1. To auscultate the tricuspid valve heart
between the 3rd, 4th,
sounds in an adult patient, place the
5th, and 6th intercostal
stethoscope:
spaces
between the 2nd and 3rd intercostal spaces at the right at the left
lower sternal
upper sternal border. border.
near the apex of the heart between the 5th and
6th intercostal spaces in the mid-clavicular
line.
located between the 2nd and 3rd intercostal
spaces at the left sternal border.
between the 3rd, 4th, 5th, and 6th intercostal
spaces at the left lower sternal border.
between the 2nd and
2. To auscultate the heart sounds arising from the 3rd
pul-
monic valve in an adult patient, place the stethoscope: intercostal
spaces at the
near the apex of the heart between the 5th and s
6th intercostal spaces in the mid-clavicular y
line. s
between the 2nd and 3rd intercostal spaces at t
the right upper sternal border. o
between the 2nd and 3rd intercostal spaces at l
the left sternal border. i
between the 3rd, 4th, 5th, and 6th intercostal c
spaces at the left lower sternal border.
c
3. What heart sounds are heard during l
auscultation of a man with Marfan syndrome i
who has a known mitral valve prolapse? c
An opening k
snap A mid- A flat
, APEA- Cardiovascular Assessment Study Review Test.
blowing pitch left sternal border.
A fourth heart sound (S4)
4. Pulse pressure is determined by subtracting
diastolic blood pressure (DSP) from systolic
blood pressure
A mid-systolic click
the ditterence is >100
mm Hg.
, APEA- Cardiovascular Assessment Study Review Test.
(SBP). A widened pulse pressure means that:
the SBP drops 20 mm Hg within 3 minutes of
standing. the difference is >100 mm Hg.
the DBP is greater than the
SBP. the difference is 40
mm Hg.
angina.
5. A disease that may present as indigestion,
but is pre- cipitated by exertion and relieved by
rest is most likely: gastroesophageal reflux.
inflammatory bowel disease.
angina.
aortic stenosis.
6. A patient complains of some pain in the distal portions Raynaud's
disease.
of her fingers on both hands. She states that
it tends to occur more frequently with exposure
to cold. These symptoms may be consistent
with:
intermittent claudication.
Raynaud's disease.
deep venous thrombosis.
superficial thrombophlebitis.
7. Pain or cramping of the legs that occurs during neck is
exer- tion and is relieved by rest is termed: usually
neurogenic claudication. associated
intermittent claudication. with:
atherosclerotic peripheral vascular disease. angina
Raynaud's disease. pectoris.
8. A sudden, tearing, sharp pain that begins in the
chest and radiates to the back or into the
, APEA- Cardiovascular Assessment Study Review Test.
intermittent claudication.
an aortic dissection.