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58 Cards in this Set
- Front
- Back
Soft decrescendo diastolic murmur is heard in?
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Aortic insufficiency
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A carotid bruit is heard when?
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Arterial narrowing or aortic murmurs are present
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S1 dec'd in?
S2 dec'd in? |
1st degree HB
Aortic stenosis |
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Aortic stenosis, patent ductus arteriosis, or ventral septal defects may produce?
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Bruits/thrills that are harsh,loud,or rumbling
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Heart on the right side, same as liver?
Heart on right side, liver on left, stomach on right? |
Dextrocardia
Situs inversus |
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Displaces PMI upward and leftward?
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Pregnancy or high diaphragm
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Displaces PMI laterally?
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CHF,cardiomyopathy, ischemia, deformities, or mediastinal shift
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Diamter >3 cm of PMI in LLD position is indicative of?
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LVH
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Hyperthyroidism, mitral regurg, aortic stenosis, and anemia may increase?
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Amplitude
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Dilated cardiomyopathy results in a decreased?
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Amplitude
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Brief mid-diastolic impulse?
Impulse prior to systolic beat? |
s3
S4 |
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Inc'd amplitude w/o change in duration, overloaded vol. in right ventricle caused from?
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aortic septal defect
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Inc'd amplitude w/ change in duration, overloaded vol. in right ventricle caused from?
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Pulmonic stenosis or HTN
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If hyperinflated lung prevents palpation of enlarged RV, palpate where?
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epigastrium
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Dilatation or inc'd flow over pulmonic artery or pulmonic HTN may cause?
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Palpable S2
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Palpable S2 over Right 2nd interspace means?
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Systemic HTN
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Hypokinetic heart displaced to the left means?
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Heart failure
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Large pericardial effusions make impulse what?
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Undetectable
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Expiratory splitting suggests?
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Abnormality
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Delayed closure of pulmonic valve or early closure of aortic valve?
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Persistant splitting
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Loud P2?
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Pulm. Htn
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Systolic click?
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Mitral valve prolapse
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Murmur coincides with carotid upstroke?
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systolic
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Murmur over semilunar valves?
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mid-systolic
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Murmur of regurgitant flow over Av valves?
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pan-systolic
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Murmur heard with MVP?
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late systolic, click
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Regurgitant flow over semilunar valves make what murmur?
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Early diastolic
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Murmur with turbulent flow over AV valves?
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Mid-diastolic or early systolic
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Starts in systole, thru S2, and maybe into diastole. Seen with patent ductus arteriosis.
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Continuous murmur
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Murmur with systolic or diastolic components?
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friction rub
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cresecendo murmur heard in?
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MS
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decrescendo murmur heard in?
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AR
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crescendo-decrescendo murmur heard in?
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AS or innocent flow murmur
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plateau murmur heard in?
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MR
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Exertional CP with radiation to the left side of neck and down arm?
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angina pectoris
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Sharp pain radiating into the back or into neck?
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Aortic dissection
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Irregularly, irregular, can be identifable at bedside?
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Atrial fibrillation
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Rapid regular beating of sudden onset and offset?
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Paroxysmal supraventricular tachycardia
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Uncomfortable awareness of breathing that is ain appropriate to a given level of exertion
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dyspnea
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Pt lying down and improves when the pt sits up, seen in LVFH,MS, obstructive lung diseases.
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Orthopnea
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Sudden dyspnea and orthopnea that awaken a pt from sleep, also seen in pts with LVHF, MS, mimicked by nocturnal asthma attacks.
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PND
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Accumulation of excessive fluid in interstitial spaces
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Edema
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Type of edema in lower body parts?
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Dependent edema
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CHF, hypoalbuminemia, nephrotic syndrome, ascites, liver failure may cause this?
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edema
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NL distance that sternal angle is above the right atrium?
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5 cm
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Right sided CHF, constrictive pericarditis, tricuspid stenosis, and superior vena cava obstruction causes?
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JVP
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Elevation of JVP on expiration is seen in?
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Obstructive lung diz
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Above normal findings of distance above the sternal angle in JVPs?
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> 3-4 cm
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Above normal finding of distance above right atrium in JVPs?
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> 8-9 cm
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Local kinking or obstruction causes what to the external jugular vein?
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unilateral distention
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Prominent A waves are seen in/
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MS, hypertrophic right ventricle
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Larger V waves are caused by?
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tricuspid regurgitation
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Tortuous or kinked carotid artery causes?
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Unilateral pulsation
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Dec's stroke volume, artherosclerosis causes what to the carotids?
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Dec'd pulsations
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Small thready weak pulse in?
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Cardiogenic shock
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Bounding pulse seen in?
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Aortic insufficiency
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Delayed carotid upstroke seen in?
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Aortic stenosis
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Bigeminal pulse, paradoxical pulse seen in?
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Pulsus alternans
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