Cardiovascular

Question 1

Inspection and Palpation of Precordium

Answer 1

• Palpate for PMI, if cannot find it, have patient exhale fully, if still cannot find it, have patient lie in left decubital position.
• look visually for precordial heaves

Question 2

Auscultation Supine

Answer 2

Supine. All Physicians Take Money with Diaphragm. Listen for murmurs, rubs, or gallops. Then flip to bell and listen to tricuspid and mitral.

Question 3

Core Pulses

Answer 3

compare side-to-side radial, posterior tibial, dorsalis pedis

Question 4

Inspection for Edema

Answer 4

press skin firmly for 5 seconds and look for indentations. compare side-to-side. Dorsum of foot, behind medial malleolus, and over shins

Question 5

Palpate precordium

Answer 5

• palpate for thrills (vibrations) at L/R 2nd intercostal space
• palpate costo-sternal junction along sternum and ribs looking for tenderness

Question 6

Auscultate sitting forward

Answer 6

have patient sit and lean slightly forward and exhale fully. Use diaphragm and listen to tricuspid and mitral areas

Question 7

Auscultate left lateral decubitus

Answer 7

Have patient lie on left side. Listen to mitral area using BELL

Question 8

Additional Pulses

Answer 8

compare side-to-side brachial, femoral, and popliteal pulses. Use two hands and grasp behind knee for popliteal pulse.

Question 9

Carotid Pulses

Answer 9

• Auscultate carotid arteries looking for bruits using bell.

- palpate carotid pulse and go one at a time

Question 10

Additional inspection and palpation

Answer 10

• check cap refill of nail beds (should be