Cardiovascular - NURS 190 Physical Assessment QUIZ With Complete Solution 2023 UPDATED

Cardiovascular - NURS 190 Physical Assessment QUIZ With Complete Solution 2023 UPDATED Systole correct answers Phase of ventricular contraction Diastole correct answers Phase of ventricular relaxation Systole begins with___ and ends with ___ correct answers Closure of AV valves (S1) Closure of the aortic and pulmonic valves (S2) Diastole begins with ___ and ends with ____ correct answers Closure of the aortic and pulmonic valves (S2) Closure of the AV valves (S1) S3 (ventricular gallop) correct answers -Early diastolic sound from vibrations produced when ventricles fill rapidly. -Occurs when ventricle reaches its elastic limit, causing the blood flow from the atrium to slow rapidly. -Comes shortly after S2 -Sounds like "Kentucky" S3 sound is best heard ? correct answers At the apex with patient in left lateral position. Pathologies associated with presence of S3 sound correct answers Conditions that cause overly compliant left ventricle -Systolic or diastolic ventricular dysfunction -Ischemic heart disease -Tricuspid, mitral, or aortic regurgitation -Volume overload -Hypertension S3 may be normal in individuals ____ correct answers -Children -Young adults -Pregnant females in third trimester S4 (atrial gallop) correct answers -Active atrial contractions that cause late ventricular filling -Sounds like "Tennessee" -Physiologic in children, athletes, or middle-aged adults with thin chest walls. -Pathologic in presence of cardiac disease; CAD, aortic stenosis, HTN, aortic obstruction. S4 best heard correct answers At apex in left lateral position with bell Pathologies associated with S4 correct answers Any condition that creates a noncompliant left ventricle -Ventricular hypertrophy -Acute MI -Angina -Ventricular aneurysm. Clicks and snaps heard in patients with correct answers valvular disease Opening snap heard in correct answers mitral stenosis Ejection clicks heard in correct answers damaged pulmonic and aortic valves Non-ejection clicks heard in correct answers prolapse of mitral valve Friction rub results from correct answers inflammation of pericardial sac. Heart murmurs correct answers Blowing sounds caused by disruption of blood flow Main coronary arteries (4) correct answers 1. Left main coronary artery 2. Right coronary artery 3. Left anterior descending coronary artery 4. Circumflex coronary arteries. Murmur grading scale correct answers I-Barely Audible II-Quiet, Clearly Audible III-Moderately Loud IV-loud, thrill V-Very loud, can palpate thrill