PHYSICAL EXAMINATION OF THE CARDIOVASCULAR SYSTEM Flashcards

1
Q

On an ultrasound what does fluid reflect as?

A

Black

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2
Q

Stethoscope

The bell is used for?

A

low frequency sounds

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3
Q

When palpating the peripheral veins for distention and edema what is:
Very deep pit that lasts 2 to 5 minutes (8-9 mm in depth).

A

4+

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4
Q

Friction rubs in the pericardial sac will sound like what?

A

grating, machine-like rubbing.

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5
Q

When palpating the peripheral veins for distention and edema what is:
Somewhat deep pit, disappears in 10 to 15 seconds (4-5 mm in depth)

A

2+

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6
Q

A loud S1 Sound suggests what?

A

increased blood velocity, mitral stenosis, heart block, hypertension, or calcification of mitral valve

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7
Q

Diastolic, Systolic or stenosis?

Aortic/Pulmonic Regurgitation

A

diastolic

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8
Q

When palpating the peripheral veins for distention and edema what is:
Noticeable deep pit that lasts more than a minute (6-7 mm in depth).

A

3+

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9
Q

Soft tissues will show up as what color on an ultrasound?

A

Gray

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10
Q

Ultrasound Terminology
An electromechanical device that is part of an ultrasound system. The device that contacts the patient and converts electrical energy into mechanical energy and vice versa.

A

Transducer

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11
Q

When using color doppler what colors represent flow away and towards the probe?

A

Red is towards

Blue is away

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12
Q

Ultrasound Terminology
Operating mode in which a two-dimensional image is generated that portrays moving reflectors in color simultaneously with images.

A

Color flow doppler

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13
Q

Palpating for amplitude of the pulse

What is Expected

A

2

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14
Q

Diastolic, Systolic or stenosis?

Mitral snaps

A

MV stenosis

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15
Q

When palpating on a heart examination… where are you palpating?

A
The base
left sternal border
right sternal boarder
Apex
epigastrium 
left axillae
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16
Q

What would a mitral valve prolapse sound like?

A

mid systolic click with late high pitched murmur

17
Q

Thrills are associated with what?

A

failure of semilunar valve to close, aortic or

pulmonary stenosis, or atrial septal defect.

18
Q

Diastolic, Systolic or stenosis?

Mitral/Tricuspid Stenosis

A

diastolic

19
Q

Ultrasound Terminology

What refers to a lesion or tumor which produces a stronger echo than the surrounding structures or tissues?

A

Hyperechoic

20
Q

Palpating for amplitude of the pulse

What is Bounding, aneurysmal

A

4

21
Q

Ultrasound Terminology

Refers to structures that contain fewer or weaker echoes than surrounding tissues.

A

Hypoechoic

22
Q

When palpating the peripheral veins for distention and edema what is:
Slight pit, disappears rapidly (2-3 mm in depth)

A

1+

23
Q

Ultrasound Terminology

Ability to distinguish between two adjacent structures

A

Resolution

24
Q

What are you palpating for over the base of the heart?

A

thrill or rushing vibration

25
Q

Palpating for amplitude of the pulse

What is Absent, not palpable

A

0

26
Q

Wide apical pulsation may indicate what?

A

left ventricular hypertrophy. Loss of palpable apical pulsation may indicate fluid, air, or displacement

27
Q

Palpating for amplitude of the pulse

What is Diminished, barely palpable

A

1

28
Q

Stethoscope

The diaphragm is used for…

A

High freq sounds

29
Q

What is a mechanical wave propagated through a medium at a high frequency to produce images of structures within the human body.

A

Ultrasound

30
Q

Loud S2 sound suggests what?

A

hypertension, valve disorder, stenosis, or fluid

31
Q

Diastolic, Systolic or stenosis?

Mitral/Tricuspid Regurgitation

A

Systolic

32
Q

Palpating for amplitude of the pulse

What is Full, increased

A

3

33
Q

Ultrasound Terminology
Regulates the amplification (brightness) of returning echoes to compensate for loss of transmitted sound caused by absorption and reflection.

A

Gain

34
Q

What is the sound called when listening to a BP?

A

Korotkoff sound

35
Q

Diastolic, Systolic or stenosis?

Aortic/Pulmonic Stenosis

A

systolic

36
Q

What does bone show up as on an ultrasound image?

A

White