8.3 Peripheral circulation & where to find PULSES

Question 1

what is PERIPHERAL CIRCULATION

Answer 1

TRANSPORT of BLOOD and the EXCHANGE of substances between the BLOOD and TISSUES

consists of ARTERIES and VEINS NOT LOCATED in the THORAX or ABDOMEN

circulation must match the flow of blood to the demand

Question 2

what is the AVERAGE HEART RATE in ADULTS at REST

Answer 2

60-80 BPM

Question 3

a PULSE is CREATED BY..

Answer 3

PRESSURE WAVES produced from the EXPANSION AND RECOIL of an ARTERY AFTER each BEAT and EJECTION OF BLOOD from the left ventricle of heart into the aorta

Question 4

what are the 4 PALPABLE PULSE POINTS in the HEAD & NECK:

Answer 4

• CAROTID - COMMON or EXTERNAL CAROTID ARTERY
  felt in the anterior triangle of neck, strong pulse
• FACIAL
  as the facial artery crosses the INFERIOR border of the MANDIBLE
• TEMPORAL - SUPERFICIAL TEMPORAL ARTERY
  anterior to the ear and posterosuperior to the TMJ
• TEMPORAL - ANTERIOR BRANCH of the SUPERFICIAL TEMPORAL ARTERY
  posterior to the zygomatic process of frontal bone

Question 5

which ARTERY PULSE can be palpated at the INFERIOR BORDER of the MANDIBLE

Answer 5

FACIAL

Question 6

2 areas of TEMPORAL ARTERY that have a Palpable pulse

Answer 6

• SUPERIOR TEMPORAL ARTERY (anterior to ear)
• ANTERIOR BRANCH of SUPERFICIAL TEMPORAL ARTERY

Question 7

PALPABLE PULSE points in the UPPER LIMB

Answer 7

• AXILLARY
  in axilla (armpit)
• BRACHIAL - in MIDARM
  medial aspect of arm between biceps brachii and triceps brachii muscles
• BRACHIAL - in CUBITAL FOSSA
  Medial to the Tendon of Biceps Brachii muscle
• RADIAL - in DISTAL FOREARM
  lateral to tendon of flexor carpi radialis
• RADIAL - in ANATOMICAL SNUFFBOX
  as it crosses lateral side of wrist between tendons of extensor pollicis longus, extensor pollicis brevis and abductor pollicis longus
• ULNAR - in DISTAL FOREARM
  under lateral margin of the flexor carpi ulnaris tendon, proximal to pisiform

Question 8

BLOOD PRESSURE measured over which artery

Answer 8

BRACHIAL ARTERY in MIDARM

Question 9

when taking blood pressure, where is the STETHOSCOPE POSITIONED to HEAR the PULSE (over which artery)

Answer 9

BRACHIAL ARTERY in CUBITAL FOSSA

Question 10

which pulse is measured in the ARMPIT

Answer 10

AXILLARY

Question 11

BRACHIAL PULSE in MIDARM is found between which muscles

Answer 11

between BICEPS BRACHII and TRICEPS BRACHII

Question 12

BRACHIAL PULSE in CUBITAL FOSSA is palpated where in relation to the TENDON of the BICEPS BRACHII muscle

Answer 12

MEDIAL to tendon of biceps brachii

Question 13

RADIAL PULSE in DISTAL FOREARM is palpated immediately …. to the TENDON of FLEXOR CARPI RADIALIS

Answer 13

LATERAL

Question 14

ULNAR PULSE in DISTAL FOREARM is palpated immediately UNDER the … MARGIN of the FLEXOR CARPI ULNARIS, proximal to which bone

Answer 14

UNDER LATERAL MARGIN of FCU

and proximal to PISIFORM

Question 15

RADIAL PULSE in ANATOMICAL SNUFFBOX is palpated as the radial artery crosses the …. side of the wrist,
between the TENDONS of..

Answer 15

LATERAL SIDE of WRIST

between tendons of EXTENSOR POLLICIS LONGUS, EXTENSOR POLLICIS BREVIS, ABDUCTOR POLLICIS LONGUS

Question 16

palpable pulse points in the LOWER LIMB

Answer 16

• FEMORAL
  in the femoral triangle, inferior to inguinal ligament. midway between ASIS and pubic symphysis
• POPLITEAL
  deep in the popliteal fossa, near the Midline
• POSTERIOR TIBIAL
  palpated posteroinferior to the medial malleolus
• DORSAL PEDIS
  felt on dorsum (upper surface) of foot between the tendons of extensor hallucis longus, extensor digitorum longus to second digit

Question 17

which pulse is PALPATED on the POSTERIOR ASPECT of the KNEE

Answer 17

POPLITEAL

Question 18

which pulse is palpated on the FOOT

Answer 18

DORSALIS PEDIS

on dorsum of foot

Question 19

DORSALIS PEDIS is palpated BETWEEN the TENDONS of..

Answer 19

EXTENSOR HALLUCIS LONGUS and EXTENSOR DIGITORUM LONGUS to 2ND DIGIT

Question 20

which pulse is palpated by the ANKLE, POSTEROINFERIOR to the MEDIAL MALLEOLUS

Answer 20

POSTERIOR TIBIAL

Question 21

FEMORAL PULSE is palpated in the femoral triangle, INFERIOR to the… and MIDWAY BETWEEN …

Answer 21

INFERIOR to INGUINAL LIGAMENT

MIDWAY BETWEEN ASIS and PUBIC SYMPHYSIS

Question 22

POSTERIOR TIBIAL is palpated POSTEROINFERIOR to which MALLEOLUS

Answer 22

MEDIAL MALLEOLUS