Cardiac exam lecture part 2 Flashcards

1
Q

The fifth intercostal space on the left side is where you are able to palpate the point of maximal impulse and that’s because the left ventricle is the biggest…it’s the strongest and that is the point at which you will feel the contraction of the left ventricle and that impulse is at the very point in that 5th intercostal space

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

At _________you can take a heart rate…it’s the most important accurate heart rate you will take

A

PMI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

__________(___/_____) of the heart is on the left hand side

A

Two-thirds (2/3)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The _________is at the bottom of the heart.

The base is the top

A

apex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

_______ is at the apex

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When we are talking about location anatomy…the PMI is at the 5th intercostal space at the apex of the heart

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

_______________ (MSL)

A

Midsternal line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

________________ (MCL)

A

Midclavicular lines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

__________________ (ICS)

A

Intercostal space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Valve Areas

Where valves are heard best, NOT where they are anatomically located

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Midclavicular lines typically line up with the ___________on a chest…its just a straight line down

A

nipples

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

We have anterior axillary lines (from the ____________ down)

A

armpits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pulmonic valve is heard the loudest in the ___________ intercostal space on the left hand side

A

second

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

_______ valve is at the PMI, apex, 5th intercostal space

A

mitral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Tricuspid value is ________intercostal space

A

4th

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Cardiac Exam

We need pt at somewhere btwn a 30 to 45 degree angle ideally sitting back supported resting comfortably

Stethoscope earpiece needs to be pointing forward towards our ______following the ear canal

A

nose

17
Q

We typically use the diaphragm… if we are having trouble hearing we use the bell…if we have a murmur which is an extra heart sound then we want to use the ______ to really get that pitched of that sound

A

bell

18
Q

What is our normal coloration?

A

Peachy,rosy

19
Q

We are assessing cyanosis

Someone coloration shouldn’t be blue, gray, purple

A
20
Q

What’s cyanosis? Level of _______________

A

oxygenation