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ADULT HEALTH 1 > test 1 > Flashcards

test 1 Flashcards

1
Q

which of the following chambers of the heart can you assess by palpation?

A

right ventricle

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2
Q

what is responsible for the inspiratory splitting of s2?

A

closure of the aortic, then pulmonic valves

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3
Q

heart murmur heard mostly at the cardiac apex?

A

mitral murmur

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4
Q

Which stage of HTN would you place someone with a BP of 132/85?

A

prehypertension

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5
Q

which risk factor is used to determine 10 year risk for developing CAD?

A

gender

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6
Q

Which condition is considered equivlaent to coronary heart disease when speaking of heart disease risk?

A

peripheral arterial disease

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7
Q

elevated JVP could indicate..?

A

constrictive pericarditis

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8
Q

what could cause the apical pulse to feel diffuse and increased?

A

aortic stenosis, with pressure overload of the left ventricle

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9
Q

Lying on the left side helps you to hear which heart sounds?

A

S3, S4, and mitral murmurs

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10
Q

When listening for an aortic regurgitation murmur, which position would you place the patient?

A

upright, but leaning forward

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11
Q

When examining a patient that is over 60 with a heart rate under 60, what could the potential rhythm be?

A

second degree heart block

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12
Q

where is the PMI usually located?

A

the left 5th intercostal space, 7 to 9 cm lateral to the sternum

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13
Q

which of the following events occurs at the start of diastole?

A

closure of the aortic valve

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14
Q

What is the third heart sound (s3) caused by?

A

a rapid deceleration of blood against the ventricular wall

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15
Q

Where can the splitting of the second heart sound be heard?

A

best heard of the pulmonic area with the bell of the stethoscope

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16
Q

How do you measure JVP?

A

the verticle height of the blood column in cm, plus 5 cm

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17
Q

What jugular venous pulsation is a systolic phenomenon?

A

the “x” descent

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18
Q

How much does cardiovascular risk increase for each increment of 20mm Hg systolic and 10 mm Hg diastolic in blood pressure?

A

100%

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19
Q

in healthy adults over 20, how often should blood pressure, BMI, waist circumference, and pulse be assessed?

A

q 2 years

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20
Q

In measuring the JVP which of the following is important?

A

measure the highest visible pressure, usually at the end of expiration

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21
Q

a bounding carotid pulse could indicate?

A

aortic insufficiency

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22
Q

how would you determine if a murmur is systolic or diastolic?

A

palpate the carotid pulse

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23
Q

what correlates with a sustained, high-amplitude PMI?

A

HTN

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24
Q

when examining patients with emphysema, where should you place the stethoscope to hear optimal heart sounds?

A

epigastric area

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25
Q

what is associated with a grade 4 murmur?

A

thrill

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26
Q

which valve lesion typically produces a murmur of equal intensity througout systole

A

mitral insufficiency

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27
Q

paitent has a strong pulse and then a weak pulse, what could they be displaying?

A

Severe left heart failure

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28
Q

what is a common or concerning symtpom for the peripheral vascular system?

A

intermittent claudicaiton

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29
Q

To initial evaluate for risk for peripheral vascular disease, this test should be ordered..

A

Ankle-brachial index (ABI)

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30
Q

To check for PVD in the arms, you should check which pulses?

A

radial, brachial

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31
Q

to examine for PVD in legs, which physical things should you look for?

A

size, symmetry, and skin color

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32
Q

Bounding pulses should be documented as

A

3+

33
Q

When performing the allen test, which artery are you checking for flow in?

A

ulnar

34
Q

with athlerosclerosis in the lower extremities, you would be concerned for pain in which body area?

A

calf

35
Q

in a patient with chronic arterial insufficiency, you would find what skin changes in the lower extremities?

A

thin, shiny, atrophic skin

36
Q

which area of the arm drains to the epitrochlear nodes?

A

ulnar surface of the forearm and hand, little and ring fingers, and ulnar middle finger

37
Q

An ABI of 0.85 indicates….

A

mild peripheral arterial disease

38
Q

asymmetric BPs are seen in which of the following conditions?

A

congenital narrowing of the aorta

39
Q

diminished radial pulses may be seen in patients wiht which of the following

A

arterial emboli

40
Q

when assessing temp of the skin, which portion of your hand should be used?

A

backs of fingers

41
Q

painful ulcerative lesion near the medial mallelous, accompanying hyperpigmenetation, indicates?

A

venous insufficiency

42
Q

normal weight loss is recommended to be?

A

0.5-1lb/week

43
Q

patient with CHF and fluid overload, what should you feel when palpating a pulse?

A

small amplitude, weak

44
Q

patient with gastroenteritis and high fever, what should you feel when palpating a pulse?

A

large amplitude, forceful

45
Q

DKA patient is having kussmal’s respirations, and is breathing?

A

rapid and deep

46
Q

weight gain of 4lbs in a week probably indicates

A

fluid weight

47
Q

this can cause a falsely low BP reading in office if present

A

ausculatory gap

48
Q

pain caused by shingles is

A

neuropathic pain

49
Q

information the patient gives you is considered

A

subjective

50
Q

information the clinician collects from doing a physical assessment is

A

objective

51
Q

saying “mm-hmm” “go on”

A

facilitation

52
Q

symptom involving eye

A

scotomas

53
Q

theatrical nature of behavior

A

histrionic

54
Q

patient fills all numbers in on a clock just on right side

A

hemianopsia

55
Q

patient had stroke, speaks slow and deliberate, very small word usage, stroke occured in which area of brain?

A

Broca’s area

56
Q

patient had stroke, speaks fluently but nothing they say makes sense

A

Wernkickes area

57
Q

misinterpretation of real external stimuli

A

illusion

58
Q

vertigo that occurs from head changing positions

A

benign positional vertigo

59
Q

patient has vertigo associated with tinnitus

A

meniere’s disease

60
Q

shuffeling gate, facial expression limitation, slow

A

parkinsons

61
Q

protruding eyes, can occur on one side

A

exopthalmos

62
Q

another term for sty

A

hordeolum

63
Q

triagnular thickening of the bulbar conjunctiva that grows slowly across the outter surface fo the cornea

A

pterygium

64
Q

red flag for new onset headaches

A

age over 50

65
Q

sudden, painless unilateral vision loss may be caused by

A

retinal detachement

66
Q

sudden, painful unilateral loss of vision may be

A

optic neuritis

67
Q

Diplopia which is present with ONE eye covered is caused by

A

an irregulariry of hte cornea or lens

68
Q

a patient complains of epistaxis, should also consider

A

hematemeiss

69
Q

what can be seen in a patient with glaucoma?

A

increased cup-to-disc ratio

70
Q

sensitive methods for hearting testing

A

audiometric testing

71
Q

the area of the fundus that is the central focal point for incoming images?

A

Fovea

72
Q

Pupils contract when light is showin on ONE pupil

A

concensual reaction

73
Q

stroke patient, can’t see right side when either eye covered has

A

right homonymous hemianopsia

74
Q

Anisocoria is

A

unequal pupils

75
Q

Anisocoria is present in

A

horner’s syndrome

76
Q

uvula deviates to non-effected side can be cauesd by a lesion on which nerve?

A

CNX

77
Q

hard mass midline of palate

A

torus palatinus

78
Q

mobile lymph nodes just behind sternocleidomastoid muscles bilaterally are

A

posterior cervical lymph nodes

ADULT HEALTH 1 (2 decks)

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