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NU650 Bates Cardiovascular and Peripheral vascular Assessment test fully solved 2024
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NU650 Bates Cardiovascular and Peripheral vascular Assessment test fully solved 2024
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NU650 BatesCardiovascular and
Peripheral vascular
Assessment test fully
solved 2024
Point of maximal impulse (PMI) (Apical impulse) - answer
Where heartbeat is best palpable on chest wall; 5th
intercostal space, midclavicular line
PMI >2.5 cm - answer Evidence of left ventricular
hypertrophy from hypertension or aortic stenosis
Displacement of the PMI lateral to the midclavicular line or
greater than 10cm lateral to the midsternal line suggests:
- answer Left ventricular hypertension
Ventricular dilation from MI or heart failure
atrioventricular valves - answer mitral and tricuspid
semilunar valves - answer pulmonary and aortic
, S1 heart sound - answer closure of AV valves (mitral and
tricuspid)
Systolic blood pressure - answer Normally corresponds
with maximal left ventricular pressure
S2 heart sound - answer closure of aortic and pulmonic
valves during diastole; best heard at left 2nd/3rd ICS
Mitral stenosis murmur - answer disastolic rumble at apex
and/or opening snap
S3 heart sound - answer In children and YA may arise from
rapid deceleration of column of blood against the
ventricular wall
In older adults usually indicates a pathologic change in
ventricular compliance
S4 heart sound - answer Not often heard in normal adults
Marks atrial contraction
Right sided cardiac events usually occur - answer slightly
later than left sided
Aortic valve sound location - answer 2nd intercostal space,
right sternal border
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