heart neck

Question 1

A bruit, a blowing or swishing sound caused by
turbulent blood flow through a narrowed vessel, is
indicative of

Answer 1

occlusive arterial disease.

Question 2

Loss of elasticity may indicate

Answer 2

arteriosclerosis.

Question 2

A delayed upstroke may indicate

Answer 2

aortic stenosis.

Question 3

A pathologic S3

Answer 3

(ventricular gallop)

Question 4

o Regular, irregular rhythm (one normal beat
followed by a premature contraction)
o Alternates in amplitude (one strong pulse followed
by a quick, weaker one)

Answer 4

• Bigeminal Pulse

Question 4

is a swishing sound
caused by turbulent blood flow through the heart valves or
great vessels.

Answer 4

murmurs. A murmur

Question 4

A pathologic S4

Answer 4

(atrial gallop)

Question 4

o Double systolic peak

Answer 4

• Bisferiens Pulse

Question 4

o Regular rhythm
o Changes in amplitude (or strength) from beat to
beat (you may need a sphygmomanometer to
detect the difference)

Answer 4

• Pulsus Arterans

Question 5

o Palpable decrease in pulse amplitude on quiet
inspiration
o Pulse becomes stronger with expiration
o You may need a sphygmomanometer to detect the
change (the systolic pressure will decrease by
more than 10 mmHg during inspiration)

Answer 5

• Paradoxical Pulse

Question 5

is associated with right ventricular
hypertrophy caused by pulmonic valve disease,
pulmonic hypertension, and chronic lung disease
o retraction at the apex, from the posterior rotation
of the left ventricle caused by the oversized right
ventricle

Answer 5

• Lift