Cardio

Question 1

Surface marking of heart

Answer 1

Right 3rd CC 1cm away from sternum
Right 6th CC “
Left 5th ICS MCL, apex
Left 2nd ICS 2.5 cm away

Question 2

Auscultate for aortic and pulmonary valve

Answer 2

Pulmonary- Right 2nd ICS- next to sternum

Aortic- Left 2nd ICS

Question 3

Auscultate for mitral and tricuspid valve

Answer 3

Tricuspid- 4th ICS left

Mitral- 5h ICS MCL

Question 4

Carotid, brachial ulnar and radial pulse

Answer 4

Carotid- between sternocleidomastoid process and thyroid cartilage
Brachial- either under bicep(push hard), or medial side of cubital fossa
Ulnar- Medial part of wrist
Radial- lateral part of wrist

Question 5

Palpate Apex beat

Answer 5

Usually palpable just medial to left 5th ICS at MCL
Use 3 fingers
Middle finger in 5th ICS
Start laterally

Question 6

Site of routine venipuncture on arm

Answer 6

Antebrachial vein in cubital fossa

Question 7

Surface marking of internal jugular vein

Answer 7

Just lateral to common carotid, from ear lobe to sternocalvicular joint

Question 8

Surface marking of common carotid

Answer 8

Runs under sternocleidomastoid muscle from sternoclavicular joint to ear lobe

Question 9

ECG leads on chest

Answer 9

V1- right 4th ICS
V2- Left 4th ICS
V3- 5th ICS between 2 and 4
V4- 5th ICS MCL
V5- 5th ICS AAL
V6- 5th ICS MAL