Advanced Health Assessment Exam 2 complete Questions and Answers

Advanced Health Assessment Exam 2 complete Questions and Answers Holosystolic murmur heard best at Apex, may transmit to axilla and sternum. - Ans Mitral Regurgitation Symptoms of Mitral regurgitation - Ans may be asymptomatic for decades, then SOB, Fatigue, HF What increases the murmur of Mitral regurgitation, what decreases the murmur? - Ans Decrease murmur = stand up Increase murmur = clench fist Common causes of mitral regurgitation - Ans Congenital abnormality, Rheumatic Heart disease, acute endocarditis, Chordae tendinae dysfunction... Mid-systolic grade II-III/VI, best heard between L. sternal border and apex. - Ans physiologic murmur - specifically "Still's Murmur" (usually ages 3-6) Harsh, crescendo-decrescendo systolic murmur best heard at right sternal border. Can radiate to the neck - Ans Aortic Stenosis What are the common symptoms of Aortic Stenosis - Ans Chest pain, syncope, exercise intolerance, dyspnea, CHF. May have a long latent period before sx. what are patients at risk for with severe aortic stenosis - Ans Sudden Death! What am I associated with .... Medium pitched CONTINUOUS murmur in both systole/diastole. Usually harsh, machinery like noise. Loud, sometimes a thrill is present. (heard best L infraclavicular fossa and pulmonic area) - Ans patent ductus arteriosus Mid-to late systolic murmur, may have a mid-systolic click best heard over the lower left sternal border. - Ans Mitral Valve Prolapse what are the symptoms associated with MVP? - Ans Most people are asymptomatic. May have chest pain, palpitation, mild dyspnea, fatigue, anxiety. Loud, blowing, high pitched diastolic murmur best heard Lower Left Sternal Border.. - Ans Aortic insufficiency / Aortic regurgitation What are symptoms associated with severe aortic regurgitation? - Ans Dyspnea, fatigue, CHF, widened pulse pressure. Water-hammer pulse Low pitched, mid-diastolic rumble best heard at the apex in the Left Lateral position. May also hear an "opening Snap" - Ans Mitral Stenosis What is the most common cause for mitral stenosis - Ans Rheumatic Heart Disease What are the sx associated with Mitral stenosis? - Ans DYSPNEA, fatigue, palpitations, hemoptysis, angina-like chest pain. A-fib is common