ANSWERS
Blood pressure correct answer normal: >120/80
prehypertension: 120/80-139/89
hypertension: 140/90+
(African Americans have higher incidents of hypertension)
Findings for infective endocarditis? correct answer thin red lines on the nail beds
Heart sounds correct answer 1+ faint
2+ normal
3+ brisk
4+ bounding
How are cardiac murmurs graded? correct answer 1/6 barely audible
6/6 loudest sound, thrills can be seen
How are the pitch sounds interpreted? correct answer pitch
duration
intensity
base
Interatrial septum correct answer separates the left and right atrium
, Interventricular septum correct answer separates the left and right ventricles
S&S of heart failure? correct answer jugular vein pulsation over 3cm at 45
degrees, low BP, HR over 120/min, edema, SOB, presence of S3
S1 (LUB) correct answer 1st heartbeat heard due to the closure of the AV valves
when ventricles are filled
(loudest at the apex of the heart, heard better in tricuspid/mitral area)
S2 (DUB) correct answer 2nd heartbeat heard due to the closure of the
SEMILUNAR valves when ventricles empty blood to the pulmonic area and aorta
(heard loudest at the base [top] of heart)
S3 correct answer vibration when AV valves open and blood goes to the ventricles
(ventricular gallop)
(may be heard in HEALTHY children & adults, pregnant woman: 3rd trimester)
S4 correct answer atrial contraction and ejection of blood to the ventricles in late
diastole (atrial gallop)
(may be heard in HEALTHY children WELL FIT adult, & HEALTHY elderly)