APNC 521 Cardiac and PVD Questions With Complete
Solutions
@3-4 Correct Answer Normal JVP
<200 Correct Answer Ideal total cholesterol
≥150 min/wk mod intensity, ≥75 min/vigorous intensity, or
cmbn Correct Answer Ideal activity
0.00-0.40 Correct Answer ABI severe disease with critical
stenosis
0.41-.90 Correct Answer ABI mild to moderate disease
0.9-1.3 Correct Answer normal ABI
10% of ischemic strokes & doubles the risk of CHD (many pts
asymptomatic. Correct Answer Carotid artery stenosis causes
_________
120/80 Correct Answer Ideal BP
65-75% Correct Answer normal LV ejection fraction
A-P-T-M Correct Answer Ape to Man
Aortic. - Pulmonic
erbs
Tricuspid
Mitral
,AAA Correct Answer Dreaded consequence - rupture, which is
often fatal (> 5.5 cm).
AAA Correct Answer infrarenal aortic diameter ≥3 cm.
AAA Correct Answer Prevalence > 50 years = 3.9% to 7.2%
men; 1% to 1.3% women.
AAA Correct Answer The strongest risk factors are older age,
male sex, smoking, & FH;
AAA Correct Answer ULTZ screening men 65-75 yrs who
smoked > 100 cigarettes in a lifetime.
ABI Correct Answer Detects stenosis of 50% or more in major
vessels of legs
acute & chronic HF
tricuspid stenosis
chronic pulmonary HTN
superior vena cava obstruction
cardiac tamponade,
constrictive pericarditis Correct Answer An elevated JVP is
highly correlated with _______
Afterload Correct Answer systemic vascular resistance or the
tone arterial vascular system (the resistance the LV pumps out
against)
Allen test Correct Answer compares patency of the ulnar artery
, Allen test Correct Answer ensures patency of the ulnar artery
before puncturing the radial artery for blood samples (ABG). It
is performed prior to radial artery line insertion or
catheterization, because placement of such a catheter often
results in thrombosis.
Allen test Correct Answer patient should rest with hands in lap,
palms up.
Make fist
occlude radial and ulnar arteries
open fist - It should appear blanched (pallor may be observed at
the finger nails).
Ulnar pressure is released while radial pressure is maintained,
and the colour should return within 5 to 15 seconds.
should get color back
Aortic
Pulmonary
Erbs
Tricuspic
Mitral
(the auscultation locations for heart sounds & murmurs) Correct
Answer
Aortic and mitral Correct Answer Left Side heart valves
aortic regurgitation Correct Answer Soft, blowing 3/6
decrescendo diastolic murmur best heard at the lower left sternal
border describes
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