The heart and peripheral vascular system

Question 0

What artery has the most deoxygenated blood in the body?

Answer 0

pulmonary artery

Question 1

What vessel brings the blood back into the heart?

Answer 1

Superior and Inferior Vena Cavae

Question 2

What vein has the most OXYGENATED blood in the whole body?

Answer 2

pulmonary vein

Question 3

What side is the pulmonic semilunar valve on?

Answer 3

Right

Question 4

What side is the aortic semilunar valve on?

Answer 4

Left

Question 5

What AV valve is on the right side of the heart?

Answer 5

tricuspid

Question 6

What AV valve is on the left side of the heart?

Answer 6

mitral

Question 7

What are Intercostal spaces?

Answer 7

the spaces between the ribs

Question 8

What is the midclavicular line?

Answer 8

the “line” between the middle of the clavicle (collar bone)

Question 9

The aortic semilunar valve is found at the ____Intercostal space (ICS) at the ________ sternal border (SB)

Answer 9

2nd

Right

Question 10

The pulmonic semilunar valve is found at the ____Intercostal space (ICS) at the ________ sternal border (SB)

Answer 10

2nd

Left

Question 11

Where is the tricuspid AV valve found?

Answer 11

on the left side near the lower Sternal Border (SB)

Question 12

Where is the mitral AV valve found?

Answer 12

at the 5th Intercostal space at the left midclavicular line (MCL)

Question 13

PMI

Answer 13

point of max impulse

Question 14

What is arcus senilis?

Answer 14

white arc over the iris; hypercholesterolemia in a younger person

Question 15

What is xanthomata?

Answer 15

hard masses on tendons; pathognomonic for familial hypercholesterolemia

Question 16

What are 4 things you need to inspect concerning the heart and peripheral vascular system?

Answer 16

1. color of skin & nails
2. respiratory patterns
3. arcus senilis
4. xanthomata

Question 17

What is the S1?

Answer 17

normal, systole
closure of the AV valves
loudest at the apex (bottom) of the heart
you feel only one beat, but you hear 2!
This generates the PULSE

Question 18

What is a blowing, swooshing sound that occurs with turbulent blood flow?

Answer 18

Heart murmur

Question 19

What is the S2?

Answer 19

normal, diastole
closure of the semilunar valves
loudest at the best (top) of the heart

Question 20

What is the S3?

Answer 20

can be NORMAL in children & adults <40;
due to volume overload or HF
found in high CO in the absence of heart disease
disappears when these conditions are correlated
heard best when patient is on left side

Question 21

What part of the stethoscope usually picks up the HIGHER pitched side?

Answer 21

Diaphragm (larger circle)

Question 22

What part of the stethoscope usually picks up the lower pitched sounds?

Answer 22

bell

smaller circle

Question 23

What drugs can cause heart palpitations?

Answer 23

bronchodilators
antiarrhythmics
sympathomimetics
caffeine
thyroid products

Question 24

T/F? never take the carotid pulse from both carotid arteries at the same time.

Answer 24

True

Question 25

Is the radial pulse location closer to the thumb or pinky finger?

Answer 25

THUMB

Question 26

Where is the abdominal aorta pulse location?

Answer 26

halfway between the belly button and breast bone

Question 27

Where is the femoral artery pulse location?

Answer 27

near the groin

Question 28

Where is the popliteal artery pulse location?

Answer 28

behind the knee

Question 29

Where is the dorsalis pedis (DP) pulse location?

Answer 29

on top of the foot

Question 30

Where is the posterior tibial (PT) pulse location?

Answer 30

behind the inner ankle

Question 31

What should we look out for in digoxin toxicity?

Answer 31

pulse is less than 60, confusion, nausea, light changes (halos around lights, seeing yellow/green in place of red/blue)