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healthassesscardio Test

Enter the letter for the matching Answer
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1.
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?
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2.
An increase in heart rate during inspiration, with a decrease in this rate during expiration, is an expected finding in:
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3.
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:
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4.
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?
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5.
A third heart sound is created by:
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6.
During a health history your patient describes having experienced aimless, jerky movements, episodes of shortness of breath, and chest pain. What are these symptoms associated with?
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7.
Heart position can vary depending on body habitus. In a short, stocky individual, you would expect the heart to be located:
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8.
The carotid pulse should coincide with which heart sound?
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9.
The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:
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10.
To hear diastolic heart sounds, you should ask patients to:
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11.
An apical PMI palpated beyond the left fifth intercostal space may indicate:
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12.
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:
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13.
Contraction of the ventricles causes:
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14.
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?
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15.
In the presence of heart failure, which age group is most likely to exhibit liver enlargement before pulmonary edema?
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16.
The semilunar valves are located:
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17.
S1 is a ______________ sound that is heard the loudest at the _____________of the heart.
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18.
her 5-year-old daughter is brought in for an exam. On examination you note a systolic ejection murmur that is loud, harsh, and high in pitch heard over the second intercostal space along the left sternal border. What problem should you suspect?
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19.
Mr. Lukas is a 48-year-old patient with diabetes and hypertension. On examination, which heart sound suggests a pathology and requires additional evaluation?
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20.
Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:
A.
at the exit of each ventricle where the great vessels originate.
B.
systolic; apex
C.
Infants
D.
closure of the atrioventricular valves.
E.
QRS complex.
F.
Atrial septal defect
G.
diastolic filling.
H.
s4
I.
Subaortic stenosis
J.
lie on their left sides.
K.
“What age was your father at the time of his death?”
L.
more to the left and lying more horizontally.
M.
Bacterial endocarditis
N.
Acute Rheumatic Fever
O.
4-year-old children.
P.
S1
Q.
P wave.
R.
left ventricular hypertrophy.
S.
moderately loud.
T.
respiration.
Type the Answer that corresponds to the displayed Question.
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21.
The thick muscular middle layer of the heart that is responsible for contraction is the:
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22.
Mr. Kingman is a healthy 17-year-old who presents with acute and severe chest pain. He has no history of illness or injury. Which of the following possible causes of chest pain is the most logical problem to consider?
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23.
Fat deposits in the circulatory system of an older adult can lead to:
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24.
The "pacing" structure of the heart's electrical activity is the:
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25.
A condition that is likely to present with dizziness and fainting is:
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26.
Mr. Sherman is a 65-year-old patient who has long-standing hypertension. Which of the following clinical findings would you expect?
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27.
The earliest sign of heart failure in an infant is frequently:
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28.
Mrs. Yates is a 55-year-old patient who presents to your office with complaints of chest pain. To assess the timing of the cardiac cycle, you place one hand over the precordium and the other hand over the:
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29.
The bell of the stethoscope placed at the apex is more useful than the diaphragm for hearing:
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30.
In the fetus, the right ventricle pumps blood through the:

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