NU650 Bates Cardiovascular and Peripheral
vascular Assessment UPDATED ACTUAL
Questions and CORRECT Answers
Point of maximal impulse (PMI) (Apical impulse) - CORRECT ANSWER - Where
heartbeat is best palpable on chest wall; 5th intercostal space, midclavicular line
PMI >2.5 cm - CORRECT ANSWER - Evidence of left ventricular hypertrophy from
hypertension or aortic stenosis
Displacement of the PMI lateral to the midclavicular line or greater than 10cm lateral to the
midsternal line suggests: - CORRECT ANSWER - Left ventricular hypertension
Ventricular dilation from MI or heart failure
atrioventricular valves - CORRECT ANSWER - mitral and tricuspid
semilunar valves - CORRECT ANSWER - pulmonary and aortic
S1 heart sound - CORRECT ANSWER - closure of AV valves (mitral and tricuspid)
Systolic blood pressure - CORRECT ANSWER - Normally corresponds with maximal left
ventricular pressure
S2 heart sound - CORRECT ANSWER - closure of aortic and pulmonic valves during
diastole; best heard at left 2nd/3rd ICS
Mitral stenosis murmur - CORRECT ANSWER - disastolic rumble at apex and/or opening
snap
, S3 heart sound - CORRECT ANSWER - In children and YA may arise from rapid
deceleration of column of blood against the ventricular wall
In older adults usually indicates a pathologic change in ventricular compliance
S4 heart sound - CORRECT ANSWER - Not often heard in normal adults
Marks atrial contraction
Right sided cardiac events usually occur - CORRECT ANSWER - slightly later than left
sided
Aortic valve sound location - CORRECT ANSWER - 2nd intercostal space, right sternal
border
Pulmonic valve sound location - CORRECT ANSWER - 2nd intercostal space, left sternal
border
Tricuspid valve sound location - CORRECT ANSWER - 4th intercostal space, left sternal
border
Mitral valve sound location - CORRECT ANSWER - At and around the cardiac apex, 5th
intercostal space, midclavicular line
P wave - CORRECT ANSWER - atrial depolarization
QRS comples - CORRECT ANSWER - ventricular depolarization
Q wave - CORRECT ANSWER - downward deflection from septal depolarization
R wave - CORRECT ANSWER - upward deflection from ventricular depolarization
vascular Assessment UPDATED ACTUAL
Questions and CORRECT Answers
Point of maximal impulse (PMI) (Apical impulse) - CORRECT ANSWER - Where
heartbeat is best palpable on chest wall; 5th intercostal space, midclavicular line
PMI >2.5 cm - CORRECT ANSWER - Evidence of left ventricular hypertrophy from
hypertension or aortic stenosis
Displacement of the PMI lateral to the midclavicular line or greater than 10cm lateral to the
midsternal line suggests: - CORRECT ANSWER - Left ventricular hypertension
Ventricular dilation from MI or heart failure
atrioventricular valves - CORRECT ANSWER - mitral and tricuspid
semilunar valves - CORRECT ANSWER - pulmonary and aortic
S1 heart sound - CORRECT ANSWER - closure of AV valves (mitral and tricuspid)
Systolic blood pressure - CORRECT ANSWER - Normally corresponds with maximal left
ventricular pressure
S2 heart sound - CORRECT ANSWER - closure of aortic and pulmonic valves during
diastole; best heard at left 2nd/3rd ICS
Mitral stenosis murmur - CORRECT ANSWER - disastolic rumble at apex and/or opening
snap
, S3 heart sound - CORRECT ANSWER - In children and YA may arise from rapid
deceleration of column of blood against the ventricular wall
In older adults usually indicates a pathologic change in ventricular compliance
S4 heart sound - CORRECT ANSWER - Not often heard in normal adults
Marks atrial contraction
Right sided cardiac events usually occur - CORRECT ANSWER - slightly later than left
sided
Aortic valve sound location - CORRECT ANSWER - 2nd intercostal space, right sternal
border
Pulmonic valve sound location - CORRECT ANSWER - 2nd intercostal space, left sternal
border
Tricuspid valve sound location - CORRECT ANSWER - 4th intercostal space, left sternal
border
Mitral valve sound location - CORRECT ANSWER - At and around the cardiac apex, 5th
intercostal space, midclavicular line
P wave - CORRECT ANSWER - atrial depolarization
QRS comples - CORRECT ANSWER - ventricular depolarization
Q wave - CORRECT ANSWER - downward deflection from septal depolarization
R wave - CORRECT ANSWER - upward deflection from ventricular depolarization
