Heart

Question 1

signs of ACUTE heart failure

Answer 1

chest pain/pressure (could be radiating to jaw), GI discomfort (common in women) exertional dyspnea

Question 2

Symptoms of right sided failure

Answer 2

fatigue and dyspnea, ankle edema, jugular distention and ascites

Question 3

symptoms of left sided failure

Answer 3

fatigue, exertional dyspnea, cough, orthopnea, pink frothy sputum

Question 4

where is the base of the heart

Answer 4

under the sternum at the level of the 2nd ICS

Question 5

where is the apex of the heart

Answer 5

left 5th intercostal space (medial to midclavicular line)

Question 6

Order of cardiac assessment

Answer 6

inspect, palpate, percuss, auscultate

Question 7

traditional auscultation site for aorta

Answer 7

2nd right ICS next to sternum

Question 8

traditional auscultation site for pulmonic

Answer 8

2nd left ICS next to sternum

Question 9

traditional auscultation site for tricuspid

Answer 9

4th left ICS next to sternum

Question 10

traditional auscultation site for mitral

Answer 10

5th left ICS inside the midclavicular line

Question 11

What creates the 1st heart sound (S1 or LUBB)

Answer 11

closure of the mitral and tricuspid

Question 12

what creates the 2nd heart sound (S2 or DUP)

Answer 12

closure of aortic and pulmonic

Question 13

what marks the start of systole

Answer 13

LUBB

Question 14

What marks the start of diastole

Answer 14

DUP

Question 15

the first heartbear (LUBB) is loudest at

Answer 15

mirtral valve site (Cardiac apex)

Question 16

splitting of the first heartbeat would be heard best where

Answer 16

tricuspid site immediately following the diastolic pause

Question 17

SPLIT s1

Answer 17

both components of the first heartbeat (mitral and tricuspid) are audible causing a double sound

Question 18

SPlit S2

Answer 18

both components of the 2nd heartbeat (aortic and pulmonic) are audible causing a double sond

Question 19

Ventricular gallop caused by

Answer 19

blood striking a damaged and stiffened ventricular wall in early diastole

Question 20

atrial gallop caused by

Answer 20

blood striking a damaged and stiffened ventricular wall in late diastole

Question 21

quality of murmur is often heard as

Answer 21

blowing or rumbling

Question 22

a murmur that is equal to intensity of S1 and S2

Answer 22

grade 3

Question 23

murmurs involving right sided heart valves (pulmonic and tricuspid) are ____ during inspiration

Answer 23

louder