AHN 572 Cardiac Test 2 with 100% correct and verified answers 2024
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Course
AHN 572 Cardiac
Institution
AHN 572 Cardiac
AHN 572 Cardiac Test 2 with 100% correct and verified answers 2024
Stage A: Pt at risk for VHD
Stage B: Pt w progressive VHD (mod to mod) and asymptomatic.
Stage C: Aysmptomatic pt who have reached criteria for severe VHD.
C1: Normal LV function
C2: Abnormal LV function
Stage D: Sympomati...
AHN 572 Cardiac Test 2 with 100%
correct and verified answers 2024
Stage A: Pt at risk for VHD
Stage B: Pt w progressive VHD (mod to mod) and
asymptomatic.
Stage C: Aysmptomatic pt who have reached criteria for
severe VHD.
C1: Normal LV function
C2: Abnormal LV function
Stage D: Sympomatic pts as a result of VHD - Correct
Answer-AHA/ACC VHD Guidelines
Mitral stenosis - Correct Answer-A 75 yof w/ loud S1 and
mid-diastolic murmur. Symptoms: chronic dyspnea 2/4,
fatigue, recent orthopnea and nocturnal palpitation and
pedal edema has what type of valvular HD
- rheumatic fever (40% w/ pure or predominant MS)
- scarring/fusion of valve apparatus
- congenital - rarely
2/3 female - Correct Answer-MS is primarily a result of
Vendarsol
,4-6 cm - Correct Answer-Normal mitral valve area
MVA 1.5-2.5 cm
LAP & CO usually normal
Asymptomatic to mild symptoms - Correct Answer-Mild
mitral stenosis
MVA 1.0 -1.5 cm usually no symptoms at rest - Correct
Answer-Moderate MS
MVA < 1.0 cm
Severe pulm HTN deveolps
Low CO & RHF predominate - Correct Answer-Severe MS
Low diastolic murmur low in pitch w/ increasing duration
throughout diastole
*Best heard @ apex w/ pt in L lateral position - Correct
Answer-MS
Paroxysmal and chronic afib - Correct Answer-With MS
_______ & __________ develops in 50-80% of pts
Vendarsol
,LV diastolic filling. - Correct Answer-In MS HR increases
w/ pulm edema therefore control HR to allow
RHF: Hepatic congestion, JVD, Tricuspid regurg & RAE
RVP overload, RVH, RV failure
Increased Pulm HTN, Pulm congestion, LAE, Afib, LA
thrombi and increased LAP = decreased LV filling - Correct
Answer-MS pathology
Fatigue, palpitations, cough, SOB, LHF (orthopnea & PND)
Afib, systemic emboli, pulm infection, hemoptysis, RHF
(hepatic congestion & edema), and
Worse with conditions that increase CO (exertion, fever,
anemia, tachy, Afib, intercourse, pregnancy, and
thyrotoxicosis) - Correct Answer-MS symptoms
Small volume pulse
Tapping apex
Palpable S1 & S2
+/- palpable OS
RV lift - Correct Answer-Recognizing MS on palpation
Vendarsol
, LAE, Afib or flutter, RVH, and RAD; premature
contractions - Correct Answer-Recognizing MS on EKG
Loud S1 (as loud as S2 in aortic area)
A2 to OS interval inversely proportional to severity
Diastolic rumble: length proportional to severity
Severe MS w/ low flow - S1, OS & rumble may be inaudible -
Correct Answer-Recognizing MS on auscultation
S1 accentuated & snapping
OS after aortic valve closure
Low pitch diastolic rumble at apex
Pre-systolic accentuation (esp if in NSR) - Correct Answer-
MS on physical exam
higher the LAP, LV falls below LAP, and MV opens -
Correct Answer-The more severe the MS the _________ the
LAP, the earlier the _________ falls below the _______ and
the _________ opens
Atrial dysrrhythmias
Systemic emobli (related to age, Afib, & Hx of emboli)
CHF
Vendarsol
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