Cardio exam

Question 1

What is an abnormal JVP?

Answer 1

4cm above STERNAL ANGLE

Question 2

Narrow pulse pressure would suggest?

Answer 2

Aortic stenosis

Question 3

Wide pulse difference between systolic and diastolic would suggest?

Answer 3

Aortic regurgitation

Question 4

Wide pulse pressure between two arms of more than

Answer 4

Aortic dissection

Question 5

What might a malar flush suggest?

Answer 5

Mitral stenosis

Question 6

Where else can you find oedema besides the legs?

Answer 6

Sacrum

Question 7

How would you conclude the cardiac examination?

Answer 7

To conclude my examination, I would also like to:
- Check BP on both UPPER arms
palpate the femoral artery to - Check for radio-femoral delay
- Hepatojugular REFLUX
- Abdominal examination
- Examine the legs
- Offer to measure JVP using ruler

Question 8

How would you explain a cardio exam?

Answer 8

I’m just going to have a look and feel of your hands, arms, neck and face, and a look and listen of your chest to see how your heart is working