Lecture Exam #3 Cardiovascular

Question 1

PVD: sharp, stabbing pain; intermittent claudication. lowering feet may decrease pain

Answer 1

Peripheral Arterial Disease

Question 2

PVD: aching, cramping pain; elevating feet may relieve pain. Homan’s sign

Answer 2

Peripheral Venous Disease

Question 3

what’s normal result for peripheral pulse?

Answer 3

+2

Question 4

full brisk peripheral pulse grade

Answer 4

+3

Question 5

full,bounding, often visible peripheral pulse

Answer 5

+4

Question 6

why is Homan’s sign not encouraged?

Answer 6

may dislodge a clot

Question 7

how do you check for Homan’s sign?

Answer 7

have patient dorsiflex the foot, flex knee. normal should be no pain. abnormal: pain in calf. signifies DVT

Question 8

palpable murmur (cat’s purr) may increase with change in position

Answer 8

thrill

Question 9

left,lower sternal border

Answer 9

lift/heave

Question 10

associated with right ventricular hypertrophy

Answer 10

Life/heave

Question 11

arterial disease:(symptoms)
skin-
Pain-
Pulses-

Answer 11

skin:cold,hairless,dry,shiny. rubor in dependency
Pain: sharp/stabbing. worsens with activity
Pulses: absent or diminished

Question 12

Venous disease (symptoms)
Skin-
Pain-
Pulses-

Answer 12

Skin-warm,tough,leathery
Pain-aching,cramping, elevation relieves pain
Pulses- usually present

Question 13

what are the signs of arterial disease?

edema, ulcers

Answer 13

Edema: infrequent
ulcers: Distal (toes)

Question 14

what are the signs of venous disease?

edema, ulcers

Answer 14

Edema:frequent
ulcers: more proximal (ankle,lower leg)

Question 15

what are the 6 p’s?

Answer 15

pallor
pain
paresthesia(numbness)
polar
paralysis
pulselessness

Question 16

Location- 2nd intercostal space, right of sternum

Answer 16

aortic area

Question 17

location- 2nd intercostal space, left of sternum

Answer 17

Pulmonic area

Question 18

where is the Erb’s point?

Answer 18

3rd intercostal space, left of sternum

Question 19

left 5th intercostal space, close to sternum

Answer 19

tricsupid space

Question 20

left 5th intercostal space, medial to midclavicular line

Answer 20

mitral area

Question 21

this sound is the closure of the AV valves. heard best over apex

Answer 21

S1

Question 22

this heart sound corresponds with the closure of the semilunar valves (aortic and pulmonic). heard best at base(top)

Answer 22

S2

Question 23

fixed S2 split is:

Answer 23

abnormal finding

Question 24

this sound is referred to as the ventricular diastolic gallop, present usually in children and young adults.

Answer 24

S3

Question 25

first sign of heart disease in old people can be found by hearing what?

Answer 25

S3 beat

Question 26

this sound is the atrial diastolic gallop; due to altered ventricular compliance

Answer 26

S4

Question 27

what are murmurs?

Answer 27

vibrations of heart and vessels due to turbulent blood flow

Question 28

varied amplitude from beat to beat

Answer 28

pulsus alterans

Question 29

decreased amplitude with inspiration

Answer 29

pulsus paradoxus

Question 30

decreased oxygen to tissues

Answer 30

ischemia