Vital Signs

Question 1

Abnormal audible swooshing sound heard during auscultation over a peripheral artery

Answer 1

Bruit (Brew-ee)

Question 2

The 4 common vital signs:

Answer 2

• Temperature
• Pulse rate
• Respiratory rate
• Blood pressure

Question 3

Possible 5th vital sign?

Answer 3

Pain or pulse oximetry

Question 4

Proposed 6th vital signs?

Answer 4

• urinary incontinence
• spirometry
• glucose
• shortness of breath (SOB)

Question 5

The “gold standard” of measuring temperature?

Answer 5

Rectal temp. (1 degree higher than oral - 99.6)

Question 6

Respiratory rate more than 20/minute with SHALLOW depth is known as ___

Answer 6

Tachypnea

Question 7

The temperature upon waking is known as ____

Answer 7

Basal body temperature

Question 8

An occasional phenomenon where despite thorough hx and exam, the fever will continue on for 2-3 weeks without a diagnoses

Answer 8

Fever of Undetermined Origin (FUO)

Question 9

Subjective reports of profuse sweating at night

Answer 9

Night sweats

Question 10

When taking a pulse, the flattening portion is related to the ____ portion of the cardiac cycle, while the pulsation portion is related to the ____

Answer 10

Diastole, systole

Question 11

What 4 things are you checking for when taking a pulse?

Answer 11

1. Rate
2. Rhythm
3. Intensity
4. Contour

Question 12

An increased arterial pulse with a double systolic peak.

Answer 12

Bisferiens pulse

Question 13

A pulse that alternates in amplitude from beat to beat while the rhythm stays the same

Answer 13

Pulses alternans

Question 14

A palpable decreased in the pulse’s amplitude during inspiration.

Answer 14

Paradoxical pulse

Question 15

Normal pulse rate for children? Adults?

Answer 15

90-120 children

60-100 adults

Question 16

An abnormally slowed heart rate

Answer 16

Bradycardia

Question 17

Rapid heart rate

Answer 17

Tachycardia

Question 18

Normal respiratory rate?

Answer 18

12-20 rpm

Question 19

Respiration rate will increase approximately ___ cycles per minute for each degree F above normal

Answer 19

4

Question 20

Infants have a normal respiratory rate of up to ___ breaths per minute

Answer 20

44

Question 21

Respiratory rate >20/minute with DEEP respirations is known as ___

Answer 21

Hyperpnea

Question 22

Sounds heard during the taking of blood pressure (not systole/diastole)

Answer 22

Korotkoff sounds

Question 23

High BP due to the patient being tense around doctors is called

Answer 23

White coat hypertension

Question 24

Prehypertensive BP levels

Answer 24

120-139/80-89

Question 25

BP >220 systolic or >120 diastolic w/no organ damage present

Answer 25

Hypertensive urgency

Question 26

When taking BP, deflate the cuff at a rate of ____ mm hg/second

Answer 26

3-5

Question 27

The systolic and diastolic pressures in the leg are ___ than in the arm

Answer 27

Higher

Question 28

A systolic BP decrease of at least 20mm hg, or a diastolic BP decrease of at least 10mm hg within 3 minutes of standing

Answer 28

Orthostatic hypotension

Question 29

Pulse pressure normally ranges from ___ to __ mm hg

Answer 29

30 to 60mm hg

Question 30

Fever is also termed ___

Answer 30

Pyrexia