Quiz Questions And Things Like It

Question 1

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

Answer 1

False

Question 2

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

Answer 2

False

Question 3

The fourth heart sound, S4 marks______

Answer 3

Atrial contraction

Question 4

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

Answer 4

None of them

S2 splits during inhalation

Question 5

What are heart murmurs caused by

Answer 5

• stenotic valve

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

Question 6

What is the pacemaker of the heart

Answer 6

The SA node

Question 7

Which wave is arterial depolarization

Answer 7

P wave

Question 8

Which wave is downward deflection from septal depolarization

Answer 8

Q wave

Question 9

What wave is downward deflection following an R wave

Answer 9

S wave

Question 10

What wave is ventricular repolarization

Answer 10

T wave

Question 11

What is the most common symptom of coronary heart disease

Answer 11

Chest pain

Question 12

When patient has palpitations, ____ is indicated

Answer 12

ECG

Question 13

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

Answer 13

Brachial artery

Ulnar artery

Question 14

Why are the leg veins susceptible to irregular dilation and compression

Answer 14

Because of their weaker wall structure

Question 15

What lymph node is accessible to physical examination

Answer 15

Pre-auricular
Cervical
Axillary
Nodes in the arms and legs

Question 16

What are the early warning signs of peripheral arterial disease?

Answer 16

• 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

Question 17

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

Answer 17

Edema in the calf and leg

Question 18

Which pulse is closest to the thumb

Answer 18

Radial pulse

Question 19

Which pulse can you feel in the foot

Answer 19

Dorsalis pedis pulse

Question 20

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

Answer 20

Pitting edema

Question 21

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

Answer 21

Palpable pressure wave when pressing on one part of the vein

Question 22

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

Answer 22

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

Question 23

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

Answer 23

Lungs and heart

Question 24

Pressure of the ventricles during systole

Answer 24

Period of ventricular contraction

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

Question 25

Pressure of ventricles in diastole

Answer 25

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

Question 26

The optic valve is open during what

Answer 26

Systole | -allowing ejection of blood from LV to Amrita

Question 27

The mitral valve is closed when

Answer 27

During systole | -preventing blood from regurgitating back into the LA

Question 28

Aortic valve during diastole

Answer 28

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

Question 29

Mitral valve during diastole

Answer 29

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

Question 30

S1

Answer 30

Closure of the mitral valve

Question 31

S2

Answer 31

Closureof the aortic valve

Question 32

S3

Answer 32

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

Question 33

S4

Answer 33

Atrial contraction

Question 34

Splitting of S2

Answer 34

A2: closure of aortic valve P2: closure of pulmonic valves Happens during INHALATION Expiration will cause the sounds to fuse back to one

Question 35

Pulse in the leg

Answer 35

Popliteal artery behind the knee

Question 36

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

Answer 36

Deep veins of the legs | -great saphenous and small saphenous

Question 37

Peripheral artery disease symptoms

Answer 37

- 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

Question 38

Intermittent claudication

Answer 38

Peripheral artery disease | -pain or cramping in the legs upon exertion

Question 39

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

Answer 39

Peripheral venous disease

Question 40

Symptoms of acute arterial occlusion from embolism or thrombosis

Answer 40

Pain and numbness or tingling - the limb distal to the occlusion becomes cold, pale, and pulseless - pursue emergency treatment

Question 41

Mapping varicose veins

Answer 41

- 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

Question 42

How do you assess the competency of venous valves?

Answer 42

- 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