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Cardiology > Adult PE > Flashcards

Adult PE Flashcards

1
Q

To feel for carotid pulsations place your thumb below or at the level of

a. Thyroid cartilage
b. Cricoid cartilage
c. Cricothyroid cartilage
d. Hyoid bone

A

C

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2
Q

Calculate for the BMI. Weight: 140 lbs, Height: 1.5 m

A. 25 kg/m2
B. 28 kg/m2
C. 30 kg/m2
D. 32 kg/m2

A

B

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3
Q

Jugular vein pulsations

A. No effects of respiration on pulse
B. One pulsation per systole
C. Descents no prominent
D. No pulsations palpable

A

D

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4
Q

PE findings in aortic stenosis

A. Bisferiens pulse
B. Widened pulse pressure
C. Pulsus parvus et tardus
D. Austin flint murmur

A

C

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5
Q

Tender, erythematous papules found on the pulps of the fingers or toes in infective endocarditis

A. Janeway lesions
B. Splinter hemorrhages
C. Osler’s nodes
D. Roth spots

A

C

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6
Q

What is the CT ratio if the widest diameter of the rib cage is 27 cm and the widest diameter of the heart is 13 cm?

A. 2
B. 1
C. 0.5
D. NOTA

A

C

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7
Q

Location on the anterior chest wall where the apex of the heart is felt most strongly

A. Apex beat
B. Point of maximal impulse
C. AOTA
D. NOTA

A

B

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8
Q

True in determining jugular venous pressure

A. Position the patient supine with the head of the table elevated 60 degrees
B. Use direct lighting to observe for venous pulsations in the neck
C. Identify the lowest point of pulsation
D. Using a horizontal line from the highest point, measure vertically from the sternal angle

A

D

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9
Q

Test used to test blood supply to the hand, specifically the patency of the radial and ulnar arteries. It is performed prior to radial arterial blood sampling or cannulation.

A. Phalen’s test
B. Reverse Phalen’s test
C. Allen’s test
D. Finkelstein’s test

A

C

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10
Q

Your cousin consulted you because of right leg pain which is more pronounced with dependency and lessened by elevation. What is the MOST LIKELY cause of his symptom?

A. Arterial stenosis
B. Venous disorder
C. Lymphedema
D. AOTA

A

B

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11
Q

Not true in the palpation of pulses

A. The radial pulse is typically on the radial side of the palmar aspect of the wrist, about 2 cm proximal to the thenar eminence
B. The radial pulse is gently gripped with the index finger on the palmar side of the wrist and the thumb on the dorsum of the wrist
C. The brachial pulse is on the medial and anterior part of the elbow crease
D. The femoral pulse can be palpated above the inguinal ligament

A

D

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12
Q

A 30 year old comes in for ascites and edema. You note a diastolic rumble at the lower left sternal border, neck vein engorgement, and hepatomegaly. Your diagnosis is

A. Tricuspid stenosis
B. Tricuspid regurgitation
C. Pulmonic stenosis
D. Pulmonic regurgitation

A

A

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13
Q

The following PE finding is NOT highly indicative of cardiac etiology of respiratory distress

A. Pectus carinatum
B. Harrison’s groove
C. Dynamic precordium
D. Cardiac murmur

A

A

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14
Q

True regarding the point of maximal impulse, except:

a. Location on the anterior chest wall where the apex of the heart is felt most strongly
b. It can be felt in 70% of individuals in the sitting/standing position of in the left lateral decubitus position
c. Normally 6 cm in diameter
d. None of the above

A

C

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15
Q

In a 55 year old male, the jugular venous pressure was measured at 4cm. What is his central venous pressure?

a. 6 cm H2O
b. 7 cm H2O
c. 8 cm H2O
d. 9 cm H2O

A

d

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16
Q

In the Korotkoff sounds, which phase do the sounds usually become muffled?

a. Phase I
b. Phase II
c. Phase III
d. Phase IV

A

D

17
Q

True when performing auscultation, except:

a. Position the patient supine with the head of the table slightly elevated
b. Always examine from the patient’s right side
c. Listen with the diaphragm at the left 2nd intercostals space near the sternum (pulmonic area)
d. Listen with the diaphragm at the left 3rd, 4th, and 5h intercostals spaces near the sternum (mitral area)
e. None of the above

A

D

18
Q

Paradoxical splitting of S2 is seen in the following conditions, except:

a. Complete left bundle branch block
b. Severe mitral regurgitation
c. Right ventricular apical placing
d. Severe aortic stenosis
e. None of the above

A

B

19
Q

Which wave in the jugular venous pulse represents atrial emptying when the tricuspid valve is open?

a. a wave
b. x wave
c. v wave
d. y wave

A

D

20
Q

True regarding the physical examination of patients with mitral regurgitation, except:

a. Loud S1 associated with an opening snap
b. Grade III/IV holosystolic murmur at apex and radiates to axilla
c. Apex beat displaced laterally
d. Systolic thrill at apex
e. None of the above

A

A

21
Q

72/F, diabetic, with chest pain during deepinspiration. She had a 1 week history of productive cough and low grade fever.

A. Typical angina
B. Gastroesophageal reflux
C. Pleuritic pain
D. Musculoskeletal pain

A

C

22
Q

68/F experienced severe chest pain after carrying her grandchild. Pain was aggravated by movement of her left arm and alleviated by anti-inflammatory drugs.

A. Typical angina
B. GERD
C. Pleuritic pain
D. Musculoskeletal pain

A

D

23
Q

56/M hypertensive smoker with mild chest heaviness when taking 2 flights of stairs and relieved by resting

A. Typical angina
B. Atypical angina
C. Pleuritic Pain
D. Musculoskeletal pain

A

A

24
Q

Where can you observe pulsus parvus et tardus?

A. Aortic Valve Stenosis.
B. Pulmonary valve atresia
C. Tricuspid regurgitation
D. Mitral stenosis

A

A

25
Q

An aortic regurgitation, a to and fro murmur with femoral artery compression is called:

A. Demusset’s sign
B. Quincke’s sign
C. Traube’s sign
D. Durozier’s sign

A

D

26
Q

A 20 year old male comes in with dyspnea. PE reveals a diastolic rumble at apex with opening snap. What is the probable diagnosis?

A. Mitral Regurgitation
B. Mitral Stenosis
C. Aortic regurgitation
D. Aortic stenosis

A

B

27
Q

A 30 year old male comes in with findings typical of aortic regurgitation. On examination, he has long arms and arachnodactyly. Your diagnosis is:

A. Turner’s syndrome
B. Kleinfelter syndrome
C. Marfan’s syndrome
D. Any of the above

A

D

28
Q

What condition refers to hypertension of the upper extremities and relative hypotension of the lower extremities?

A. ASD
B. PDA
C. CoA
D. TOF

A

C

Cardiology (9 decks)

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