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25 Cards in this Set
- Front
- Back
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What is a common error when examining the heart?
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listening first
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What is proper heart exam sequence?
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inspection, palpation, percussion, auscultation
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As a patient sits up their apical impulse becomes more prominent. What is going on?
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nothing this is normal the heart is just closer to the anterior wall
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Is a visible apical impulse in the supine position normal?
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probably not, there may be a problem
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What does an absent apical impulse in the left lateral recumbent position and faint heart sounds suggest?
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pleural or pericardial fluid is present
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A lift along the left sternal border may indicate?
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right ventricular hypertrophy
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Displacement of the apical impulse to the right without gain or loss of function may indicate what?
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dextrocardia, diaphragmatic hernia, distended stomach or pulmonary abnormality
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What is a thrill?
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a fine, palpable rusihing vibration a palpable murmur that is not always over the base of the heart at the right or left IC space
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What does a palpable thrill indicate?
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defect in closure of one of the semilunar valves, pulmonary HTN, or atrial septal defect
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The carotid pulse is synchronous with what heart sound?
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S1
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Can a grade III murmur be felt?
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no... has to be grade IV or higher
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A palpable thrill in the suprasternal notch or right 2nd and 3rd IC spaces during systole is likely what?
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aortic stenosis...
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A palpable thrill in the suprasternal notch or left 2nd and 3rd IC spaces during systole is likely what?
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pulmonic stenosis
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If there is a thrill felt in the 4th IC space what might this be?
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VSD
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A thrill at the apex may indicate what?
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mitral regurgitation
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A thrill at the left lower sternal border may indicate?
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tetralogy of falot
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A thrill that radiates and begins in the left sternal border may indicate what?
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patent ductus arteriosus
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A thrill that occurs during diastole in the right sternal border may be what?
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aortic regurgitation or acending aortic aneurysm
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During a diastole a thrill is heard at the apex. What is it?
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mitral stenosis
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Compared to the left side of the heart the right side enlarges in what direction?
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AP
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Having the patient lean forward and hold breath in exhalation is best to listen for what?
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high pitched murmurs
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What are you listening for in the left lateral recumbent position?
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low-pitched filling sounds in diastole with the bell
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The bell is used when the patient is in what position?
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left lateral recumbent
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when would you listen to someone in the right lateral recumbent position?
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if they had dextrocardia
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Where is 2nd pulmonic sound listened at?
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left 3rd IC space
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