Chapter 15: Heart Flashcards
1
Q
- Mr. O, age 50 years, comes for his annual health assessment, which is provided by his employer. During your initial history-taking interview, Mr. O mentions that he routinely engages in light exercise. At this time, you should
a. ask if he makes his own bed daily.
b. have the patient describe his exercise.
c. make a note that he walks each day.
d. record ―light exercise‖ in the history.
A
b. have the patient describe his exercise.
2
Q
- Which of the following information belongs in the past medical history section related to heart and blood vessel assessment?
a. Adolescent inguinal hernia
b. Childhood mumps
c. History of bee stings
d. Previous unexplained fever
A
d. Previous unexplained fever
3
Q
- A patient you are seeing in the emergency department for chest pain is believed to be having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of ―heart trouble.‖ The most important follow-up question you should pose is which of the following?
a. ―Did your father have coronary bypass surgery?‖
b. ―Did your father’s father have heart trouble also?‖
c. ―What were your father’s usual dietary habits?‖
d. ―What age was your father at the time of his death?‖
A
d. ―What age was your father at the time of his death?‖
4
Q
- Which one of the following is a common symptom of cardiovascular disorders in the older adult?
a. Fatigue
b. Joint pain
c. Poor night vision
d. Weight gain
A
a. Fatigue
5
Q
- In the adult, the apical impulse should be most visible when the patient is in what position?
a. Supine
b. Upright
c. Lithotomy
d. Right lateral recumbent
A
b. Upright
6
Q
- If the apical impulse is more vigorous than expected, it is called a
a. lift.
b. thrill.
c. bruit.
d. murmur.
A
a. lift.
7
Q
- A palpable rushing vibration over the base of the heart at the second intercostal space is called a
a. heave.
b. lift.
c. thrill.
d. thrust.
A
c. thrill.
8
Q
- An apical PMI palpated beyond the fifth intercostal space may indicate
a. decreased cardiac output.
b. obesity.
c. left ventricular hypertrophy.
d. hyperventilation.
A
c. left ventricular hypertrophy.
9
Q
- A lift along the left sternal border is most likely the result of
a. aortic stenosis.
b. atrial septal defect.
c. pulmonary hypertension.
d. right ventricular hypertrophy.
A
d. right ventricular hypertrophy.
10
Q
- To estimate heart size by percussion, you should begin tapping at the
a. anterior axillary line.
b. left sternal border.
c. midclavicular line.
d. midsternal line.
A
a. anterior axillary line.
11
Q
- To hear diastolic heart sounds, you should ask patients to
a. lie on their back.
b. lie on their left side.
c. lie on their right side.
d. sit up and lean forward.
A
b. lie on their left side.
12
Q
- You are listening to a patient’s heart sounds in the aortic and pulmonic areas. The sound becomes asynchronous during inspiration. The prevalent heart sound in this area is most likely
a. S1.
b. S2.
c. S3.
d. S4.
A
b. S2.
13
Q
- Chest pain with an organic cause in a child is most likely the result of
a. cardiac disease.
b. asthma.
c. esophageal reflux.
d. arthritis.
A
b. asthma.
14
Q
- A condition that is likely to present with dizziness and syncope is
a. bacterial endocarditis.
b. hypertension.
c. sick sinus syndrome.
d. pericarditis.
A
c. sick sinus syndrome.
15
Q
- Your patient, who abuses intravenous (IV) drugs, has a sudden onset of fever and symptoms of congestive heart failure. Inspection of the skin reveals nontender erythematic lesions to the palms. These findings are consistent with the development of
a. rheumatic fever.
b. cor pulmonale.
c. pericarditis.
d. endocarditis.
A
d. endocarditis.
