NR 509/ NR509 Module 5 Advanced Physical Assessment

NR 509/ NR509 Module 5 Advanced Physical Assessment A 52 yr old female with known CHF reports dyspnea with minimal exertion (walking from room to room). In what NYHA functional class is she? Class III Which of the following physical exam findings would lead you to suspect hyperlipidemia? Increased liver size **Xanthoma of inner canthus Obesity A 58-year-old dentist presents to your office for a routine checkup. He has been healthy. He is a nonsmoker and does not drink alcohol. On physical examination of the heart, you hear a moderately loud murmur, and there is no palpable thrill. What is the appropriate grade for this murmur? Grade 3 A 57-year-old college professor is hospitalized for shortness of breath. You are asked to examine her as part of your hospital rotation. You perform a cardiac examination and measure the jugular venous pressure (JVP). To obtain a more accurate measurement of her JVP, you have to elevate the patient s head to 75 degrees. You obtain a measurement of 7 cm above the sternal angle. This finding is most consistent with which one of the following diagnoses? Dehydration **Right-sided heart failure Normal finding, no pathology Obstructive lung disease A 60-year-old landscaper presents to your office to establish care. He has a history of congestive heart failure that is well controlled on his medications. He denies current symptoms of chest pain, pressure, or dyspnea; he denies swelling in his lower extremities. On auscultation of his chest, you hear an early diastolic sound that is best characterized as an opening snap. It is heard best just medial to the apex and along the lower left sternal border. What is your most likely diagnosis? Mitral valve prolapse **Mitral stenosis Aortic stenosis Aortic regurgitation All of the following symptoms are associated with chest pain and are likely to represent CAD EXCEPT... Jaw pain **Pain with inspiration Shortness of breath Diaphoresis