If the jugular pulse rises >4 cm above the sternum, what test should be performed? - Hepatojugular reflex test
what is a positive hepatojugular reflex test? - Jugular pulse rises >1 cm
what does a positive hepatojugular reflex test indicate? - possibe liver problems
what does a jugul...
CPE Exam 1 QUESTIONS AND ANSWERS
If the jugular pulse rises >4 cm above the sternum, what test should be performed? - Hepatojugular reflex test
what is a positive hepatojugular reflex test? - Jugular pulse rises >1 cm
what does a positive hepatojugular reflex test indicate? - possibe liver problems
what does a jugular pulse >4 cm above the sternum mean? - Increased right atrial and ventricular pressure
Possible valve dz
Possible increased pulmonary pressure
what is a small pulse called? - Pulsus parvis
what is a delayed pulse called? - Pulsus tardis
what causes pulsus tardis? - aortic stenosis
what is a large pulse? - Pulsus magnus
what causes pulsus magnus? - Running
Hypertension
what is a pair of pulses with a long pause in between? - bigeminal pulse
what are triplet pulses with a long pause in between? - trigeminal pulse
what is a strong pulse followed by a weak beat? - pulsus alternans
what causes pulsus alternans? - CHF
what is a pulse with a bifid upstroke? - Bisferiens pulse
where is bisferiens pulse mc found? - Carotid
Brachial
what causes bisferiens pulse? - Stenosis
Regurgitation problem
What is water hammer pulse aka? - Corrigan's pulse
what is a pulse with a large amplitude that falls off rapidly? - water hammer pulse
what type of pulse has increased amplitude with exhalation? - paradoxical pulse what causes paradoxical pulse? - pericarditis
what are the 6 observed areas of the thorax? - Sternoclavicular area
Aortic area
Pulmonic area
Precordial area
Apical area
Epigastric area
what are the two thoracic areas where a thrust (impulse) might be present? - Apical area
Epigastric area
A thrust in the aortic area might be seen in who? - Kids or thin adults
What is heard during S1? - Systole
Closure of tricuspid and mitral valves
where is S1 best heard? - Apex
what is heard during S2? - Diastole
Closure of aortic and pulmonic valves
where is S2 best heard? - Base
what is the slight delay between aortic and pulmonic valve closure that is noticeable during INSPIRATION, goes away on expiration? - Physiological split of S2
What are the two types of murmurs? - Innocent
Crescendo
what type of murmur is produced by normal cardiac events? - Innocent
What type of murmur increases in intensity and suddenly ceases? - Crescendo
What is the incidence of htn in US adults? - 25%
What is htn defined as? - 140/90
what is the number 1 reason pts see a healthcare provider? - HTN
how is stage I htn defined? - 140-159/90-99
how is stage II htn defined? - 160-179/100-109
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