TEST BANK FOR Evidence-Based Physical Examination Best Practices for Health & Well-Being Assessment 2nd Edition
Evidence Based Physical Examination Best Practices for Health and Well Being Assessment 1st Edition 9780826164537
Evidence Based Physical Examination Best Practices for Health and Well Being Assessment 1st Edition 9780826164537 | All Chapters with Answers and Rationals
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Test Bank for Evidence Based Physical Examination Best
Practices for Health and Well Being Assessment 1st Edition
9780826164537 | All Chapters with Answers and Rationals
Where should you stand when inspecting a pt in the CV exam? - ANSWER: Right side
What do you use tangential light for? - ANSWER: Apical impulse
What can an epigastric impulse indicate (may be WNL)? - ANSWER: Abdominal aortic aneurysm
What imaging can be performed to evaluate for AAA? (2) - ANSWER: US
Echo
What do you palpate for with your finger pads? - ANSWER: Pulsations
What do you palpate for with your MCPs? - ANSWER: Thrills
What murmurs are thrills associated with? (3) - ANSWER: AS
PDA
VSD
Locations for palpation (4) - ANSWER: Aortic area
Pulmonic area
Right ventricular
Left ventricular
What causes the apical impulse? - ANSWER: During contraction, the heart folds in on itself and twists
and hits the chest wall
Location of apical impulse - ANSWER: 5th ICS, MCL, 7-9 cm from MSl
Causes of increased amplitude (3) - ANSWER: Anxiety
Hyperthyroidism
Severe anemia
Cardiac hypertrophy - ANSWER: Increased thickness of wall
PE findings for cardiac hypertrophy (2) - ANSWER: Stronger impulse in the right location
Increased amplitude
Cardiac dilation - ANSWER: Expansion of the chamber size
PE findings for cardiac dilation - ANSWER: Impulse located more laterally and may be weaker
What does pregnancy cause in the heart? - ANSWER: Elevated apical impulse
What does COPD cause in the heart and why? - ANSWER: Vertical heart because it is tethered to the
diaphragm by central tendon
, Events in what side of the heart occur first? - ANSWER: Left
What type of pitches can you hear with the diaphragm? - ANSWER: High pitch
What type of pitches can you hear with the bell? - ANSWER: Low pitch
What specific pitches can you hear with the diaphragm better? (7) - ANSWER: S1
S2
AR
MR
PFR
OS
AS
What specific pitches can you hear with the bell better? - ANSWER: S3
S4
MS
Positions to use to increase auscultation (4) - ANSWER: Leg lifting
Straining valsalva
Left lateral decubitus
Sit up and lean forward with exhale using diaphragm
What murmurs does leg lifting increase? - ANSWER: All murmurs except mitral valve prolapse and
hypertrophic obstructive cardiomyopathy
What volume does leg lifting increase? - ANSWER: Left ventricular volume due to increased venous
return
What volume does straining valsalva decrease? - ANSWER: Decreases left ventricular volume due to
decreased venous return
What murmurs does straining valsalva decrease? - ANSWER: All murmurs except MVP and HOCM
What sounds does left lateral decubitus increase? (4) - ANSWER: S3
S4
MS
MR
What murmurs does sitting up and leaning forward using a diaphragm increase?(2) - ANSWER: Aortic
Pulmonic
What valves close and sounds do ventricular contraction cause? - ANSWER: Mitral and tricuspid close,
creates S1
Blood flows through which arteries during ventricular contraction - ANSWER: Aorta and pulmonary
arteries
What pulse is S1 timed with? - ANSWER: Carotid
Where is S1 heard loudest? - ANSWER: Apex
What valves close during S2? - ANSWER: Aortic and pulmonic
Where does the blood travel during S2? - ANSWER: Atrium to the ventricles
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