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Heart,PVS-AssessTest2
Heart,PVS-AssessTest2
57
Medical
Professional
04/01/2009

Additional Medical Flashcards

 


 

Cards

Term
auscultation of the heart
Definition

listen in 5 places:

aortic

pulmonic

Erb's point

tricuspid

mitral

Term
Breath sounds best heard with what part of the stethoscope
Definition
diaphragm b/c they are high pitched
Term
heart sounds best heard with what part of the stethoscope?
Definition
bell, b/c they are low pitched
Term
Base of the heart is at the
Definition
top
Term
Apex of the heart is at the
Definition
point of the bottom angle
Term
to auscultate the aortic heart sound listen at the
Definition
2nd RICS
Term
to auscultate the pulmonic heart sound, listen at the
Definition
2nd LICS
Term
to auscultate Erb's point, listen at the
Definition
3rd LICS
Term
to auscultate the tricuspid heart sound listen to the
Definition
4th LICS
Term
to auscultate the mitral heart sound listen at the
Definition
5th LMCL (left mid clavicular line)
Term
palpating for heart size
Definition
palpate the precordium, palpate the base, palpate the LEFT STERNAL BORDER, palpate the apex
Term
when listening to murmurs, Grade III is
Definition
moderately loud
Term
aneurysm
Definition
localized dialation of an artery caused by weakness in the arterial wall; occur anywhere along the aorta and iliac vessels; deep diffuse chest pains
Term
most common aneurysm
Definition
is abdomial aortic aneurysm
Term
Pitting edema scale
Definition

1+ - 2mm

2+ - 4mm

3+ - 6mm

4+ - 8mm

 

Term
S1 is louder at
Definition
apex
Term
S2 is louder at
Definition
base
Term
S3 occurs at
Definition
beginning of diastole; approx .12 seconds after S2
Term
S3 has what kind of pitch
Definition
lower than S1 and S2
Term
reemergence of S3 sound late in life could mean
Definition
failing left ventricle or dialated CHF
Term
S3 Sounds
Definition
 kentucky
Term
S4 sounds sometimes audible in
Definition
children and well conditioned athletes
Term
when S4 audible in adults its called a
Definition
gallop
Term
S4 sound produced by
Definition
blood being forced into stiff ventricle
Term
S4 occurs when?
Definition
after atrial kick at the end of diastole usually immediately before S1
Term
S4 sounds like
Definition
Tennessee
Term
diastole represents pos or neg pressure
Definition
positive
Term
during diastole 80% is
Definition
blood flowing into relaxed ventricles; 20% is atrial kick
Term
during systole, M and T valves
Definition
close
Term
SA node is in
Definition
right atrium; 60-100 beats/min
Term
if SA node fails, AV node takes over and beats are
Definition
40 to 60 beats/min
Term
if SA and AV node fail, bundle branches take over and beats are
Definition
20-40 beats/min
Term
pressure in veins is ____ than in arteries
Definition
less
Term
hyper lipidemia
Definition
Term
sudden death syndrome
Definition
Term
sphygmomanometer
Definition
Term
doppler
Definition
Term
when evaluating general apperance have pt in what postion?
Definition
supine at 45 degrees
Term
ectopic beats
Definition
Term
stenosis is normally due to
Definition
obstruction
Term
degeneration is often due to
Definition
regurgitation
Term
what causes most common vascualr heart disease?
Definition
rheumatic fever or endocarditis
Term
aortic stenosis
Definition
incresed resistance that left ventricle must overcome
Term
angina pectoris is more common in
Definition
females
Term
how many incidences of angina pectoris?
Definition
6.6 million
Term
MI from coronary artery disease is the
Definition
single leading cause of deaths in the U.S.; 1 in 5 deaths
Term
women's symptoms of cardiac disorders
Definition
fatigue, sleep disturbance, shortness of breath
Term
less than what percent of women experience chest pain prior to infarction?
Definition
30%
Term
PMI located where?
Definition
fifth ICS at left midclavicular line
Term
Erbs point located where?
Definition
third ICS left of the sternum
Term
tricuspid area located where?
Definition
fifth ICS left to the sternum
Term
angle of louis located where?
Definition
manubrium and sternal junction at level of second rib
Term
apex of the heart located where?
Definition
fifth ICS at left midclavicular line
Term
positive Homan's sign
Definition
calf pain on dorsiflexion of the foot
Term
S3
Definition
extra heart sound ending in early diastole
Term
s4
Definition
extra heart sound ending in late diastole
Term
evaluation of ECG responses to normal activity over a period of a day or two is performed with
Definition
Holter monitoring
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