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CVRN Exam Comprehensive Study List With 100% Correct And Verified Answers 2024
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CVRN Exam Comprehensive Study List With 100% Correct And Verified Answers 2024
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CVRN Exam Comprehensive Study ListWith 100% Correct And Verified Answers
Normal and abnormal jugular venous
pressures - Correct Answer-JVD >5cm
abnormal
May be caused by:
- RV failure
- Cardiac tamponade
- Constrictive pericarditis
- SVC obstruction
- Increased thoracic pressure (PEEP,
coughing)
Assessing mental acuity of chest pain patient
- Correct Answer-A/O x4?
- Alertness
- Orientation
- Clarity of speech
- Ability to follow commands
- Anxiety/restlessness
- Different than before
Physical appearance of chest pain patient -
Correct Answer-- Struggling
- Diaphoretic
- Dyspnea
- Skin color
Vendarsol
,- Posture: sitting upright, unwilling to lie
down, hand motions toward chest
Identify the components of a routine
inspection of chest pain patient - Correct
Answer-Check fingertips + nail beds for:
- cap refill within 3 seconds
- clubbing of fingers
Head + neck for:
- xanthoma (fatty streaking visible just under
the skin)
- corneal arcus (grayish ring around the eyes)
JVD for distention
Abdominal jugular test or reflux
- positive result = sustained rise > 3cm or fall
> 4cm after releasing pressure
Identify a normal resting pulse pressure -
Correct Answer-40 mmHg
Dose a widened pulse pressure increase risk
of cardiovascular disease? - Correct Answer-
Yes
Widened pulse pressure = indicator of
increased cardiovascular risk
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,Equate 4mm of moderate indentation that
takes 10-15 seconds to disappear with how
much pitting edema is present - Correct
Answer-2+ pitting edema
Listening to the right lobe of the lung -
Correct Answer-3 LOBES
*RLL cannot be assessed from the anterior chest
*RML can only be assessed from the anterior chest
Listening to the left lobe of the lung - Correct Answer-2 LOBES
*LLL cannot be auscultated from the anterior chest
Types of sounds we listen to with the bell of the stethoscope -
Correct Answer-Low-pitched sounds + murmurs (S3, S4)
Mitral + tricuspid diastolic rumbles
S1, S2 as well
Apply to chest wall w/ minimal pressure
Types of sounds we listen to with the diaphragm of the
stethoscope - Correct Answer-High-pitched sounds (S1, S2)
Ejection clicks
Opening snaps
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, Murmurs produced by stenotic valves
Press against slim firmly to get the best sound effect
Where to listen to the aortic valve - Correct Answer-2nd
intercostal space, RSB
Where to listen to the mitral valve - Correct Answer-5th intercostal
space, left midclavicular line = apex
Where to listen to the pulmonic valve - Correct Answer-2nd
intercostal space, LSB
Where to listen to the tricuspid valve - Correct Answer-5th
intercostal space, LSB
Valves open in ventricular systole and in diastole - Correct
Answer-Semilunar valves
Mitral + tricuspid valves CLOSE
Anatomic event coinciding with S1 - Correct Answer-Closure of
MITRAL + TRICUSPID valves
Ventricular systole
Anatomic event coinciding with S2 - Correct Answer-Closure of
AORTIC + PULMONIC valves
Usually the loudest heart sound
What produces the second heart sound - Correct Answer-Closure
of AORTIC + PULMONIC valves
Vendarsol
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