AHN 568 Exam 2 Cardiac Assessment-
Questions & Answers
A patient with long standing COPD will most likely suffer from right or left sided heart
failure? Correct Ans-right sided due to pulmonary HTN. AKA: Cor Pulmonale
To measure JVD the patient must be sitting at a _____ degree angle. Correct Ans-45
The anatomic landmark on the chest that is used to measure JVD. Correct Ans-Angle of Louis
The highest distance from the highest IJ pulsation from the angle of Louis is added to ___
cm. Correct Ans-5
Normal CVP is Correct Ans-7-9 cm
The _______ reflex can be used to accentuate pulsations of the IJ. Do not apply pressure for
more than ___ seconds. Correct Ans-hepatojugular
10
Having the patient sit up and exhale will intensify the sound of murmurs from which valve?
- Tricuspid
- Pulmonic
- Mitral
- Aortic Correct Ans-Aortic
A patient's echocardiogram shows a large amount of calcification on their aortic valve. During
your physical assessment you expect to auscultate which murmur?
- Aortic Regurgitation
, - Aortic Stenosis
- Summation gallop
- friction rub Correct Ans-Aortic Stenosis - commonly occurs in elderly patients.
This murmur is caused by bacterial endocarditis especially from IV drug abusers. Correct Ans-
Tricuspid regurgitation
Left ventricular hypertrophy is mostly likely associated with which systolic murmur?
- Aortic Stenosis
- Pulmonic Stenosis
- Tricuspid Regurgitation Correct Ans-Aortic Stenosis
A patient with LV hypertrophy will have a PMI that is displaced
- laterally
- medially
- upward Correct Ans-Laterally. It may also be displaced downward.
During you assessment of a patient you notice that the PMI is absent even in the left lateral
recumbent position. Heart sounds are also distant. This could indicate:
- Pleural or pericardial fluid
- myocardial infarction
- congestive heart failure
- pneumonia Correct Ans-Pleural or pericardial fluid
A palpable murmur is also called a
- life
- heave
Questions & Answers
A patient with long standing COPD will most likely suffer from right or left sided heart
failure? Correct Ans-right sided due to pulmonary HTN. AKA: Cor Pulmonale
To measure JVD the patient must be sitting at a _____ degree angle. Correct Ans-45
The anatomic landmark on the chest that is used to measure JVD. Correct Ans-Angle of Louis
The highest distance from the highest IJ pulsation from the angle of Louis is added to ___
cm. Correct Ans-5
Normal CVP is Correct Ans-7-9 cm
The _______ reflex can be used to accentuate pulsations of the IJ. Do not apply pressure for
more than ___ seconds. Correct Ans-hepatojugular
10
Having the patient sit up and exhale will intensify the sound of murmurs from which valve?
- Tricuspid
- Pulmonic
- Mitral
- Aortic Correct Ans-Aortic
A patient's echocardiogram shows a large amount of calcification on their aortic valve. During
your physical assessment you expect to auscultate which murmur?
- Aortic Regurgitation
, - Aortic Stenosis
- Summation gallop
- friction rub Correct Ans-Aortic Stenosis - commonly occurs in elderly patients.
This murmur is caused by bacterial endocarditis especially from IV drug abusers. Correct Ans-
Tricuspid regurgitation
Left ventricular hypertrophy is mostly likely associated with which systolic murmur?
- Aortic Stenosis
- Pulmonic Stenosis
- Tricuspid Regurgitation Correct Ans-Aortic Stenosis
A patient with LV hypertrophy will have a PMI that is displaced
- laterally
- medially
- upward Correct Ans-Laterally. It may also be displaced downward.
During you assessment of a patient you notice that the PMI is absent even in the left lateral
recumbent position. Heart sounds are also distant. This could indicate:
- Pleural or pericardial fluid
- myocardial infarction
- congestive heart failure
- pneumonia Correct Ans-Pleural or pericardial fluid
A palpable murmur is also called a
- life
- heave
