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, TEST BANK FOR BATES' GUIDE TO -PHYSICAL
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Study Material
BICKLEY
Bates’ Guide to Physical Examination and History Taking, 12th Edition
Chapter 9: The Cardiovascular System
Multiple Choice
1. You are performing a thorough cardiac examination. Which of the following chambers of
the heart can you assess by palpation?
A) Left atrium
B) Right atrium
C) Right ventricle
D) Sinus node
Ans: C
Chapter: 09
Feedback: The right ventricle occupies NURmost
SINofGT
the
B.anterior
COM cardiac surface and is easily
accessible to palpation. The other structures are less likely to have findings on palpation and
the sinus node is an intracardiac structure. You may be able to diagnose abnormal rhythms
caused by the sinus node indirectly by palpation, but this is less obvious.
2. What is responsible for the inspiratory splitting of S2?
A) Closure of aortic, then pulmonic valves
B) Closure of mitral, then tricuspid valves
C) Closure of aortic, then tricuspid valves
D) Closure of mitral, then pulmonic valves
Ans: A
Chapter: 09
Feedback: During inspiration, the closure of the aortic valve and the closure of the pulmonic
valve separate slightly, and this may be heard as two audible components, instead of a single
sound. Current explanations of inspiratory splitting include increased capacitance in the
pulmonary vascular bed during inspiration, which prolongs ejection of blood from the right
ventricle, delaying closure of the pulmonic valve. Because the pulmonic component is soft,
you may not hear it away from the left second intercostal space. Because it is a low-pitched
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