Health Assessment: Cardiovascular
System (Bates Quiz), Bates
Cardiovascular Questions with Verified
Answers
Point of Maximal Impulse - ANSWERSPalpate at fifth intercostal space at midclavicular
line (below L nipple)
Normal Blood Pressure - ANSWERSSystolic <120 mm Hg
and diastolic <80 mm Hg
Prehypertension - ANSWERS120-139/80-89
Stage 1 Hypertension - ANSWERS140-159/90-99
Stage 2 Hypertension - ANSWERSSystolic over 160 Diastolic over 100
Oscillations in the internal jugular veins reflect... - ANSWERSchanging pressures in the
right atrium
Mitral Valve Prolapse - ANSWERS*Late systolic* murmur w/ *click* louder w/ valsalva
and handgrip, softer w/ squatting
Ballooning of mitral valve into left atrium during systole
Heart Murmurs - ANSWERSGrade 1
Afterload - ANSWERSThe degree of vascular resistance to ventricular contraction
Blood Pressure levels fluctuate based on: - ANSWERStime of day
physical activity
emotional state
pain
noise
temperature
coffee/tobacco/drugs
, ECG: P wave indicates - ANSWERSatrial depolarization
To hear S1 and S2, with your stethescope... - ANSWERSUse the diaphragm (high
sounds)
Use the bell of the stethoscope but press firmly to chest
Cardiac Cycle - ANSWERS1. aortic pressure is greater than ventricular pressure, so
blood moves to the ventricles
2. mitral valves close, producing S1
3. the atrium is empty and pressure in the ventricles increases
4. S3 and S4 can be heard if pathological ventricular compliance (too stiff, overfilled)
5. ventricular pressure increases and force the aortic valve to open
6. aortic valve closes, producing S2
S3 gallop - ANSWERSindicates a pathological change in ventricular compliance
AKA "Kentucky gallop"
In young people and athletes it is a normal phenomenon. In older individuals it indicates
the presence of congestive heart failure. The third heart sound is caused by a sudden
deceleration of blood flow into the left ventricle from the left atrium.
Peak Pressure of Left Ventricle - ANSWERS<5 -> 120 mm Hg
Peak Pressure of Right Ventricle - ANSWERS<5 -> 30 mm Hg
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 - ANSWERSC) Right ventricle
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 - ANSWERSA) Closure of aortic, then
pulmonic valves
3. A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As part
of your physical examination, you listen to her heart and hear a murmur only at the
cardiac apex. Which valve is most likely to be involved, based on the location of the
murmur?
A) Mitral
B) Tricuspid
System (Bates Quiz), Bates
Cardiovascular Questions with Verified
Answers
Point of Maximal Impulse - ANSWERSPalpate at fifth intercostal space at midclavicular
line (below L nipple)
Normal Blood Pressure - ANSWERSSystolic <120 mm Hg
and diastolic <80 mm Hg
Prehypertension - ANSWERS120-139/80-89
Stage 1 Hypertension - ANSWERS140-159/90-99
Stage 2 Hypertension - ANSWERSSystolic over 160 Diastolic over 100
Oscillations in the internal jugular veins reflect... - ANSWERSchanging pressures in the
right atrium
Mitral Valve Prolapse - ANSWERS*Late systolic* murmur w/ *click* louder w/ valsalva
and handgrip, softer w/ squatting
Ballooning of mitral valve into left atrium during systole
Heart Murmurs - ANSWERSGrade 1
Afterload - ANSWERSThe degree of vascular resistance to ventricular contraction
Blood Pressure levels fluctuate based on: - ANSWERStime of day
physical activity
emotional state
pain
noise
temperature
coffee/tobacco/drugs
, ECG: P wave indicates - ANSWERSatrial depolarization
To hear S1 and S2, with your stethescope... - ANSWERSUse the diaphragm (high
sounds)
Use the bell of the stethoscope but press firmly to chest
Cardiac Cycle - ANSWERS1. aortic pressure is greater than ventricular pressure, so
blood moves to the ventricles
2. mitral valves close, producing S1
3. the atrium is empty and pressure in the ventricles increases
4. S3 and S4 can be heard if pathological ventricular compliance (too stiff, overfilled)
5. ventricular pressure increases and force the aortic valve to open
6. aortic valve closes, producing S2
S3 gallop - ANSWERSindicates a pathological change in ventricular compliance
AKA "Kentucky gallop"
In young people and athletes it is a normal phenomenon. In older individuals it indicates
the presence of congestive heart failure. The third heart sound is caused by a sudden
deceleration of blood flow into the left ventricle from the left atrium.
Peak Pressure of Left Ventricle - ANSWERS<5 -> 120 mm Hg
Peak Pressure of Right Ventricle - ANSWERS<5 -> 30 mm Hg
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 - ANSWERSC) Right ventricle
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 - ANSWERSA) Closure of aortic, then
pulmonic valves
3. A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As part
of your physical examination, you listen to her heart and hear a murmur only at the
cardiac apex. Which valve is most likely to be involved, based on the location of the
murmur?
A) Mitral
B) Tricuspid
