Quiz Questions And Things Like It Flashcards

1
Q

During systole, the left arterial pressure rapidly exceeds left ventricle pressure

A

False

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2
Q

The first heart sound, S1 was produced by the closure of the valve between left ventricle and aorta, T or F?

A

False

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3
Q

The fourth heart sound, S4 marks______

A

Atrial contraction

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4
Q

During expiration, which of the following heart sounds splits into two sounds?

A

None of them

S2 splits during inhalation

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5
Q

What are heart murmurs caused by

A
  • stenotic valve

- a valve that fails to fully close (aortic regurgitation)

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6
Q

What is the pacemaker of the heart

A

The SA node

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7
Q

Which wave is arterial depolarization

A

P wave

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8
Q

Which wave is downward deflection from septal depolarization

A

Q wave

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9
Q

What wave is downward deflection following an R wave

A

S wave

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10
Q

What wave is ventricular repolarization

A

T wave

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11
Q

What is the most common symptom of coronary heart disease

A

Chest pain

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12
Q

When patient has palpitations, ____ is indicated

A

ECG

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13
Q

You can detect pulses from which of the arteries from the arm and hands?

A

Brachial artery

Ulnar artery

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14
Q

Why are the leg veins susceptible to irregular dilation and compression

A

Because of their weaker wall structure

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15
Q

What lymph node is accessible to physical examination

A

Pre-auricular
Cervical
Axillary
Nodes in the arms and legs

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16
Q

What are the early warning signs of peripheral arterial disease?

A
  • fatigue, aching, numbness, or pain that limits walking or exertion in the legs; if present, identify the location. Ask about ED
  • any poorly healing or non healing wounds of the legs or feet
  • any pain present when at rest in the lower leg to foot and changes when standing or supine
  • abdominal pain after meals associated with food fear and weight loss
  • any first degree relatives with an AAA
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17
Q

What is a likely symptom of someone whom you suspect has peripheral venous disease

A

Edema in the calf and leg

18
Q

Which pulse is closest to the thumb

A

Radial pulse

19
Q

Which pulse can you feel in the foot

A

Dorsalis pedis pulse

20
Q

What is it called when you can press on someone’s swollen leg and it does not rebound quickly

A

Pitting edema

21
Q

When mapping varicose veins, what indicates that the two parts of the vein are connected

A

Palpable pressure wave when pressing on one part of the vein

22
Q

You so a examination of the thorax for a horners syndrome suspect patient. Which of the following findings would further support your diagnosis?

A

No resonance through the stethoscope when placed on the thorax near the apex of one lung and clear resonance in all other areas

23
Q

The thorax of the mammalian animal contains which of the following organs

A

Lungs and heart

24
Q

Pressure of the ventricles during systole

A

Period of ventricular contraction

Pressure in the LV rises, from less than 5mmHg in its resting state to a normal peak of 120mmHg

25
Q

Pressure of ventricles in diastole

A

Ventricular relaxation

  • ventricular pressure falls further to below 5mmHg, and blood flows from he atrium to ventricle
  • late in diastole, ventricular pressure rises slightly during inflow of blood from atrial contraction
26
Q

The optic valve is open during what

A

Systole

-allowing ejection of blood from LV to Amrita

27
Q

The mitral valve is closed when

A

During systole

-preventing blood from regurgitating back into the LA

28
Q

Aortic valve during diastole

A

Closed

-preventing regurgitation of blood from the aorta back into the LV

29
Q

Mitral valve during diastole

A

Open

-allowing blood to flow from the LA into the relaxed LV

30
Q

S1

A

Closure of the mitral valve

31
Q

S2

A

Closureof the aortic valve

32
Q

S3

A

Third heart sound in young children and young adults
-arises from rapid deceleration of the column of blood against the ventricular wall

In older adults, its called S3 gallop, usually indicates a pathological change in the ventricular compliance

33
Q

S4

A

Atrial contraction

34
Q

Splitting of S2

A

A2: closure of aortic valve
P2: closure of pulmonic valves

Happens during INHALATION

Expiration will cause the sounds to fuse back to one

35
Q

Pulse in the leg

A

Popliteal artery behind the knee

36
Q

These veins carry 90% of the venous return from the lower extremeities

A

Deep veins of the legs

-great saphenous and small saphenous

37
Q

Peripheral artery disease symptoms

A
  • persisting abdominal pain, ask about related “fear of food” weight loss, or dark stop;
  • pain or cramping in th legs during exertion that is relieved by rest within 10m, called intermittent claudicaiton
  • coldness, numbness, or pillow in the legs or feet to loss of hair over the anterior tibial surfaces
38
Q

Intermittent claudication

A

Peripheral artery disease

-pain or cramping in the legs upon exertion

39
Q

Pain or swelling of the calf or leg is a sign of

A

Peripheral venous disease

40
Q

Symptoms of acute arterial occlusion from embolism or thrombosis

A

Pain and numbness or tingling

  • the limb distal to the occlusion becomes cold, pale, and pulseless
  • pursue emergency treatment
41
Q

Mapping varicose veins

A
  • can demonstrate their presence and origin
  • with the patient standing, place your palpating finger gently on a vein and, with tour other hand below, compress the vein sharply. Feel for pressure wave transmitted to the fingers of your upper hand. A palpable pressure wave indicates that the two parts of the vein are connected
  • a wave may also be transmitted downward by not as easily
42
Q

How do you assess the competency of venous valves?

A
  • trendeleburg test to assess the valves of the communicating veins and the saphenous system
  • with the patient supine, elevate one leg about 90 degree to empty it of venous blood
  • occlude the great saphenous vein in the upper thigh by manual compression, using enough pressure to occlude this vein but not the deeper vessles
  • ask patient to stand. While you keep the vein occluded, watch for venous filling in the leg
  • after standing for 20s, release the compression and look for sudden additional venous filling
  • normal, slow filling continues because competent valves in the saphenous vein block retrograde flow
  • when both steps of this test are normal, the repsosne is negative-negative