general survey/ Head and Neck

Question 1

Spasticity

Answer 1

resistance to PROM

Question 2

Rigidity/ Tremor

Answer 2

commonly seen in Parkinson’s

Question 3

Myoclonus

Answer 3

muscle jerking, sudden, in the setting of a seizure

Question 4

receptive aphasia

Answer 4

difficulty understanding speech
Wernicke’s

Question 5

Expressive aphasia

Answer 5

mentally understand speech but can not get words out
Brocas

Question 6

thrill

Answer 6

abnormal pulsation
narrowing/ stenosis
- can FEEL

Question 7

precordium

Answer 7

area of anterior chest containing the heart and great vessels

Question 8

Apex of the heart

Answer 8

L 5th intercostal mid clavicular

Question 9

Base of the heart

Answer 9

R sternal boarder second intercostal

Question 10

great vessels

Answer 10

SVC, IVC, Internal jugular veins, Carotid arteries

Question 11

pericardium

Answer 11

tough fibrous double walled sac surrounding and protecting the heart

Question 12

myocardium

Answer 12

muscular wall of the heart

Question 13

endocardium

Answer 13

thin layer of the endothelial tissue that lines the inner surfaces of the heart chambers and valves

Question 14

Atrium

Answer 14

thin walled, holds blood

Question 15

Ventricle

Answer 15

thick walled, muscular pumping chamber

Question 16

AV valves

Answer 16

separate atria and ventricles
Tricuspid & Bicuspid/ Mitral

Question 17

what is the Right AV valve

Answer 17

tricuspid

Question 18

what is the Left AV valve

Answer 18

bicuspid/ mitral

Question 19

SL valves

Answer 19

Between ventricles and arteries
Pulmonic & Aortic

Question 20

when do SL valves open

Answer 20

systole

Question 21

when do AV valves open

Answer 21

hearts filling phase =, diastole

Question 22

what is the Left SL valve

Answer 22

aortic

Question 23

what is the right SL valve

Answer 23

pulmonic

Question 24

diastole

Answer 24

ventricles relax and fill with blood

Question 25

systole

Answer 25

heart contraction blood is pumped

Question 26

isometric contraction

Answer 26

contraction against a closed system works to build high pressure system in ventricles

Question 27

isometric relaxation

Answer 27

all 4 four valves closed and the ventricles relaxed

Question 28

what side if the heart is lower pressure ?

Answer 28

right side

Question 29

how to listen to the heart?

Answer 29

in a Z pattern

Question 30

S1

Answer 30

first heart sound
Closing if the AV valves
Systole

Question 31

where do you hear S1 the loudest

Answer 31

Apex

Question 32

what does S1 occur with

Answer 32

carotid pulse

Question 33

when does repolarization occur?

Answer 33

systole/ S1

Question 34

S2

Answer 34

second heart sound
due to SL valves closing

Question 35

where do you heart S2 best?

Answer 35

at the base

Question 36

Bruit

Answer 36

turbulent blood flow
- stenosis/ plaque

Question 37

Murmur

Answer 37

swooshing and blowing sound of blood

Question 38

Murmur characteristics

Answer 38

loudness 1-6
timing
pitch
pattern
quality
location
radiation

Question 39

Stenosis

Answer 39

narrowing of BV

Question 40

Regurgitation

Answer 40

backflow of blood
- leaky valves

Question 41

S3

Answer 41

“early distole”
dull, soft, low-pitch
Distant thunder

Question 42

when can S3 be normal?

Answer 42

peds

Question 43

S4

Answer 43

pre-systole
Atrial gallop
- pregnancy

Question 44

pericardial friction rub

Answer 44

inflammation
- sandpaper friction” high pitched and scratchy

Question 45

heave/ lift

Answer 45

abnormal Left lower sternal boarder pulsation

Question 46

what might a lift/ heave indicate?

Answer 46

lung disease, pulmonic hypertension, valve disease