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Tri 6 - Phys Dx (Tom) > Heart > Flashcards

Heart Flashcards

1
Q

heart sounds to be evaluated

A
  • S1, S2
  • S3
  • S4
  • Murmurs
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2
Q
  • Between S1 & S2

- ventricular contraction - Flow across pulmonic and aortic valves.

A

Systole: (Ejection)

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3
Q
  • Between S2 & S1. -
  • Ventricular relaxation -
  • Flow across bicuspid & tricuspid valve
A

Diastole (Filling)

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4
Q

Thrills represent a

A

palpable murmur

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5
Q

reasons for performing left lateral heart auscultation

A
  1. S3 & S4 more detectable
  2. Certain murmurs detectable (Mitral Stenosis)
  3. PMI is louder
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6
Q

Closure of the Aortic & Pulmonic valves create

A

S2

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7
Q

Closure of mitral and tricuspin valves creat

A

S1

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8
Q

Pulmonic valve (P2) closes slightly
after the aortic valve (A2) during
inspiration, which causes…

A

Splitting S2

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9
Q

Comes just after S2 (similar to S2 split)

A

S3

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10
Q

Ventricular gallop

A

S3

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11
Q

Just prior to S1

(aka: Atrial Gallop

A

S4

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12
Q
  • Usually not normal
  • Active Ventricle filling
  • Possible Hypertension
A

S4

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13
Q

Murmurs-Aortic Stenosis, high-pitched, blow, best heard at…

A

aortic area

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14
Q

Murmurs-Mitral Stenosis low pitched, diastolic, best heart at…

A

apex in lateral decubtitus position

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15
Q

Murmurs-Mitral Regurgitation

High-pitched, harsh, blowing, systolic

A

apex

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16
Q

Murmurs-Aortic Regurgitation
(High-pitched, blowing, early diastolic
decrescendo murmur)

A

heard best at LSE

17
Q

systolic murmurs are graded on scale of 1-6 with 6 being the loudest. Grades 4-6 associated with

A

thrills

18
Q

Most common arrhythmia

A

Sinus Arrhythmia

19
Q

Pulse rate accelerates with inspiration

A

Sinus Arrhythmia

20
Q

Radial pulse less than cardiac pulse (Pulse Deficit)

A

Atrial Fibrillation + Tachycardia

21
Q

Two consecutive beats closely coupled with

subsequent pause before next beats (Rhythm disorder)

A

Bigeminal Pulse:

22
Q

cause of Bigeminal Pulse

A

PVC and 2nd degree heart block

23
Q

Quick up stroke with full volume (Bounding, Strong)

A

Hyperkinetic Pulse

24
Q

cause of Hyperkinetic Pulse

A
  • Hypertension / Atherosclerosis

- Anxiety / Exercise

25
Q

Brisk pulse with full volume
(Water-hammer pulse, collapsing
pulse)

A

Corrigan’s pulse

26
Q 
Pulse Amplitude
Grading Scale (0-4)
A 
0 = Absent
1= Diminished, barely palpable
2= Expected
3= Increased
4= Bounding

Tri 6 - Phys Dx (Tom) (18 decks)

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