Examination of the praecordium Flashcards

1
Q

where is the apex beat palpated

a.5th rib midline
b.5th ics midline
c.5th ics midclavicular line
d. 5th rib midclavicular line

A

c.5th ics midclavicular line

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2
Q

what does a prominent apex beat indicate

a.left ventricular hypertrophy
b.right ventricular hypertrophy
c. pleural effusion
d.obesity

A

a.left ventricular hypertrophy

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3
Q

what effect does pneumothorax and pleural effusion have on the apex beat

a.prominent
b.displaced
c.undetected

A

b.displaced

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4
Q

what effect does obesity, chest hyperinflation and pericardial effusion have on the apex beat

a.prominent
b.displaced
c.undetected

A

c.undetected

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5
Q

what causes heaves

a.right ventricular enlargement
b. turbulent flow
c. left ventricular enlargement

A

a.right ventricular enlargement

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6
Q

what causes thrills

a.right ventricular enlargement
b. turbulent flow
c. left ventricular enlargement

A

b. turbulent flow

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7
Q

where are mitral heart sounds best heard

a.5th ICS midclavicular line
b.lower left sternal edge
c. 2nd ICS right sternal edge
d.second ICS left sternal edge

A

a.5th ICS midclavicular line

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8
Q

where are tricuspid heart sounds best heard

a.5th ICS midclavicular line
b.lower left sternal edge
c. 2nd ICS right sternal edge
d.second ICS left sternal edge

A

b.lower left sternal edge

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9
Q

where are aortic heart sounds best heard

a.5th ICS midclavicular line
b.lower left sternal edge
c. 2nd ICS right sternal edge
d.second ICS left sternal edge

A

c. 2nd ICS right sternal edge

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10
Q

where are pulmonary heart sounds best heard

a.5th ICS midclavicular line
b.lower left sternal edge
c. 2nd ICS right sternal edge
d.second ICS left sternal edge

A

d.second ICS left sternal edge

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11
Q

a murmur localised to the medial apex beat indicates what

a.aortic stenosis
b.aortic incompetence
c. mitral stenosis
d.mitral incompetence

A

c. mitral stenosis

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12
Q

asking the patient to lean forward take a deep breath exhale and hold increases the intensity of which murmur

a.aortic stenosis
b.aortic incompetence
c. mitral stenosis
d.mitral incompetence

A

a.aortic stenosis

would also expect a collapsing pulse

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