PA Cardio

Question 1

Auscultory Areas

Answer 1

APTM

Question 2

Aortic

Answer 2

2nd intercostal space, right sternal border - RSB

Question 3

Pulmonic

Answer 3

2nd intercostal space, left sternal border LSB

Question 4

Tricuspid

Answer 4

Left lower sternal border - LLSB

Question 5

Mitral

Answer 5

5ICSMCL

Question 6

S1

Answer 6

tricuspid valve and mitral valve closure
loudest at apex - 5ICSMCL
lub

Question 7

S2

Answer 7

aortic valve and pulmonic valve closure
Loudest at base - 2nd ICS
Dub

Question 8

PMI

Answer 8

normal PMI

Question 9

Peripheral Pulses

Answer 9

Radial, Popliteal, dorsalis pedis, posterior tibial

• present or not
• normal or not

Question 10

S3

Answer 10

S1 -> S2 -> S3
SLOSH ing in
Heart Failure - F-3 pts

Question 11

S4

Answer 11

S4 -> S1 -> S2
a STIFF wall
HTN -> H- 4 pts

Question 12

Systolic murmur

Answer 12

between S1 and S2

lub whoosh dub

Question 13

Diastolic murmur

Answer 13

between S2 and S1

lub dub whoosh

Question 14

Murmur location

Answer 14

Aortic, Pulmonic, tricuspid, mitral

Question 15

Murmur shape

Answer 15

decrescendo, crescendo, crescendo-decrescendo, continuous

Question 16

Murmur radiation

Answer 16

did it go anywhere?

Question 17

Murmur duration

Answer 17

early, mid, late systolic or diastolic

Question 18

murmur pitch

Answer 18

low, medium, high

Question 19

Murmur intensity scale

Answer 19

I - very soft, takes experience to hear
II - low intensity, hear with difficulty
III - Medium intensity, heard easily
IV - Medium intensity; a/w palpable thrill
V - Louder, a/w palpable thrill
VI - Loudest, audible w/out stethescope, a/w palpable thrill

Question 20

Ankle-brachial Index - ABI

Answer 20

> 1.3 - Abnormal, noncompressible calcified vessel
0.91-1.3 - Normal
0.41-0.9 - mild to moderate PAD
0-0.4 - Severe PAD