CEA Exam
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During a post-hospital discharge visit, Diastole
you notice your 71 year old female
patient has been diagnosed with a
"new murmur" found by the hospitalist
during their recent hospitalization for
CHF exacerbation. In evaluating the
patient, during which phase of the
cardiac cycle would you anticipate
auscultation of a S3 or S4 heart sound?
*Diastole
*53 in systole while S4 in diastole
*Systole
*S4 in diastole while S3 in systole
,The point of maximum impulse (PMI) is Left 5th intercostal space, midclavicular line
MOST often palpable in healthy adults
when positioned in the supine or left
lateral decubitus position. Which one
of the following locations is most
commonly described as the PMI in a
healthy adult?
*Left 2nd intercostal space, midaxillary
line.
*Left 5th intercostal space,
midclavicular line.
*Right 4th intercostal space,
midaxillary line.
*Right 2nd intercostal space,
midclavicular line.
The nurse practitioner assessing the Peak of the R wave.
patient with a rapid cardiac rhythm
may assess for a pulse deficit by
auscultating the patient's heart while
watching the EKG rhythm. Where
would the S1 heart sounds correlate
with the electrocardiographic waves?
*At the end of the T wave.
*At the start of the T wave.
*Peak of the R wave.
*At the start of the P wave.
,Michael, a 72 year old male patient Check for thyroid dysfunction
who previously presented with stable
cardiac-type chest pain has underwent
a stress test. He presents today to
review the stress test results, which
show EKG findings of ST segment
depression during the exam in leads
V3 and V4 as well as some concurrent
chest discomfort. Based on these
findings, which of the following are
NOT priority medical decisions?
*Prescribe metoprolol (Lopressor)
12.5mg PO BID
*Prescribe aspirin 81mg PO daily
*Refer to cardiology for angiography
• Check for thyroid dysfunction
While examining a 53 year old female Positive for egophony
patient, you auscultate abnormal
breath sounds over all fields, and now
assess transmission of voice sounds by
having the patient say "ee" while
auscultating the chest with the
diaphragm of your stethoscope.
Normally, you should auscultate a
muffled "e" sound, however, you hear
hear a nasally "a" sound. Which one of
the following will you document is
present?
*Positive stereognosis.
*Positive for egophony.
*Negative for bronchophony.
*Negative for egophony
, While assessing the 19 year old patient To identify if underlying tissue are air-filled, fluid-filled
for a new onset cough, the nurse or consolidated
practitioner may inspect, auscultate,
palpate, and/or percuss.
How does performing percussion of
the thorax assist the provider during
the physical examination?
*To assist with the confirmation of
cardiac origin of angina.
*To assess for deep-seated lesion and
tumors.
*To assess for any pain or discomfort
prior to palpitation of the chest wall.
*To identify if underlying tissue are air-
filled, fluid-filled or consolidated