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AHN 568 Exam 2 Cardiac Assessment with Questions and Answers| Latest Update
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AHN 568 Exam 2 Cardiac Assessmentwith Questions and Answers| Latest
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A patient is recovering from an acute MI. You discover a new holosystolic murmur heard
loudest at the left 5th ICS midclavicular line that radiates to the left axillae. You identify this
murmur as _________ and suspect ________? - ✔✔mitral regurgitation
ruptured papillary muscles
A patient with a known history of mitral regurgitation has developed a thrill in the apical
area and is loud upon auscultation. You document his murmur as a grade ???
- II
- III
- IV - ✔✔IV - at grade four the murmur is loud and associated with a thrill.
Mitral regurgitation occurs during which state of the cardiac cycle. Systole or Diastole?
- ✔✔Systole
Which extra heart sound would you expect to hear with mitral regurgitation? - ✔✔S3
Murmurs of which valve will intensify during inspiration?
- tricuspid
- pulmonic
, - mitral
- aortic - ✔✔tricuspid
Suspect this murmur in a patient with Marfan syndrome. - ✔✔Aortic regurgitation
A patient with long standing COPD will most likely suffer from right or left sided heart failure?
- ✔✔right sided due to pulmonary HTN. AKA: Cor Pulmonale
To measure JVD the patient must be sitting at a _____ degree angle. - ✔✔45
The anatomic landmark on the chest that is used to measure JVD. - ✔✔Angle of Louis
The highest distance from the highest IJ pulsation from the angle of Louis is added to ___ cm. -
✔✔5
Normal CVP is - ✔✔7-9 cm
The _______ reflex can be used to accentuate pulsations of the IJ. Do not apply pressure for
more than ___ seconds. - ✔✔hepatojugular
10
Having the patient sit up and exhale will intensify the sound of murmurs from which valve?
- Tricuspid
- Pulmonic
- Mitral
- Aortic - ✔✔Aortic
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