SHADOW HEALTH CARDIOVASCULAR EXAM (QUESTIONS AND ANSWERS) UPDATED

SHADOW HEALTH CARDIOVASCULAR EXAM (QUESTIONS AND ANSWERS) UPDATED Relevant Medical History Asked about heart problems - CORRECT ANSWER-Denies heart problems Asked about heartbeat - CORRECT ANSWER-Reports normal heartbeat Reports normal heart rate Denies palpitations Denies arrhythmia Asked about high blood pressure - CORRECT ANSWER-Denies high blood pressure Reports last blood pressure check 140 over 80 or 90 Reports belief that current blood pressure is on the high side of normal range Asked about heart murmur - CORRECT ANSWER-Denies heart murmur Asked about swelling - CORRECT ANSWER-Denies swelling other than foot wound Asked about blue skin - CORRECT ANSWER-Denies blue skin Asked about cardiac tests - CORRECT ANSWER-Denies having a stress Denies having an echocardiogram Denies having a coronary artery CT scan Asked about cardiac surgeries - CORRECT ANSWER-Denies having a heart catheterization Denies having angioplasty or stent Denies having a pacemaker Review of Systems Asked about chest pain - CORRECT ANSWER-Denies chest pain Denies angina Asked about chest tightness - CORRECT ANSWER-Reports chest tightness during asthma exacerbations Denies current chest tightness Asked about breathing problems - CORRECT ANSWER-Reports wheezing Reports shortness of breath Denies waking at night, unable to breathe Denies sleep apnea Denies difficulty breathing when lying down Denies current breathing problems Followed up on breathing problem triggers - CORRECT ANSWER-Reports breathing problems occur during asthma exacerbations Asked about leg cramping - CORRECT ANSWER-Denies leg cramping Risk Factors Asked about mobility - CORRECT ANSWER-Reports being immobile for past three days Asked about Venous Thrombosis - CORRECT ANSWER-Denies tender or painful areas other than foot wound Denies redness other than foot wound Denies unusual warmth Denies history of venous thrombosis Asked about cholesterol - CORRECT ANSWER-Denies cholesterol problems Asked about dietary habits - CORRECT ANSWER-Reports drinking Diet Coke Reports trying to avoid sugar Reports not worrying about diet Asked about perceived weight - CORRECT ANSWER-Reports being overweight for whole life Reports being satisfied with weight Asked about recent weight change - CORRECT ANSWER-Reports recent weight loss Reports losing about 10 lbs Asked about alcohol intake - CORRECT ANSWER-Reports last alcoholic drink was 3 weeks ago Reports no more than 2 or 3 alcoholic drinks in one sitting Reports no more than 1 or 2 nights a week drinking alcohol Asked about illicit drugs - CORRECT ANSWER-Reports history of smoking recreational marijuana Denies current use of recreational marijuana Asked about tobacco use - CORRECT ANSWER-Denies tobacco use Denies vaping Asked about secondhand smoke - CORRECT ANSWER-Asked about secondhand smoke Relevant Family History Asked family history of high blood pressure - CORRECT ANSWER-Reports mother has high blood pressure Reports father had high blood pressure Reports maternal grandfather had high blood pressure Reports maternal grandmother has high blood pressure Reports paternal grandfather had high blood pressure Reports paternal grandmother has high blood pressure Asked family history of high cholesterol - CORRECT ANSWER-Reports mother has high cholesterol Reports father had high cholesterol Reports maternal grandfather had high cholesterol Reports maternal grandmother had high cholesterol Reports paternal grandfather had high cholesterol Reports paternal grandmother has high cholesterol Asked family history of stroke - CORRECT ANSWER-Reports maternal grandmother died of stroke Asked about family history of heart attack - CORRECT ANSWER-Reports maternal grandfather died of heart attack Asked about family history of obesity - CORRECT ANSWER-Asked about family history of obesity Inspected chest - CORRECT ANSWER-Symmetric No visible abnormal findings Inspected for jugular venous distension - CORRECT ANSWER-4 cm or less above the sternal angle Inspected hands and fingernails - CORRECT ANSWER-Right: No visible abnormal findings Left: No visible abnormal findings 3 seconds or less Inspected lower extremities and toenails - CORRECT ANSWER-Right: -Pitting -1+ Slight pitting -Visible distortion or swelling -No visible abnormal findings Left: -No edema -No edema -No visible abnormal findings -No visible abnormal findings Capillary Refill Time: -3 seconds or less Palpated temporal arteries - CORRECT ANSWER-No thrill in either artery 2+ Palpated carotid arteries - CORRECT ANSWER-Right: -No thrill -2+ Left: -No thrill -2+ Palpated PMI - CORRECT ANSWER-Present at midclavicular line and 5th intercostal space Brisk and tapping 3 cm or less Palpated radial arteries - CORRECT ANSWER-Right: -No thrill -2+ Left: -No thrill -2+ Palpated brachial arteries - CORRECT ANSWER-Right: -No thrill -2+ Left: -No thrill -2+ Palpated femoral arteries - CORRECT ANSWER-Right -No thrill -2+ Left -No thrill -2+ Palpated popliteal arteries - CORRECT ANSWER-Right -No thrill -2+ Left -No thrill -2+ Palpated tibial arteries - CORRECT ANSWER-Right -No thrill -1+ Left -No thrill -2+ Palpated dorsalis pedis arteries - CORRECT ANSWER-Right -No thrill -1+ Left -No thrill -2+ Auscultated carotid arteries - CORRECT ANSWER-Right No bruit Left No bruit Auscultated heart sounds - CORRECT ANSWER-S1 and S2 No extra sounds Auscultated abdominal aorta - CORRECT ANSWER-No bruit Auscultated abdominal arteries - CORRE