Advanced Health Assessment Cardiovascular COMPLETE EXAM QUESTIOS WITH CORRECT SOLUTIONS||ALREADY GRADED A+||100% GUARANTEED PASS||NEWEST VERSION

Advanced Health Assessment Cardiovascular COMPLETE EXAM QUESTIONS WITH CORRECT SOLUTIONS||ALREADY GRADED A+||100% GUARANTEED PASS||NEWEST VERSION Describe mitral valve regurgitation murmurs - ANSWER - Best heard at the apex - the intensity does not change during inspiration - the MV fails to close fully during systole. - Blood regurgitates from the LV to the LA, thus causing an increase in LV preload and dilatation * may be caused by prolapse, infection or rheumatic fever Describe Tricuspid valve murmurs - ANSWER - Increase in intensity during inspiration - "Precordial Rock" - Increase in JVP with pulsatile liver ~ ascites and edema - the TV fails to close fully during systole - Regurgitation from the RV to the RA What characterizes RV Failure - ANSWER PHTN or LV failure Inflammation of the visceral and parietal pericardium that causes a coarse grating noise upon auscultation is characterized by? - ANSWER Pericardial friction rub Pericardial friction rub is best heard during? - ANSWER - Ventricular filling - Atrial contraction during diastole - Ventricular systole A continuous loud hum, heard loudest during diastole can be described as? - ANSWER A venous hum What is the best way to auscultate a venous hum? - ANSWER sitting position NOT while lying flat ~ R clavicular region. A continuous murmur with equal intensity in both systole and diastole. Also heard in the left clavicular region with a harsh, machine-like sound - ANSWER patent Ductus Arterious What are the two variations of diastolic murmurs - ANSWER Aortic regurgitation and Mitral Stenosis Describe aortic regurgitation - ANSWER Usually asymptomatic ~ best heard sitting and leaning forward with breath held after exhalation Bonding pulses Early diastolic murmur located along LEFT SB A "postal shot sound" murmur is best characterized as - ANSWER Collapsed atrial pulse Corrigan's pulse - ANSWER Rapid rise and fall of pulse pressures, PE finding of aortic regurgitation~ best heard when the arm is elevated. Duroziez's sign - ANSWER Femoral bruit heard while auscultating the femoral artery Associated with aortic regurgitation Quinche assessment - ANSWER Nail Blanching Marfan Syndrome - ANSWER genetic connective tissue disorder that can cause a ruptured aorta with aortic regurgitation Describe Mitral Stenosis - ANSWER Primary effect is increased LA pressure due to decreased LA emptying. Atrial vol/pressure elevated at the end of Systole. A-fib, thromboembolism Mitral valve closure is delayed, b/c it does not close until LV pressure equals this new, higher, pressure. Mitral valve opens early, as LA pressure increases, time LV is above decreases. Diastole occurs at normal time. Rapid filling phase is prolonged (mitral valve narrowed) 1. Mid diastolic ~ rapid ventricular filling 2. Pre-systolic accentuation ~ rheumatic fever In a healthy heart, where is the LV impulse best palpated? - ANSWER PMI What is the PMI - ANSWER The point of maximum impulse is the movement of the apex against the chest wall during ventricular contraction. Why is the RV not palpable? - ANSWER The RV is only palpable during infancy