Physical exam (heart and neck vessels, vasc. and lymph systems)

Question 1

what is the purpose of the blood vessels

Answer 1

transportation of blood or lymph fluid, oxygen, and nutrient delivery and exchange for waste products which are transported for elimination from body

Question 2

pulse

Answer 2

pressure wave that occurs as the heart beats

Question 3

ischemia

Answer 3

insufficient amount of oxygenated blood in a tissue

Question 4

What lab do you draw to see if someone is having a heart attack

Answer 4

triponin

Question 5

Artery

Answer 5

carry oxygenated blood away from the heart to distal tissues of the body
- high pressure

Question 6

vein

Answer 6

veins return carbon dioxide rich (deoxygenated) and waste product blood back to the heart, and subsequently the lungs
- low pressure

Question 7

Lymphatic system

Answer 7

vessel system throughout the body managing fluid excess and plasma using a pressure gradient, so called hydrostatic pressure

Question 8

lymph nodes

Answer 8

tissue dense areas though the body that filter fluid and pathogens

Question 9

skin turgor

Answer 9

how pliable (stretchy) the skin is

Question 10

Wells score for DVT of lower extremities

Answer 10

0 = low probability
1-2 = moderate
3 = high

Question 11

precordium

Answer 11

area of the anterior chest containing heart and so called great vessels

Question 12

pericardium

Answer 12

tough, fibrous, double walled sac that surrounds and protects the heart

Question 13

myocardium

Answer 13

muscular wall of heart

Question 14

endocardium

Answer 14

thin layer of endothelial tissues that lines inner surface of heart chambers and valves

Question 15

cardiac tamponed

Answer 15

pressure on the heart

Question 16

what are the two AV valves in the heart

Answer 16

tricuspid and bicuspid (mitral) valves

Question 17

what are the two SL valves in the heart

Answer 17

pulmonic (right side), and aortic(left side)

Question 18

What are the 3 R’s of diastole

Answer 18

repolarize, relaxing, refilling

Question 19

where do you listen to the aortic valve

Answer 19

2nd right intercoastal space

Question 20

where do you listen to the pulmonic valve

Answer 20

2nd left intercostal space

Question 21

where do you listen to the tricuspid valve

Answer 21

left lower sternal border

Question 22

where do you listen to the mitral valve

Answer 22

5th intercostal space, mid clavicular line

Question 23

What is a bruit

Answer 23

turbulent blood flow, can occur within the carotid artery

Question 24

What is a murmur

Answer 24

so called swooshing and blowing sound of turbulent blood flow in the heart/great vessels

Question 25

How do you grade a murmur

Answer 25

1-6

Question 26

what are the characteristics of a murmur

Answer 26

loudness, timing, pitch, pattern, quality, location, radiation

Question 27

What is a stenosis

Answer 27

narrowing of a blood vessel

Question 28

What is regurgitation

Answer 28

backflow of blood (leaky valves)

Question 29

Pericardial friction rub

Answer 29

pericardial inflammation
high pitched, scratchy

Question 30

Thrill

Answer 30

abnormal pulsation

Question 31

Where can you feel a thrill

Answer 31

bilateral 2nd and 3rd intercostal spaces

Question 32

Heave (lift)

Answer 32

abnormal left lower sternal border pulsation

Question 33

differential diagnosis

Answer 33

list of potential problems that could be the source a patients ailment