P-5. Epigastric pulsation can be caused by: (select one or more) 1) hepatic pulsation 2) pulsation of a hypertrophic right ventricle 3) pulsation of a hypertrophic left ventricle 4) pulsation of a. abdominalis 5) pulsation of a hypertrophic right atrium - ANSWERhepatic pulsation, pulsation of hyper...
P-1.The second heart sound above the aortic valvs in case of aortic stenosis usually is: A) Increased B)
Weakened C) Normal D) Split - ANSWERweakened
P-2. The first loud tone at the heart apex is more typical for: A) Mitral stenosis B) Mitral regurgitation
C) Aortic stenosis D) Aortic regurgitation E) Arterial hypertension - ANSWERmitral stenosis
P-5. Epigastric pulsation can be caused by: (select one or more) 1) hepatic pulsation 2) pulsation of a
hypertrophic right ventricle 3) pulsation of a hypertrophic left ventricle 4) pulsation of a. abdominalis
5) pulsation of a hypertrophic right atrium - ANSWERhepatic pulsation, pulsation of hypertrophic
right ventricle, pulsation of a abdominalis
P-6. Pulsation at the 2nd intercostal space to the right of the sternum originates from: A) right
ventricle; B) aorta; C) a. subclavia dx.; D) right atrium - ANSWERaorta
P-7. Apex beat displaced downwards and to the left is typical for: A) dilatation of the left ventricle; B)
hypertrophy of the right ventricle; C) hypertrophy of the left atrium; D) hypertrophy of the right
atrium - ANSWERdilatation of left ventricle
P-3. Facies Corvisart is typical for: A) hepatic failure; B) Myxoedema; C) Peritonitis; D) heart failure; E)
vitamin B12 deficiency anaemia - ANSWERheart failure
P-4. Apex beat is intensified due to: A) left ventricle hypertrophy; B) right ventricle dilatation C) right
ventricle dilatation and hypertrophy D) right atrium dilatation and hypertrophy - ANSWERleft
ventricle hypertrophy
P-8. Apex beat displaced to the left is typical for: A) hypertrophy of the left ventricle; B) severe
dilatation of the left ventricle; C) severe hypertrophy of the left atrium; D) severe hypertrophy of the
right atrium - ANSWERhypertrophy of left ventricle
,P-9. Apex beat is not displaced to the left and downwards in case of: A) mitral stenosis B) aortic
regurgitation C) arterial hypertension D) myocarditi - ANSWERmitral stenosis
P-10. Pulsus irregularis is: A) pulse waves of different volume B) irregular pulse waves C) different
pulse in symmetric arteries D) pulse waves of different peaks - ANSWERirregular pulse waves
P-11. Pulsus inaequalis is: A) different pulse in symmetric arteries B) pulse of different amplitude in
the artery C) irregular pulse - ANSWERpulse of different amplitude in artery
P-12. Pulsus paradoxus is when: A) the pulse disappears on inhalation B) the pulse disappears on
exhalation C) there is no standardization of the fullness degree D) no standardization for the
alteration of rate - ANSWERpulse disappears on inhalation
P-13. Pulsus alternans is typical for: A) heart failure B) heart tamponade C) hypertrophic obstructive
cardiomyopathy - ANSWERheart failure
P-14. Pulsus alternans is classified as such when: A) every second pulse wave disappears B) pulse
waves of normal amplitude interchange with waves of a lower amplitude C) pauses of normal
duration interchange with prolonged pauses D) amplitude increases on a. radialis sinistra during
exhalation, whereas during inhalation amplitude increases on a. radialis dextra - ANSWERpulse
waves of normal amplitude interchange with waves of a lower amplitude
P-15. Pulsus filiformis is typical for: A) Shock B) right ventricle failure C) aortic regurgitation -
ANSWERshock
P-16. Pulsus celer et altus is typical for: A) mitral regurgitation B) aortic regurgitation C) aortic ostium
stenosis D) tricuspid stenosis E) pulmonary stenosis - ANSWERaortic regurgitation
P-17. Pulse pressure is increased in case of: A) aortic opening stenosis B) aortic regurgitation C) mitral
regurgitation D) tricuspid regurgitation E) pulmonary regurgitation - ANSWERaortic regurgitation
P-18. Pulsus filiformis is typical for: A) aortic ostium stenosis B) arterial hypertension C) blood loss D)
mitral stenosis E) mitral regurgitation - ANSWERblood loss
P-19. The auscultation point of mitral valve is: A) the 5th intercostal space, 1 cm medially from l.
medioclavicularis sin. B) the lowest part of the sternum C) the attachment place of processus
,xyphoideus and sternum D) the 4th intercostal space to the right of the sternum - ANSWER5th
intercostal space, 1 cm medially from l medioclavicularis sin
P-20. The auscultation points of aortic valve are: A) the 2nd intercostal space to the right of the
sternum B) the 2nd intercostal space to the left of the sternum C) Erb's point D) the lowest third of
the sternum - ANSWERA, C
P-21. The auscultation points of pulmonic valve is: A) the 3rd intercostal space by the left border of
the sternum B) the connection point of the 4th right rib and the sternum C) the middle third of the
sternum D) the lower third of the sternum E) processus xyphoideus F) The 2nd intercostal space by
the left border of the sternum G) The 5th intercostal space by the left border of the sternum -
ANSWER2nd intercostal space by left border of sternum
P-22. The auscultation points of pulmonicc valve is: A) Erb's point B) The 3rd intercostal space to the
right of the sternum C) The 2nd intercostal space to the left of the sternum D) The 2nd intercostal
space to the right of the sternum E) The 3rd intercostal space to the right of the sternum -
ANSWER2nd intercostal space to left of sternum
P-23. Aortic accentuation of the II sound is when: A) the IInd sound at the aorta is louder than the
IInd sound at tr. Pulmonalis B) The IInd sound at the aorta is louder than the Ist sound at the aorta C)
The IInd sound at the aorta is louder than the Ist sound at the apex D) indicates hypertension in the
large circuit E) indicates hypertension in the small circuit The right answer is: 1) A 2) B 3) C 4) A, D 5)
B, E 6) C, E - ANSWERA, D
P-24. Pulmonary accentuation of the II sound is: A) when the IInd sound at tr. pulmonalis is louder
than the IInd sound at the aorta B) when the IInd sound at tr. pulmonalis is louder than the Ist sound
at tr. pulmonalis C) when the IInd sound at tr. pulmonalis is louder than the Ist sound at the tricuspid
valve D) indicative of hypertension of the small circuit E) indicative hypertension of the large circuit -
ANSWERB, D
P-25. S2 accentuation at the aorta is not typical for: A) primary arterial hypertension B) nephritic
syndrome C) aortic atherosclerosis D) aortic coarctation E) mitral stenosis - ANSWERmitral stenosis
P-26. Audible S3 in a patient of age 40 or older year indicates: A) ventricular systolic dysfunction B)
nothing, it can be physiological C) bentricular diastolic dysfunction D) increased contractility of
myocardium - ANSWERventricular systolic dysfunction
, P-27. S4 can be heard, if: A)ventricular myocardial diastolic function - relaxation - is disturbed B) atrial
contraction is intensified C) ventricular contraction is intensified - ANSWERventricular myocardial
diastolic function - relaxation - is disturbed
P-28. Mesosystolic click is audible in case of: A) mitral stenosis B) organic mitral regurgitation C)
mitral valve prolapse - ANSWERmitral valve prolapse
P-29. Murmur audible in the beginning of systole is called: A) Protosystolic B) Mesosystolic C)
Telesystolic D) Holosystolic E) Pansystolic - ANSWERprotosystolic
P-30. Murmur audible in the middle of systole is called: A) Protosystolic B) Mesosystolic C)
Telesystolic D) Holosystolic E) Pansystolic - ANSWERmesosystolic
P-31. Murmur audible at the end of systole is called: A) Protosystolic B) Mesosystolic C) Telesystolic
D) Holosystolic E) Pansystolic - ANSWERtelesystolic
P-32. Murmur audible throughout the whole systole is called: A) Protosystolic B) Mesosystolic C)
Telesystolic D) Holosystolic - ANSWERholosystolic
P-33. Murmur audible in the beginning and in the middle of systole is called: A) Protosystolic B)
Mesosystolic C) Telesystolic D) Holosystolic E) protomesosystolic - ANSWERprotomesosystolic
P-34. Murmur of a gradually increasing pitch is called: A) Crescendo B) Decrescendo C) crescendo-
decrescendo (diamond-shaped) D) lentiform - ANSWERcrescendo
P-35. Murmur of a gradually reducing pitch is called: A) Crescendo B) Decrescendo C) crescendo-
decrescendo (diamond-shaped) D) lentiform - ANSWERdecrescendo
P-36. Murmur of a pitch which increases in the beginning of the heart cycle but then reduces is
called: A) Crescendo B) Decrescendo C) crescendo-decrescendo (diamond-shaped) D) lentiform -
ANSWERcrescendo-decrescendo
P-37. Murmur of a constant pitch is called: A) Crescendo B) Decrescendo C) crescendo-decrescendo
(diamond-shaped) D) lentiform - ANSWERlentiform
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