……

Answer 23

Question 24

Normally the pulse has NO special character (gradual ascent & gradual descent with average pulse volume)

Answer 24

…

Question 25

Special Charcaters of The Pulse

Answer 25

Question 26

Characters of **Anacrotic Pulse**

Answer 26

Question 27

Causes of **Anacrotic Pulse**

Answer 27

sever valvular aortic stenosis.

Question 28

Characters of **Pulsus Alternans**

Answer 28

Question 29

Causes of **Pulsus Alternans**

Answer 29

- LVD - Severe Valvular AS????

Question 30

**Pulsus Alternans** is clinically detected by .......

Answer 30

Question 31

Characters of **Pulsus Bispheriens**

Answer 31

Question 32

Causes of **Pulsus Bispheriens**

Answer 32

- Double aortic lesion (i.e., AS & AR) - HOCM (Hypertrophic Obstructive Cardiomyopathy)

Question 33

Characters of **Pulsus Bigeminous**

Answer 33

Question 34

Causes of **Pulsus Bigeminous**

Answer 34

* Digitalis toxicity * MI * Hypokalemia

Question 35

Characters of **Pulsus Trigemenous**

Answer 35

3 waves (2 strong wave & 1 extrasystole) followed by pause.

Question 36

Causes of **Pulsus Trigemenous**

Answer 36

as bituminous

Question 37

Characters of **Pulsus parvus tardus - plateau pulse**

Answer 37

Question 38

Causes of **Pulsus parvus tardus - plateau pulse**

Answer 38

Same causes of low pulse volume especially (AS)

Question 39

Characters of **Water Hammer Pulse**

Answer 39

Question 40

Causes of **Water Hammer Pulse**

Answer 40

Causes of increased pulse volume.

Question 41

Signs of hyperdynamic circulation

Answer 41

Question 42

Characters of **Pulsus Paradoxus**

Answer 42

Question 43

Causes of **Pulsus Paradoxus**

Answer 43

Question 44

Causes of **Pulsus Paradoxus** - Decreased filling of RV

Answer 44

- Massive pericardial effusion - Constrictive pericarditis - Severe Rt sided heart failure.

Question 45

Causes of **Pulsus Paradoxus** - Decreased pumping of blood to lung

Answer 45

* Severe pulmonary HTN * Pulmonary embolism

Question 46

Causes of **Pulsus Paradoxus** - Increased Capacity of Lung

Answer 46

- COPD - Severe Bronchial asthma

Question 47

Characters of **Dicrotic Pulse**

Answer 47

Question 48

Causes of **Dicrotic Pulse**

Answer 48

- Condition ass with peripheral vasodilatation > fever as typhoid. - Sever heart failure = d2 cardiomyopathy, cardiac tamponade & hypovolemic.

Question 49

**Peripheral pulsations** - Normal

Answer 49

Felt pulsation (especially dorsalis pedis artery)

Question 50

**Peripheral pulsations** - Abnormal

Answer 50

Question 51

Pulse deficit =

Answer 51

Pulse / heart rate difference

Question 52

Importance of Pulse deficit

Answer 52

It's done ONLY in irregular pulse to differ between occasional irregularity (pulse deficit < 10 b/m) and marked irregularity (pulse deficit > 10 b/m).

Question 53

Sphygmomanometer uses

Answer 53

Question 54

Classification of BP

Answer 54

Question 55

Classification of BP - Optimal

Answer 55

Question 56

Classification of BP - Normal

Answer 56

Question 57

Classification of BP - high Normal

Answer 57

Question 58

Classification of BP - Mild HTN

Answer 58

Question 59

Classification of BP - Moderate HTN

Answer 59

Question 60

Classification of BP - Severe HTN

Answer 60

Question 61

Classification of BP - Isolated Systolic HTN

Answer 61