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228.Test2

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
The Base of the heart is where?   Top of the heart  
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The Apex of the heart is where   Bottom of the heart  
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What does nicotine do to arteries   Constricts  
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What does Sodium (Na) do to the heart   Puts pressure  
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Closure of the Mitral and Tricuspid valves   S1 (Lub)  
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Closure of the Aortic and Pulmonic valves   S2 (Dubb)  
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Approximately what is cardiac output   5-6 L/min  
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Neck vessels we need to know   Carotid artery and Jugular veins  
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COLDSPA stands for what?   Condition, Onset, Location, Duration, Severity, Pattern, Associated symptoms  
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What is the amplitude of a pulse?   strength of the pulse  
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What is the contour of the pulse?   The regularity of the pulse  
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How is the strength of a pulse evaluated?   0 - 4+ scale (0, 1+, 2+, 3+, 4+). 0 being no pulse and 4+ is bounding.  
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ICS stands for what?   Intercostal space  
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LSB stands for what?   Left sternal border  
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ERBS point is found where?   3rd ICS, LSB  
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The Tricuspid is found approximately where?   4th ICS, LSB  
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The Mitral/apical pulse area is approximately where?   5th ICS, MCL  
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MCL stands for what?   Mid-clavicular line  
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Normal Heart rate   60-100 bpm  
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Tachycardia is considered how many beats per minute   greater than 100  
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Bradycardia is considered how many beats per minute   less than 60  
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You would do a pulse check how?   palpating an artery  
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You would do a apical pulse check how?   auscultation of heart rate  
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What races are more susceptible to Coronary Heart Disease   African American, Mexican American, American Indian, Native Hawaiian, Asian American  
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Men are more susceptible to Coronary Heart disease after what age   45  
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Women are more susceptible to Coronary Heart Disease after what age   55 (post menopausal, no estrogen replacement post total hysterectomy)  
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What family history would indicate your more susceptible to Coronary Heart Disease   Father/Brother diagnosed before age 55, mother/sister diagnosed before age 65  
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Heart Attack symptoms   Chest pain, Pressure or heaviness/tightness/pain/pressure in the neck or jaw, Pain or pressure in one or both arms (most in the left), Shortness of breath, nausea, sweating, Pain or throbbing between the shoulder blades  
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Sudden death is more common among which gender with a heart attack   females  
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Which gender has a worse outcome after having had a heart attack   females  
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Most common time for a heart attack to occur   monday morning  
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What makes the mornings high-risk for those prone to have a heart attack   platelets are "stickier"  
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How long after someone has taken erectile dysfunction drugs should he wait before taking Nitroglycerin   36 hours  
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Where are good sites for palpation of pulses   Radial, Femoral, Popliteal, Dorsalis Pedis, Posterior tibial  
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If a pulse cannot be found, what electronic device would be good to find the pulse   Doppler  
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Lymphedema is caused by what   Abnormal or blocked lymph vessels  
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A in APE to Man   Aortic (2nd ICS Right Sternal Border)  
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P in APE to Man   Pulmonic (2nd or 3rd ICS Left Sternal Border)  
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E in APE to Man   Erb's point (Third to fifth intercostal space at the Left Sternal Border)  
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T in Ape to Man   Tricuspid area (Fourth or fifth intercostal space at the left lower sternal border)  
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M in Ape to Man   Mitral/apical (Fifth intercostal space near the left midclavicular line - the apex of the heart)  
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When auscultating the heart, the upper trunk should be elevated to what?   30 degrees  
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What part of the stethoscope should be used to differentiate low pitched sounds or gallops   bell  
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The diaphragm of the stethoscope should be applied __________ and the bell should be applied ___________   firmly, lightly  
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A highly complex system that includes the heart and a closed system of vessels   Cardiovascular system  
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Pulmonary circulation is attributed to what part of the heart   right side  
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Systemic circulation is attributed to what part of the heart   left side  
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Two AV valves   tricuspid (right), mitral (left)  
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The tough, inextensible, loose-fitting, fibroserous sac that surrounds the heart   pericardium  
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relaxing of the ventricles of the heart   diastole  
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contraction of the ventricles of the heart   systole  
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This heart sound correlates with the beginning of systole   S1  
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This heart sound correlates with the beginning of diastole   S2  
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Where is S2 best heard   base of the heart (2nd ICS LSB)  
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Where is S1 best heard   Apex of the heart (5th ICS LSB)  
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Cardiac output is represented by what mathmatical formula   HR X SV (heart rate X stroke volume)  
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To observe the jugular venous pulse, in what position and at what angle should the client be in?   supine, torso 30-45 degrees  
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Upon auscultating an artery, you hear blowing or swishing sounds. What is this called   Bruit  
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Upon inspection, you see an impulse around the the 5th intercostal space on the left side. How would you treat this finding   Normal  
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With the client assuming a lateral position, what heart sounds should be heard   S1 & S2 (anything else would be considered abnormal)  
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With the client sitting up, leaning forward, and exhaling, what sounds should be heard   S1 & S2 (anything else would be considered abnormal)  
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What part of the stethoscope should be used to differentiate high pitched sounds   diaphragm  
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