test 1 Flashcards by Unknown Unknown

which of the following chambers of the heart can you assess by palpation?

right ventricle

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what is responsible for the inspiratory splitting of s2?

closure of the aortic, then pulmonic valves

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heart murmur heard mostly at the cardiac apex?

mitral murmur

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Which stage of HTN would you place someone with a BP of 132/85?

prehypertension

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which risk factor is used to determine 10 year risk for developing CAD?

gender

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Which condition is considered equivlaent to coronary heart disease when speaking of heart disease risk?

peripheral arterial disease

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elevated JVP could indicate..?

constrictive pericarditis

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what could cause the apical pulse to feel diffuse and increased?

aortic stenosis, with pressure overload of the left ventricle

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Lying on the left side helps you to hear which heart sounds?

S3, S4, and mitral murmurs

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When listening for an aortic regurgitation murmur, which position would you place the patient?

upright, but leaning forward

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When examining a patient that is over 60 with a heart rate under 60, what could the potential rhythm be?

second degree heart block

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where is the PMI usually located?

the left 5th intercostal space, 7 to 9 cm lateral to the sternum

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which of the following events occurs at the start of diastole?

closure of the aortic valve

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What is the third heart sound (s3) caused by?

a rapid deceleration of blood against the ventricular wall

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Where can the splitting of the second heart sound be heard?

best heard of the pulmonic area with the bell of the stethoscope

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How do you measure JVP?

the verticle height of the blood column in cm, plus 5 cm

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What jugular venous pulsation is a systolic phenomenon?

the “x” descent

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How much does cardiovascular risk increase for each increment of 20mm Hg systolic and 10 mm Hg diastolic in blood pressure?

100%

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in healthy adults over 20, how often should blood pressure, BMI, waist circumference, and pulse be assessed?

q 2 years

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In measuring the JVP which of the following is important?

measure the highest visible pressure, usually at the end of expiration

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a bounding carotid pulse could indicate?

aortic insufficiency

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how would you determine if a murmur is systolic or diastolic?

palpate the carotid pulse

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what correlates with a sustained, high-amplitude PMI?

HTN

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when examining patients with emphysema, where should you place the stethoscope to hear optimal heart sounds?

epigastric area

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what is associated with a grade 4 murmur?

thrill

which valve lesion typically produces a murmur of equal intensity througout systole

mitral insufficiency

paitent has a strong pulse and then a weak pulse, what could they be displaying?

Severe left heart failure

what is a common or concerning symtpom for the peripheral vascular system?

intermittent claudicaiton

To initial evaluate for risk for peripheral vascular disease, this test should be ordered..

Ankle-brachial index (ABI)

To check for PVD in the arms, you should check which pulses?

radial, brachial

to examine for PVD in legs, which physical things should you look for?

size, symmetry, and skin color

Bounding pulses should be documented as

When performing the allen test, which artery are you checking for flow in?

ulnar

with athlerosclerosis in the lower extremities, you would be concerned for pain in which body area?

calf

in a patient with chronic arterial insufficiency, you would find what skin changes in the lower extremities?

thin, shiny, atrophic skin

which area of the arm drains to the epitrochlear nodes?

ulnar surface of the forearm and hand, little and ring fingers, and ulnar middle finger

An ABI of 0.85 indicates....

mild peripheral arterial disease

asymmetric BPs are seen in which of the following conditions?

congenital narrowing of the aorta

diminished radial pulses may be seen in patients wiht which of the following

arterial emboli

when assessing temp of the skin, which portion of your hand should be used?

backs of fingers

painful ulcerative lesion near the medial mallelous, accompanying hyperpigmenetation, indicates?

venous insufficiency

normal weight loss is recommended to be?

0.5-1lb/week

patient with CHF and fluid overload, what should you feel when palpating a pulse?

small amplitude, weak

patient with gastroenteritis and high fever, what should you feel when palpating a pulse?

large amplitude, forceful

DKA patient is having kussmal's respirations, and is breathing?

rapid and deep

weight gain of 4lbs in a week probably indicates

fluid weight

this can cause a falsely low BP reading in office if present

ausculatory gap

pain caused by shingles is

neuropathic pain

information the patient gives you is considered

subjective

information the clinician collects from doing a physical assessment is

objective

saying "mm-hmm" "go on"

facilitation

symptom involving eye

scotomas

theatrical nature of behavior

histrionic

patient fills all numbers in on a clock just on right side

hemianopsia

patient had stroke, speaks slow and deliberate, very small word usage, stroke occured in which area of brain?

Broca's area

patient had stroke, speaks fluently but nothing they say makes sense

Wernkickes area

misinterpretation of real external stimuli

illusion

vertigo that occurs from head changing positions

benign positional vertigo

patient has vertigo associated with tinnitus

meniere's disease

shuffeling gate, facial expression limitation, slow

parkinsons

protruding eyes, can occur on one side

exopthalmos

another term for sty

hordeolum

triagnular thickening of the bulbar conjunctiva that grows slowly across the outter surface fo the cornea

pterygium

red flag for new onset headaches

age over 50

sudden, painless unilateral vision loss may be caused by

retinal detachement

sudden, painful unilateral loss of vision may be

optic neuritis

Diplopia which is present with ONE eye covered is caused by

an irregulariry of hte cornea or lens

a patient complains of epistaxis, should also consider

hematemeiss

what can be seen in a patient with glaucoma?

increased cup-to-disc ratio

sensitive methods for hearting testing

audiometric testing

the area of the fundus that is the central focal point for incoming images?

Fovea

Pupils contract when light is showin on ONE pupil

concensual reaction

stroke patient, can't see right side when either eye covered has

right homonymous hemianopsia

Anisocoria is

unequal pupils

Anisocoria is present in

horner's syndrome

uvula deviates to non-effected side can be cauesd by a lesion on which nerve?

CNX

hard mass midline of palate

torus palatinus

mobile lymph nodes just behind sternocleidomastoid muscles bilaterally are

posterior cervical lymph nodes

test 1 Flashcards

(78 cards)