General Examination Pulse

Question 1

Vitals

Answer 1

Temperature 
Resp rate
Pulse rate
BP
Jvp
Pain

Question 2

Pulse definition

Answer 2

Pressure distention wave created by Left ventricle against a partially filled aorta and is felt on peripheral artery against bony prominence.

Question 3

Normal .

Answer 3

60 to 100

Question 4

Method of palpation

Answer 4

Radial artery
3 finger method
Distal- prevent backflow 
Proximal- stabilize artery on bone
Middle-feel n count  pulse

Question 5

Bradycardia physiological

Answer 5

Athletes

Sleep

Question 6

Bradycardia pathol

Answer 6

Hypothyroidism
beta blockers
Severe hypoxia

Question 7

Tachycardia physiological

Answer 7

Infant
Children emotional
Anxiety
Pregnancy

Question 8

Tachycardia pathological

Answer 8

Tachyarrythmia

Atropine

Question 9

Temperature and pulse rate relation

Answer 9

For every degree Fahrenheit rise, pulse rate increase by 10

Question 10

Relative tachycardia

Answer 10

Tuberculosis

Question 11

Relative Bradycardia

Answer 11

Brucellosis

Dengue

Question 12

Rhythm regularly irregular

Answer 12

Atrial tachycardia with fixed AV block
Sinus arrhythmia
Second degree AV node

Question 13

Rhythm irregularly irregular

Answer 13

Ventricular ectopic/ventricular premature complexes

Atrial fibrillation

Question 14

Arrhythmia with regular rhythm

Answer 14

Atrial flutter

Ventricular tachycardia

Question 15

Pulse deficit

Answer 15

Difference between heartrate and pulse rate when calculated simultaneously for one full minute counted by 2 individuals

Question 16

Pulse deficit cause

Answer 16

Atrial fibrillation (>10 difference)
Ventricular premature beat(<10 difference)

Question 17

Volume of pulse

Answer 17

Pulse pressure

Diff between systolic and diastole

Question 18

Normal pulse pressure

Answer 18

30 to 60 mm hg

Question 19

Hypokynetic pulse

Answer 19

<30mmhg
Seen in:congestive heart failure
Hypovolemia
Shock

Question 20

Hyperkinetic pulse

Answer 20

> 60mmhg
Seen in physiological: Fever
Pregnancy
Alcoholism
Exercise
Pathological:Anemia
Liver cirrhosis
Thyrotocicosis

Question 21

Components of pulse waveform

Answer 21

Percussion wave
Tidal wave
Dichroic wave
Dichroic notch

Question 22

What is a normal character pulse

Answer 22

Catachrotic pulse

Question 23

Pulses paradoxus

Answer 23

Exaggerated fall in patients blood pressure more than 10 mmhg during inspiration

Seen in constructive pericarditis and asthma/copd , obesity

Question 24

Pulses alterans

Answer 24

Alternate high volume and low volume pulse

Seen in LVF

Question 25

Collapsing Pulse 
Or 
Watsons Water hammer pulse 
Or
Corrigons pulse sign

Answer 25

Wrap our arm around patients wrist to feel radial and ulnar artery.raise the patients hand abruptly over shoulder.

We feel a rapid upstroke followed by rapid collapse of pulse .

Seen in aortic regurgitation

Question 26

Pulses Bisfirens

Answer 26

Two systolic peaks

Seen in severe Aortic regurgitation

Question 27

Vessel wall thickening

Answer 27

Assessed by OSLER’S SIGN

Palpable although pulseless radial artery when cuff inflated above systolic pressure

Question 28

Carotid pulse

Answer 28

Between stereocleidomatoid and trachea at level of cricoid cartilage

Question 29

Brachial pulse

Answer 29

Medial to bicep tendon lateral to medial epicondyle

Question 30

Femoral artery

Answer 30

Upper thigh
Beneath inguinal ligament
One third distance from pubis to ant sup iliac spine (ASIS)

Question 31

Popliteal artery

Answer 31

In deep portion of popliteal space just lateral to midplane

Question 32

Posterior Tibial artery

Answer 32

Posterior to medial malleolous

Question 33

Dorsalis pedis artery

Answer 33

Against navicular bone lateral to extensor hallucis tendon

Absent congenital in ten percent population

Question 34

RR delay

Answer 34

Seen in pre subclavian coarctation

Aortic arch aneurysm

Question 35

RF delay

Answer 35

Coarctation of aorta