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38 Cards in this Set

  • Front
  • Back
JVP depends on ____
blood volume and right heart function
how do you measure the JVP
measure height (cm) of pulsation in IJV from strernal angle and add 5cm
what is abnormal JVP
>4cm above sternal angle (>9cm above right atrium)
How do you measure AJR?
push on belly, neck veins go up: pos: if viens stay up with normal breathing
neg: if veins go normal once breathing returns to normal.
What does positive AJR mean?
Positive AJR indicates elevated left sided filling pressures (CHF)*
"waves" of JVP
a - right atrial contraction,
c - artifact caused by carotid upstroke,
v - increased right atrial pressure with closure of the tricuspid valve
increased JVP a-waves?
increase right atrial force (RV hypertrophy due to pulmonary hypertension)
cannon a-waves of JVP?
PVCs with pulmonary hypertension
prominent x-descent of JVP?
(cardiac tamponade, atrial septal defect (ASD), RV overload)
prominent JVP v-wave?
tricuspid regurgitation
what is the innominate artery?
brachial artery off of aortic arch.
info gathered from exam of carotid artery (3)
1- Amplitude of the pulse
2- Contour of the pulse
3- Presence or absence of bruits
Tf, T1, T2, Ti, and Tt of the Carotid pulse
foot, first shoulder, secnond shoulder, incisura, duration (time)
condition causing:
Increased magnitude of carotid pulse excursion
Aortic regurgitation
condition causing:
Prolongation of the ejection period with delayed propagation and slower upstroke
Aortic stenosis
condition causing:
- LV ejects most of the blood during the 1st ½ of systole
- Rapid upstroke
Hypertrophic Cardiomyopathy
? pulsation of the left ventricle as it moves anteriorly during contraction and touches the chest wall ?
what parameters of PMI should you note?
location, diameter, amplitude and duration
normal location of PMI
mid clavicular line at 4-6 rib space
normal diameter of PMI
normal amplitude of PMI
brisk and tapping
normal duration of PMI
1/2 -2/3 of systole
PMI displaced laterally correlates with _________
PMI displaced medially can indicate _________
chronic lung disease
Increased amplitude may reflect hyperthyroidism, anemia, aortic stenosis or ____________
mitral regurgitation
Sustained impulse indicates possible _____________
ventricular hypertrophy
hyperthyroidism may cause what PMI anomaly?
Increased amplitude
anemia may cause what PMI anomaly?
Increased amplitude
chronic lung disease may cause what PMI anomaly?
PMI displaced medially
Generally, the aorta should be no larger than _____ wide.
3 cm
(test question)
Most common cause of AAA is ___________
Most common site of AAA is _________________
below the renals and above the common iliacs
Gender most likely with AAA
Usually asymptomatic
Unexplained hypotension
Sudden onset of abdominal or back pain
Pulsatile tender mass
Decreased _____________
or absent distal pulses
test ordered for suspicion of acute AAA
Abdominal ultrasound
test ordered to follow a chronic AAA
abdominal CT
Most common site of abdominal bruits is _________
over the renal arteries
Renal artery bruits in the setting of hypertension warrants an evaluation for possible ________