Heart exam

Question 1

s1 - s2

Answer 1

systole

av valves closed

Question 2

s2 - s1

Answer 2

diastole

semilunar valves closed

Question 3

murmors

Answer 3

systolic

• aortic stenosis
• mitral regurg
• pulmonic stenosis
• tricuspid regurg

MRS ASS PSTR

Question 4

where is PMI located

Answer 4

normally 5th ICS MCL

Question 5

what is a thrill

Answer 5

palpable murmur

Question 6

heart auscultation

Answer 6

A - 2nd right ICS
P - 2nd left ICS
T - 5th left ICS
M - 5th left ICS MCL

Question 7

what is left lateral also called

whats best heard here

Answer 7

decubitus

mitral stenosis

Question 8

splitting S2 means what

is this normal

Answer 8

closure of aortic and pulmonic valve create s2

pulmonic valve closes slightly after aortic valve during inspiration

yes - best heard at pulmonic and erbs point

Question 9

s3 means what

Answer 9

comes after s2

fairly normal - heard in children and athletes

old people indicates heart failure

ventricular gallop
ken-tuck-y

Question 10

s4 means what

Answer 10

prior to s1

not normal

active ventricular filling

hypertension perhaps

atrial gallop
tenn-ess-ee

Question 11

rating of murmors

Answer 11

1 - heard with careful listening 
2 - readily audible 
3 - louder - no thrill 
4 - loud with thrill 
5 - audible - with only edge of stethoscope applied to chest 
6 - audible without stethoscope

Question 12

what is most common arrhythmia

Answer 12

sinus arrhythmia

- pulse rate increases on inspiration

Question 13

what is a pulse deficit

found in

Answer 13

radial pulse less than cardiac

found in tachycardia and atrial fibrillation

Question 14

what is bigeminal pulse

found in

Answer 14

two beats closely coupled with pause before the next beats

found in premature ventricular contraction, 2ndary heart block

Question 15

what is hyperkinetic pulse

Answer 15

bounding strong pulse

quick up stroke with full volume

hypertension, atherosclerosis, anxiety, exercise

Question 16

what is corrigans pulse

Answer 16

water hammer pulse, collapsing pulse

brisk pulse with full volume

aortic regurgitation

Question 17

amplitude of pulses grading scale

Answer 17

0 - absent 
1 - diminished 
2 - expected 
3 - increased 
4 - bounding