PES Flashcards

1
Q

Heart sound: S1

A

tricuspid and mitral valve closure

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2
Q

Heart sound: S2

A

pulmonary and aortic valve closure

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3
Q

Heart sound: S3

A

End of rapid ventricular filling

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4
Q

Heart sound: S4

A

High atrial pressure or stiff ventricle

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5
Q

Pectus excavatum

A

sternum depressed

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6
Q

Pectus carinatum

A

Sternum protruding

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7
Q

Lateral decubitus

A

Pt rolled on left side

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8
Q

Flow through open abnormal structure during systole

A

Aortic Stenosis (Insufficiency)

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9
Q

Best heard at aortic

A

Aortic Stenosis (Insufficiency)

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10
Q

Mid systolic murmur, crescendo-decrescendo, blowing in quality

A

Aortic Stenosis (Insufficiency)

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11
Q

Radiates to R carotid a

A

Aortic Stenosis (Insufficiency)

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12
Q

Flow through structure that should be closed during systole

A

Mitral regurgitation

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13
Q

Best heard at apex

A

Mitral regurgitation

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14
Q

Holosystolic (S1 –> S2), high pitched

A

Mitral regurgitation

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15
Q

Radiates to left axilla

A

Mitral regurgitation

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16
Q

Flow through open abnormal structure during diastole

A

Mitral stenosis

17
Q

Mid diastolic, opening snap with low pitched rumble

A

Mitral stenosis

18
Q

No radiation

A

Mitral stenosis

19
Q

Flow through structure that should be closed during diastole

A

Aortic regurgitation (insufficiency)

20
Q

Early diastolic, high pitched, blowing

A

Aortic regurgitation (insufficiency)

21
Q

Best heart at pulmonary

A

Aortic regurgitation (insufficiency)

22
Q

Radiates down left sternal border

A

Aortic regurgitation (insufficiency)

23
Q

Best heart at apex w/ pt on L side w/ bell

A

Mitral stenosis

24
Q

Schamroth’s Sign

A

No diamond shape when fingers put together = clubbing

25
Q

Increased fremitus

A

–> consolidation of lung (pneumonia)

26
Q

Decreased fremitus

A

–> pneumothorax, pleural effusion, emphysema

27
Q

Cullen’s sign

A

bluish perumbilical discoloration –> intraabdominal bleeding