CHDD

Question 1

Describe how to do a collapsing pulse test and if there is a collapsing pulse, what would you feel and what would this be a sign of?

Answer 1

1. Find the patients radial pulse
2. Ask them if they have shoulder pain - if no then raise their arm to above their head (whilst still holding onto their radial pulse)
3. If you feel a jolt/rapid increase then a subsequent rapid decrease (leak of blood back into the LV) in the pulse then this is a sign of AORTIC REGURGITATION

Question 2

Mitral facies is typically seen in what condition?

Answer 2

Mitral valve stenosis

Question 3

What does a left parasternal heave indicate?

Answer 3

Right ventricular hypertrophy

Question 4

When auscultating the apex of the heart, what pathologies are you looking for?

Answer 4

Mitral valve pathologies.

Here is where you hear S1 and S2

Question 5

When auscultating the left axilla what are you looking for?

Answer 5

Mitral valve regurgitation

Question 6

When you use the bell to listen to the apex of the heart what pathology are you looking for?

Answer 6

(Low pitched murmur) of mitral stenosis

Question 7

When auscultating, where is the tricuspid area?

Answer 7

Lower left sternal edge

Question 8

When are left sided murmurs heard best - on inspiration or expiration?

Answer 8

Expiration (LE)

Right sided murmurs are heard best on inspiration. RI