NSG 6020 UPDATED CORRECT FINALS QUESTIONS
AND ANSWERS RATED A+
✔✔Right Coronary arteries - ✔✔RCA
-branch to SA node
-branch to AV node
-branches to LV
posterior descending artery
-supplies RA, RV, SA node and some of AV node
✔✔How is the metabolic syndrome diagnosed? - ✔✔*waist circ-
female 35, male 40
*triglycerides- >150
*HDL male <40, female <50
*BP 130/85
*fasting glucose 100
2-3 confirms diagnosis: 3/5 definite metabolic syndrome
✔✔palpation- finger pads - ✔✔palpates for heaves or lifts from abnormal ventricular
movements
✔✔palpation- ball of hand - ✔✔palpate for thrills- turbulence transmitted by a damaged
heart valve
✔✔PMI - ✔✔point of maximal impulse
-palpate at apex for PMI
-tapping- normal
-sustained- suggests LV hypertrophy from HTN or aortic stenosis
-diffuse- suggests a dilated ventricle from CHF or CMO`
✔✔Cardiac palpation and auscultation sites - ✔✔aortic- 2nd ICS, right sternal border
pulmonic- 2nd ICS, left sternal border
tricuspid- lower left sternal border 4th ICS
, mitral- mid clavicular line and 5th ICS (apex)
✔✔diaphragm of stethoscope - ✔✔listens to high pitched noises
-heart sounds, murmurs, lung sounds, bowel sounds
-some bruits
-picks up S1 and S2, aortic and mitral regurg
-press firmly for pericardial friction rubs
✔✔Bell of stethoscope - ✔✔-hears low pitched noises
-recommended for extra heart sounds (S3 and S4)
-rumble of mitral stenosis
-to identify some bruits
✔✔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
AND ANSWERS RATED A+
✔✔Right Coronary arteries - ✔✔RCA
-branch to SA node
-branch to AV node
-branches to LV
posterior descending artery
-supplies RA, RV, SA node and some of AV node
✔✔How is the metabolic syndrome diagnosed? - ✔✔*waist circ-
female 35, male 40
*triglycerides- >150
*HDL male <40, female <50
*BP 130/85
*fasting glucose 100
2-3 confirms diagnosis: 3/5 definite metabolic syndrome
✔✔palpation- finger pads - ✔✔palpates for heaves or lifts from abnormal ventricular
movements
✔✔palpation- ball of hand - ✔✔palpate for thrills- turbulence transmitted by a damaged
heart valve
✔✔PMI - ✔✔point of maximal impulse
-palpate at apex for PMI
-tapping- normal
-sustained- suggests LV hypertrophy from HTN or aortic stenosis
-diffuse- suggests a dilated ventricle from CHF or CMO`
✔✔Cardiac palpation and auscultation sites - ✔✔aortic- 2nd ICS, right sternal border
pulmonic- 2nd ICS, left sternal border
tricuspid- lower left sternal border 4th ICS
, mitral- mid clavicular line and 5th ICS (apex)
✔✔diaphragm of stethoscope - ✔✔listens to high pitched noises
-heart sounds, murmurs, lung sounds, bowel sounds
-some bruits
-picks up S1 and S2, aortic and mitral regurg
-press firmly for pericardial friction rubs
✔✔Bell of stethoscope - ✔✔-hears low pitched noises
-recommended for extra heart sounds (S3 and S4)
-rumble of mitral stenosis
-to identify some bruits
✔✔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
