NSG 6020 MIDTERM EXAMS QUESTIONS AND ANSWERS SURE A.pdf

NSG 6020 MIDTERM EXAMS QUESTIONS AND
ANSWERS SURE A+
✔✔S1 heart sounds - ✔✔BEGINNING OF SYSTOLE
-occurs with closure of AV valves (tricuspid and mitral)

✔✔S2 heart sounds - ✔✔END OF SYSTOLE/BEG OF DIASTOLE
-occurs with closure of semi-lunar valves (aortic and pulmonic)

✔✔split s2 - ✔✔ventricular pressure is higher in left than right
-closure of aortic valve a2 occurring followed by closure of pulmonic valve p2

✔✔S3 heart sounds - ✔✔DIASTOLE
-heard just after S2
-turbulent blood flow
(may be normal in pregnancy and kids)

✔✔S4 heart sounds - ✔✔END DIASTOLE
-just before S1
-ventricles resistant to filling, r/t weak ventricles
-ALWAYS PATHOLOGIC

✔✔M
S
A
R
D
M
R
P
A
S
S

, M
V
P - ✔✔-DIASTOLIC MURMURS- indicate valvular heart disease
-SYSTOLIC MURMURS- occur when heart is not diseased
-MVP- most common valvular abnormality
--affects approx 2-6% of USA population
--many asymptomatic
MS.ARD
Mitral
Stenosis
Aortic
Regurg
DIASTOLIC
MR.PASSMVP
Mitral
Regurg
Pulmonic -and-
Aortic
stenosis
SYSTOLIC
M
V
P

✔✔Heart murmur grade - ✔✔Grade 1- Barely audible
Grade 2- quiet but audible
grade 3- moderate
grade 4- loud
grade 5- loud with palpable thrill
grade 6- very loud, heard with stethoscope almost off the chest wall and has a palpable
and visible thrill

✔✔Acute MI
-inferior MI - ✔✔II, III, and aVF

✔✔Lateral MI - ✔✔I, aVL, V5, V6

✔✔Septal MI - ✔✔V1, V2

✔✔Anterior MI - ✔✔V3, V4

✔✔MVP
-presenting symptoms - ✔✔-anxiety, panic attacks, arrhythmias, exercise intolerance,
palpitations, atypical chest pain, fatigue, orthostasis, syncope