Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pediatrics 3B > Pedia 3B - Applied Cardio > Flashcards

Pedia 3B - Applied Cardio Flashcards

0
Q

Systolic murmur starting a few ms into systole, peaking in mid-systole and ending before second heart sound =

A

Mid-systolic murmur “Flow Murmur”

Early systolic = Ejection murmur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

Splitting of 2nd heart sound is best appreciated

A

Pulmonic Area

2nd Upper left sternal border

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Louder murmur w/thrill

A

Grade IV

INSERT Grades here 
I 
II 
III loudest w/o thrill 
IV louder w/thrill 
V Audible w/portion of diaphragm off chest 
VI Audible w/stethoscope held off chest
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Thrill and radiation of murmur away from point of origin indicate an ______ murmur

A

Organic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Twaning string murmur of Still is musical and best heard

A

Mid-precordium

Left of lower sternum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Apex beat corresponds to ___-most and ____-most point of cardiac impulse

A

Lowermost

Outermost

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

High frequency heart sounds are best heard w/the ____ of the stethoscope
Low frequency heart sounds are best heard w/the ____ of the stethoscope

A

High frequency - Diaphragm

Low frequency - Bell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Clicking sound in diastole immediately ff 2nd sound (indicating stenotic mitral valve w/mobile anterior leaflet:

A

Opening snap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Purring sensation under palm over precordium in the presence of certain organic heart diseases is called

A

THRILL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

First heart sound is short and sharp and caused by simultaneous closure of the

A

Mitral
Tricuspid valve

2nd Heart Sound - Pulmonary and Aortic Valves
3rd -
4th -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Chest circumference < Head in the first _____ months

A

4-6 or 9-12 depending on where in Silverman

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Dullness of percussion is noticed normally over the liver on the right side at the

A

10th intercostals space on midclavicular line
8th rib on mid-axillary line
10th rib posteriorly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

3rd Heart sound

  • Normally heard during _____ over the ____ area
  • Best heard when patient is in the _____ position
  • Loudest during ______
  • _______ intensity is often associated w/hyperdynamic state
A

3rd Heart sound

  • Normally heard during diastole over the apex area
  • Best heard when patient is in the LLD position
  • Loudest during EXP
  • INC intensity is often associated w/hyperdynamic state
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Continuous musical sound which may be high-pitched or low-pitched

A

Wheezes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

To-and-fro murmur over L infra-clavicular area radiating to 2nd and 3rd L intercostal spaces para-sternally is seen in

A

PDA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Clinical Observation: 4 month old w/head > chest

Clinical Conditions:

A

Normal

H>C up to 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Clinical Observation: 12 month old w/Head > Chest

Clinical Conditions:

A

Marasmus

Hydrocephalus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Clinical Observation: Rapid pulse during INSP and slower at EXP
Clinical Conditions:

A

Sinus arrhythmia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Clinical Observation: Noisy musical sound on respiration heard even w/o stethoscope
Clinical Conditions:

A

Wheeze

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Clinical Observation: Unsteady gait secondary to failure of muscle coordination
Clinical Conditions:

A

Ataxia

20
Q

Vocal Fremitus DEC in which

  • Atelectasis
  • Pleural Effusion
  • Consolidation
A

Atelectasis

Pleural effusion

21
Q

Percussion is a ______ method in examining heart size

  • Poor
  • Preferred
A

POOR

22
Q

Splitting of 2nd heart sound is best heard over the

A

Pulmonary Area

23
Q

Murmur heard throughout systole

A

Holosystolic

  • VSD
  • MR
24
Q

______ murmur ALWAYS indicates a PATHOLOGICAL state

A

Diastolic Murmur = ABNORMAL

25
Q

Abdominal Breathing is normal until ____ years old

A

4-5 years old

26
Q

Pigeon chest

A

Rickets

27
Q

Head bobbing is synchronous w/patient’s respiration

A

Bobbing - Respiration
Nodding - Heart Rate
DOUBLE CHECK

28
Q

Manifests w/visible pulsations on R side of chest

  • Dextrocardia
  • Scoliosis
  • R Pneumothorax
  • Enlarged R V
A

Dextrocardia
Scoliosis
Enlarged R V

29
Q

2nd heart sound accentuated in

A

Pulmonary HPN

30
Q

3rd heart sound is heard in

A

Normal adolescent

_____ ????

31
Q

Percussion in children may be useful in finding

  • Heart size
  • AR
  • Pericardial effusion
  • MS
A

Pericardial effusion

32
Q

PDA characterized by

A

CONTINUOUS murmur

33
Q

Murmur: Pulmonary Stenosis

Systolic/Diastolic:

A

Systolic

34
Q

Murmur: Aortic Stenosis

Systolic/Diastolic:

A

Systolic

35
Q

Murmur: Mitral stenosis

Systolic/Diastolic:

A

Diastolic

36
Q

Murmur: Aortic regurgitation

Systolic/Diastolic:

A

Diastolic

37
Q

Murmur: Mitral Regurgitation

Systolic/Diastolic:

A

Systolic

38
Q

Murmur: Functional murmur

Systolic/Diastolic:

A

Systolic

39
Q

Murmur: Atrial Septal Defect

Systolic/Diastolic:

A

Systolic

40
Q

Fremitus: INC

Clinical Implication:

A

Consolidation

Lobar Pneumonia

41
Q

Fremitus: DEC/Absent

Clinical Implication:

A

Pleural Effusion
Pleural Thickening
Pneumothorax
Atelectasis

42
Q

Vocal resonance is ____ in emphysema

A

DECREASED

43
Q

__________ crackles are indicative of restrictive lung disease

A

End/Late INSP crackles

44
Q

End/Late INSP crackles are indicative of

A

Restrictive lung disease
Interstitial
Pneumonia

45
Q

Abdominal respiration is expected until _____ years old

A

4-5 years old

46
Q

Chest expansion can be accurately measured using a

A

Tape measure

47
Q

In ______ brochovesicular breath sounds are normally heard over the entire chest wall

A

Neonates

48
Q

Indications of upper airway obstruction (3)

A

INSP stridor
Supra-sternal retractions
Supra-clavicular retractions

Pediatrics 3B (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions