Cardiovascular Exam *Dr. Johnston*

Question 1

IPPA

Answer 1

inspection, palpation, percussion, auscultation

Question 2

NORMAL HEART
Five Finger Method

Answer 2

• History
• Physical
• ECG
• X-Ray
• Lab Tests

Question 3

People with hypothyroid and hypertertension are prone to…

Answer 3

Hyperlipidemia

Question 4

_____ ,the furthermost point outwards (laterally) and downwards (inferiorly) from the sternum at which the cardiac impulse can be felt.

Answer 4

point of maximum impulse (PMI)

Question 5

pale, anemia, shock

Answer 5

Pallor

Question 6

turbulent blood flow causing murmurs

Answer 6

Thrills

Question 7

gently lifts palpating fingers

Answer 7

Apex beat

Question 8

Apex

Answer 8

5th ICS, left, 1 cm. Medial to MCL

 Point of maximum intensity (PMI)

Question 9

 Mitral and tricuspid closure
 Beginning of ventricular systole

Answer 9

S1

Question 10

 Aortic and pulmonic closure
 Marks end of systole, beginning of diastole

Answer 10

S2

Question 11

How do you want to start percussion?

Answer 11

Start laterally and move medially.

Starts hyper resonnant due to air and then duller due to tissue.

Question 12

Sound @ 2nd ICS to the R of sternum

Answer 12

Aortic V.

Question 13

Pulmonic valve sound location

Answer 13

2nd ICS L of sternum

Question 14

4th ICS at LSB

Answer 14

Tricuspid valve

Question 15

Mitral

Answer 15

Apex of heart
5th Left ICS at mid - clavicular line

Question 16

Sound at beginning of systole

Answer 16

S1 sound. Mitral valve closes first and then Tricuspid valve.

Loudest at apex.

Question 17

Sound at the end of systole

Answer 17

S2 sound, aortic valve closes first and then the pulmonic valve.

It’s loudest at the base of the heart.

Question 18

S3 gallop

Answer 18

Blood hitting the heart septum. In adults it can be heart failure.

Question 19

S4

Answer 19

Thought to be atrial contraction.

Question 20

Systolic murmurs occur between __ and __.

Answer 20

S1 and S2.

Question 21

Diastolic murmurs occur between __ and __.

Answer 21

S2 and S1.

Question 22

Cardiac Output Formula

Answer 22

CO = SV x HR

Question 23

Volume of blood ejected per beat formula

Answer 23

End Diastolic Volume - End Systolic Volume

Question 24

Preload

Answer 24

End Diastolic Volume

Question 25

Ejection Fraction Formula

Answer 25

EF = SV/EDV

Normal is in the 50% - 60% range.