quiz 3 cardio
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show | Thickened myocardium
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show | Pleural or pericardial fluid
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a 55-year-old marathon runner who presents to your office with a complaint of many days of fever, shortness of breath, and some chest pain. On examination you note clinical signs of congestive heart failure. What disease process should you consider? | show 🗑
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show | left ventricular enlargement.
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show | location of the apical pulse or PMI.
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show | s4
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show | Cocaine use
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In the presence of heart failure, which age group is most likely to exhibit liver enlargement before pulmonary edema? | show 🗑
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a 42-year-old patient who presents for routine well visit. On examination during cardiac auscultation, you note a midsystolic murmur with a medium pitch; a coarse thrill is palpated as well. These findings are consistent with which condition? | show 🗑
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a 48-year-old patient with a complaint of chest pain. On examination you note a murmur of medium pitch that fills systole. It is heard best at the apex and along the left sternal border. Which of the following identifies these clinical findings? | show 🗑
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show | The heart position shifts up and to the left; the apex moves laterally.
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show | Atrial septal defect
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show | Place the patient in a left lateral recumbent position and listen with the bell of the stethoscope.
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show | myocardium.
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show | Right and left ventricles
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show | Permits the flow of blood in one direction
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Which of the following events occurs during the systolic phase of the cardiac cycle? | show 🗑
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Mrs. Tanker is a 62-year-old patient who presents to your office with a complaint of chest pain. On cardiac auscultation you note a split heart sound. Which of the following occurs to produce a split sound? | show 🗑
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The semilunar valves are located: | show 🗑
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show | pericardium.
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show | An intrinsic electrical conduction system
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show | Electrical impulses are slightly slowed down.
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Which of the following best describes initiation of ventricular contraction? | show 🗑
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show | Lungs
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show | Increase in blood volume
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Mrs. Larman is a 45-year-old patient who presents for follow-up examination. During the examination you note a pandiastolic murmur. Which of the following best describes this clinical finding? | show 🗑
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Mr. Green is a 56-year-old patient who presents to your office for follow-up. On examination you note a readily visible and palpable apical pulse. Which of the following indicates the rationale for this finding? | show 🗑
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show | carotid pulse.
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Mr. Jones is a 72-year-old patient who presents with a complaint of fever and fatigue. On examination you note muffled heart sounds, low blood pressure, and a paradoxic pulse. Which of the following best identifies this condition? | show 🗑
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The duration of diastole decreases.
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S1 is a ______________ sound that is heard the loudest at the _____________of the heart. | show 🗑
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Mr. Hortsman presents to your office for a routine follow-up. Which of the following techniques is best to hear a splitting of the S2 sound? | show 🗑
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Mr. Webber is a 53-year-old patient who has a fixed split heart sound. Splitting is said to be fixed when it is unaffected by: | show 🗑
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show | Young children
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S3 and S4 become a major concern when which of the following accompanies them? | show 🗑
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show | Inflammation of the pericardium
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show | Murmur
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show | Acute Rheumatic Fever
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show | Kawaski s Disease
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show | more to the left and lying more horizontally.
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show | atria.
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show | C) The right atrium and ventricle
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Contraction of the ventricles causes: | show 🗑
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Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the: | show 🗑
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show | diastolic filling.
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The "pacing" structure of the heart's electrical activity is the: | show 🗑
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Purkinje fibers are located in the: | show 🗑
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The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the: | show 🗑
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In the fetus, the right ventricle pumps blood through the: | show 🗑
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show | Closure of the ductus arteriosus usually occurs:
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The apex of a 2-month-old baby's heart typically lies closest to the: | show 🗑
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show | true
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show | “What age was your father at the time of his death?”
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show | Fatigue
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show | a lift.
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show | left ventricular hypertrophy.
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show | right ventricular hypertrophy.
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To estimate heart size by percussion, you should begin tapping at the: | show 🗑
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show | over areas where blood flows after it passes through a valve.
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To hear diastolic heart sounds, you should ask patients to: | show 🗑
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show | S1
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show | S2
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show | pulmonic
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show | presystolic gallops.
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You are conducting an examination of Mr. C.'s heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is: | show 🗑
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A grade I or II murmur, without radiation and of medium pitch, is a common variation found in: | show 🗑
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show | anemia.
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A split second heart sound is: | show 🗑
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show | liver enlargement.
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An increase in heart rate during inspiration, with a decrease in this rate during expiration, is an expected finding in: | show 🗑
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show | sick sinus syndrome.
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Fat deposits in the circulatory system of an older adult can lead to: | show 🗑
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show | radiate to the axilla.
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show | jugular vein distention.
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