| Question |
Answer |
| impaired fasting glucose |
fasting blood glucose of ≥ 110 mg/dL |
| obesity |
BMI of ≥ 30kg, or waist girth of >100 cm |
| high serum HDL cholesterol |
> 60 mg/dL |
| palpation of pulses |
30 secs with regular rhythm, 1-2 mins with irreg |
| apical pulse/PMI |
5th interspace midclavicular vertical line |
| brachial pulse |
best in infants |
| radial pulse |
most common monitoring site |
| (N) adult HR |
70 bpm; range 60-80 bpm |
| (N) newborn HR |
120 bpm; range 70-170 bpm |
| tachycardia |
>100 bpm |
| bradycardia |
<60 bpm |
| irregular pulse |
variations in force and frequenc; may be due to arrhythmias, myocarditis |
| weak, thready pulse |
stroke volume, cardiogenic shock |
| bounding, full pulse |
shortened ventricular systole and decreased peripheral p°; aortic insufficiency |
| aortic valve |
2nd (R) ICS, sternal border |
| pulmonic valve |
2nd (L) ICS, sternal border |
| tricuspid valve |
4th (L) ICS, sternal border |
| bicuspid valve |
5th (L) ICS, midclavicular area |
| S1 sound "lub" |
(N) closure mitral &tricuspid valves; beginning of systole; dec in 1st degree heart block |
| S2 sound "dub" |
(N) closure aortic & pulmonic valves; end of systole; dec in aortic stenosis |
| S3 sound |
assoc with ventricular filling; occurs soon after S2 |
| S3 sound |
congestive (LV) heart failure in older individuals |
| S4 sound |
assoc with ventricular filling and atrial contraction; occurs just before S1 |
| S4 |
CAD, MI, aortic stenosis, or chronic HPN |
| systolic murmur |
bet S1 & S2. may be normal or may indicate valvular dse (mitral valve prolapse) |
| diastolic murmur |
bet S2 and S1. Usu indicates valvular dse |
| thrill |
ab(N) tremor accompanying a vascular or cardiac murmur; felt on palpation |
| bruit |
adventitious sound or murmur (blowing sound) of arterial or venous origin |
| bruit |
common in carotid or femoral arteries; indicative of atherosclerosis |