Summary NSG6020 WEEK 4 CARDIAC STUDY GUIDE. (LATEST, 2022/2023) SOUTH UNIVERSITY

NSG6020 WEEK 4 CARDIAC STUDY GUIDE I I I I I




What is responsible for the inspiratory splitting of S2?
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Closure of aortic, then pulmonic valves
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A 25-year-old optical technician comes to your clinic for evaluation of fatigue.
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As part of your physical examination, you listen to her heart and hear a
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murmur only at the cardiac apex. Which valve is most likely to be involved,
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based on the location of the murmur?
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Mitral

You are conducting a workshop on the measurement of jugular venous
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pulsation. As part of your instruction, you tell the students to make sure that
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they can distinguish between the jugular venous pulsation and the carotid
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pulse. Which one of the following characteristics is typical of the carotid
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pulse?
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I Palpable

A 68-year-old mechanic presents to the emergency room for shortness of
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breath. You are concerned about a cardiac cause and measure his jugular
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venous pressure (JVP). It is elevated. Which one of the following conditions
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is a potential cause of elevated JVP?
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Constrictive pericarditis I




You are palpating the apical impulse in a patient with heart disease and find
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that the amplitude is diffuse and increased. Which of the following conditions
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could be a potential cause of an increase in the amplitude of the impulse?
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Aortic stenosis, with pressure overload of the left ventricle
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Which of the following events occurs at the start of diastole?
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Closure of the aortic valve I I I I

, Which is true of a third heart sound (S3)? I I I I I I I I I




It is caused by rapid deceleration of blood against the ventricular wall.
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Which is true of splitting of the second heart sound?
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I It is best heard over the pulmonic area with the bell of the stethoscope
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In healthy adults over 20, how often should blood pressure, body mass index,
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waist circumference, and pulse be assessed, according to American Heart
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Association guidelines?
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Every 2 years I I




Which of the following may be missed unless the patient is placed in the left
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lateral decubitus position and auscultated with the bell?
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Mitral stenosis murmur Opening snap of the mitral valve S3 and S4
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gallops(all)
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You are listening carefully for S2 splitting. Which of the following will help?
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Using the bell with light pressure over the 2nd left intercostal space
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A patient comes to the emergency room for evaluation of shortness of breath.
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To which anatomic region would you assign the symptom?
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Cardiac

Patient presents for evaluation of a cough. Which of the following anatomic
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regions can be responsible for a cough?
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Cardiac



You are assessing a patient with joint pain and are trying to decide whether it
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is inflammatory or noninflammatory in nature. Which one of the following
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symptoms is consistent with an inflammatory process?
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