Inspection and Palpation of the Heart

Question 1

right upper parasternal and sternolcavicular pulsations may indicate

Answer 1

AAA disease

Question 2

left parasternal lift indicates

Answer 2

RV pressure or volume overload

Question 3

pulsation in the third ICS to left of sternum can indicate

Answer 3

pulmonary hypertension

Question 4

where is the apex beat located

Answer 4

midclavicular line, 5th ICS

smaller than 2 cms and moves quickly away from the finger, best observed in end expiration

Question 5

LV cavity enlargement would displace the apex beat

Answer 5

Leftward and downward

Question 6

S4

Answer 6

palpable presystolic impulse

reflects atrial contribution to ventricular diastolic filling of a non compliant ventricle

Question 7

S3

Answer 7

a prominent rapid early filling wave in patients with advanced systolic heart failure

Question 8

may cause a triple-cadence apex beat , with contributions from palpable S4 and 2 components of systolic pulse

Answer 8

hocm

Question 9

Jugular venous CV waves

Answer 9

TR

Question 10

loud single or palpable P2

Answer 10

Pulmonary hpn