Week 2 Cardiovascular System 1 of 4

Question 1

Anatomical landmarks:

Reference lines are:

Answer 1

Midsternal
Midclavicular 
Vertebral
Anterior axillary
Posterior axillary
Midaxillary

Question 2

Suprasternal notch located –

Answer 2

between the clavicles

Sternum

Question 3

(Angle of Louis)

Answer 3

Manubriosternal angle

Question 4

Costal angle – usually

Answer 4

90 degrees or less

Question 5

contractility:

Answer 5

ventricles contract during systole

Question 6

common diseases of the heart:

Answer 6

• Congestive heart failure
• Cardiomyopathy
• Arrhythmias
• Coronary artery disease
• Hypertension
• Rheumatic heart disease
• Bacterial endocarditis
• Congenital heart disease

Question 7

Pain from pulmonary, intestinal, gallbladder, or musculoskeletal sources could cause what?

Answer 7

Chest pain

*Cardiac pain should be ruled out

Question 8

Mumur-

Answer 8

• Mid-systolic click followed by a soft grade I murmur that crescendos up to S2
• High pitched

Question 9

Mumur’s are heard best at

Answer 9

apex or left sternal border

Question 10

Different types of tachyarrhythmias:

Answer 10

• sinus tachy
• PSVT
• A.fib
• VTach

Question 11

Fatigue and SOB common complaint with this arrhythmia

Answer 11

bradyarrhythmias

Question 12

Bradyarrhythmias are:

Answer 12

• Normal aging process includes a decrease in heart rate.
• Heart Blocks
• Sinus Node Pathology
• Can lead to HF in the elderly and those with predisposed heart disease.

*can be med induced

Question 13

bradyarrhythmias in the elderly may cause

Answer 13

confusion and/or syncope

Question 14

heard on assessment: a Mid-systolic click followed by a soft sound that crescendos up to S2.

what would this be?

Answer 14

murmur