5 Written Questions

1. 5th ICS, 7-9 cm from midsternal line
2. External (in intercostal spaces; active in inspiration and raises ribs) and internal (passive with expiration; draws adjacent ribs together)
3. Treadmill with EKG, identifies cardiac abnormalities not evident on resting. With elevated O2 consumption may see changes if a problem exists
4. Duration is on inspiration; high pitch; sounds monophonic, crawling; Originates in larynx or trachea, upper airway obstruction from inflamed, swollen tissues or lodged foreign body; location is louder in neck than over chest wall
5. Heart sound caused by vibrations caused by resistance to ventricular filling during early rapid filling phase of diastole and occurs immediately after S2; Sounds like "Kentucky"

5 Matching Questions

1. EKG is used for what regarding heart/vessel assessments?
2. What lines the outside of the lungs?
3. Mitral
4. Murmurs
5. Aortic valve

1. a Visceral
2. b Off left ventricle to aorta and coronary arteries and general circulation, largest artery in the body, closes when the left ventricle is done contracting preventing backflow into the left ventricle
3. c Swishing sounds secondary to turbulence (increased blood flow) in the heart (valve defect)
4. d Midclavicular. S1 heard loudest here (the PMI/apical/apex)
5. e Checks for dysrhythmias

5 Multiple Choice Questions

1. Bluish discloration of the hands or feet due to poor peripheral circulation
   1. Crepitus
   2. Base
   3. Orthopnea
   4. Acrocyanosis
2. A double-layered serous membrane that surrounds the heart w/ pericardium fluid
   1. Mediastinum
   2. Pericardium
   3. Precordium
   4. Strider
3. 5 P's and a T; Pain, paresthesia, paralysis, pules, pallor, and temperature
   1. What makes up the physical assessment of the thorax?
   2. What are the names of the pleurae?
   3. What makes up the assessment of circulation?
   4. What is on the sides of the mediastinum?
4. Form of dyspnea in which the person can breathe comfortably only when standing or sitting erect
   1. Dyspnea
   2. Pulmonic
   3. Nocturia
   4. Orthopnea
5. Valve with three flaps/cusps situated between the right atrium and the right ventricle; allows blood to pass from atrium to ventricle and closes to prevent backflow when the ventricle contracts
   1. Jugular vein
   2. Carotid artery
   3. Mitral
   4. Tricuspid valve

5 True/False Questions

1. Fissures → Grooves that divide lung lobes

   True        False

2. Vesicular → Color; pale, blue color, poor/impaired circulation

   True        False

3. Myocardium → Thick middle muscle layer of the heart; pumps blood through the circulatory system

   True        False

4. Egophony → "99" test; located over upper lobes, over airless of consolidated lung tissue

   True        False

5. Neck vessels → When palpating with finger pads, heart/neck vessles will exhibit a movement which with lift fingers up

   True        False