quiz 3 cardio
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show | Thickened myocardium
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On examination you are unable to palpate the apical pulse. In addition, the heart sounds are very faint to auscultation. What condition should be considered? | show 🗑
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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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The validity of heart size as judged by percussion should be confirmed by: | show 🗑
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Mr. Lukas is a 48-year-old patient with diabetes and hypertension. On examination, which heart sound suggests a pathology and requires additional evaluation? | show 🗑
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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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Mrs. Tubbs is a 42-year-old patient who presents to your office for a routine follow-up. Which of the following is the best technique to hear low-pitched filling sounds of the heart? | show 🗑
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The thick muscular middle layer of the heart that is responsible for contraction is the: | show 🗑
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The primary muscle mass of the heart is formed by which of the following? | show 🗑
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Mr. Casey is a 66-year-old patient with aortic stenosis. Which of the following best describes the major function of the heart valves? | show 🗑
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Which of the following events occurs during the systolic phase of the cardiac cycle? | show 🗑
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show | The right side of the heart contracts later than the left side.
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The semilunar valves are located: | show 🗑
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The fibrous sac that encases and protects the heart is identified as the: | show 🗑
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The heart is considered an autonomous organ due to which of the following? | show 🗑
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Which of the following happens to the electrical impulse as it passes through the AV node? | show 🗑
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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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show | Begins with S2; ends at S1
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show |
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show | carotid pulse.
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show | Cardiac tamponade
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Mrs. Kingman is a 45-year-old patient who presents with a complaint of shortness of breath and palpitations. Which of the following occurs when the heart rate increases? | show 🗑
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show | systolic; apex
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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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show |
respiration.
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S3 and S4 are commonly heard in which of the following groups of individuals? | show 🗑
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show | An increase in intensity
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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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Heart position can vary depending on body habitus. In a short, stocky individual, you would expect the heart to be located: | show 🗑
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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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show | sinoatrial (SA) node.
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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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show | ductus arteriosus.
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Closure of the ductus arteriosus usually occurs: | show 🗑
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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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A patient you are seeing in the emergency department for chest pain is suspected of having a myocardial infarct. He states that his father had died of heart trouble. The most important follow-up question you should pose is which of the following? | show 🗑
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Which one of the following is a common symptom of cardiovascular disorders in the older adult? | show 🗑
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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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show | anterior axillary line.
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Normal heart sounds are best heard: | show 🗑
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show | lie on their left sides.
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The carotid pulse should coincide with which heart sound? | show 🗑
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You are listening to a patient's heart sounds in the aortic and pulmonic areas. The sound becomes asynchronous during inspiration. The prevalent heart sound to this area is most likely which of the following? | show 🗑
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During auscultation of heart tones, you are uncertain whether the sound you hear is an S2 split. You should ask the patient to inhale deeply while listening at the _____ area. | show 🗑
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show | presystolic gallops.
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show | moderately loud.
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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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An example of a functional heart murmur is one that is caused by: | show 🗑
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A split second heart sound is: | show 🗑
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The earliest sign of heart failure in an infant is frequently: | show 🗑
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show | 4-year-old children.
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A condition that is likely to present with dizziness and fainting is: | show 🗑
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show | heart failure.
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show | radiate to the axilla.
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The most helpful finding in determining left-sided heart failure is: | show 🗑
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Created by:
TwiggyG85