Heart

Question 1

An ___ apex beat suggests pressure overload and hypertrophy of the left ventricle

Answer 1

Exaggerated

Question 2

A ___ apex beat suggests volume overload and dilation of the left ventricle

Answer 2

Displaced

Question 3

The sternal angle is also known as:

Answer 3

Angle of Louis

Question 4

The carotid artery has __ pulsation(s) per cardiac cycle

Answer 4

One

Question 5

A paradoxical rise in Jugular Venous Pressure (JVP) on inspiration (usually it lowers)

Answer 5

Kussmaul Sign

Question 6

What is a late and weak pulse called?

Answer 6

Pulsus Tardus

Question 7

Name of a high pulse pressure, such as w/aortic regurgitation

Answer 7

Water-hammer pulse

Question 8

The most lateral pulsation of the chest that can be PALPATED

Answer 8

Apical Impulse

Question 9

When auscultating the heart, the S1 will be a ___ sound, while S2 will be a ___ sound

Answer 9

Lubb, dub

Question 10

When listening to the heart with a stethoscope, the gap from S1 to S2 sounds indicate the ___ portion of the cardiac cycle, while the gap between S2 to S1 indicates the ___ portion

Answer 10

Systole, diastole

Question 11

The S1 (or Lubb) sound indicates closure of what valves?

Answer 11

Tricuspid, mitral

Question 12

The S2 (or Dub) sound indicates closure of what valves?

Answer 12

Aortic, pulmonary (semilunar valves)

Question 13

Which heart sound is higher pitched? S1 or S2?

Answer 13

S2

Question 14

S2 physiologic splitting is best heard at what valve/area?

Answer 14

Pulmonic

Question 15

When more venous blood is “sucked” into the right ventricle during inspiration, it takes a little longer to empty, and therefore the pulmonary valve closes a little later than usual (than the aortic). This produces 2 sounds. This is called?

Answer 15

Physiological splitting of S2

Question 16

A harsh sound produced from turbulent flow in the heart, usually from bad valves is called:

Answer 16

Heart murmur

Question 17

Recurrent attacks of tachycardia with abrupt onset and often also abrupt termination

Answer 17

Paroxysmal tachycardia

Question 18

Often the earliest and most common symptom of cardiac dysfunction

Answer 18

Fatigue

Question 19

Chest pain or pressure, usually due to not enough blood flow to the heart muscle (myocardial ischemia)

Answer 19

Angina pectoris

Question 20

The pain from angina pectoris (abrupt, significant chest pain/pressure) could radiate to the neck, jaw, and __ arm

Answer 20

Left

Question 21

A person with a fist clenched over the precordium is showing ___ sign

Answer 21

Levine

Question 22

Widespread swelling of the skin. Extreme, generalized edema. Major edema

Answer 22

Anasarca

Question 23

Decreased heart rate and force of contraction causing the person to faint (Vagal faint) is also called:

Answer 23

Vasovagal Syncope

Question 24

Death of an area of the heart muscle usually as a result of occlusion of one or more coronary arteries.

Answer 24

Myocardial Infarction

Question 25

Pulmonary Heart Disease relates to ___ sided hypertensive heart disease and is due to an increase in lung resistance to blood flow (COPD, Cystic Fibrosis)

Answer 25

Right

Question 26

Pathological narrowing of the aortic valve, which obstructs blood from the left ventricle to the ascending aorta.

Answer 26

Aortic stenosis

Question 27

What heart problem is associated with a “LubPewww” sound?

Answer 27

Aortic regurgitation

Question 28

Mitral stenosis (pathological narrowing of the mitral valve) can develop 5-10 years after ____ fever, OR it could be congenital.

Answer 28

Rhuematic

Question 29

“Blowing” of mitral valve leaflets into left atrium during systole

Answer 29

Mitral Valve Prolapse (MVP)

Question 30

A holosystolic (pansystolic) murmur heard best at the apex is associated with what?

Answer 30

Mitral insufficiency

Question 31

A loud S1 followed by a diastolic murmur is associated with what?

Answer 31

Mitral stenosis

Question 32

A late systolic ejection murmur w/a crescendo-decrescendo shape is associated with what?

Answer 32

Aortic Stenosis

Question 33

A Hepatojugular reflux suggests ___ heart failure

Answer 33

Right

Question 34

A “midsystolic click” is associated with what?

Answer 34

Mitral valve prolapse (MVP)

Question 35

Inflammation of the pericardium

Answer 35

Pericarditis

Question 36

Muffled heart sounds and precordial friction rubs can be a sign of?

Answer 36

Pericarditis

Question 37

Compression of the heart due to critically increased volume of fluid in the pericardium

Answer 37

Acute pericardial Tamponade

Question 38

An infection of the heart’s inner lining (endocardium), usually involving the heart valves.

Answer 38

Endocarditis

Question 39

A fever following infection of the throat with group A streptococci. Occurring primarily in children and young adults. Associated w/acute cardiac failure and endocarditis.

Answer 39

Rheumatic Fever