Cardiac Cycle and Chest Pain Symptoms
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Questions and Answers

Where is the V1 electrode placed in ECG lead placement?

  • 3rd Intercostal space to the right of the sternum
  • 4th Intercostal space to the right of the sternum (correct)
  • 6th Intercostal space to the right of the sternum
  • 5th Intercostal space to the right of the sternum
  • What is a common symptom of cardiac failure?

  • Hypertension
  • Fatigue (correct)
  • Tachycardia
  • Hyperthermia
  • What is the purpose of jugular venous pressure assessment?

  • To assess blood pressure
  • To assess peripheral circulation
  • To assess central venous pressure (correct)
  • To assess cardiac output
  • What is exercise intolerance a measure of?

    <p>Cardiac reserve</p> Signup and view all the answers

    What is edema a sign of?

    <p>All of the above</p> Signup and view all the answers

    What is apical heave?

    <p>A palpable thrill in the precordium</p> Signup and view all the answers

    What is a common symptom of Acute Coronary Syndrome?

    <p>Retrosternal, anterior chest discomfort</p> Signup and view all the answers

    What is a differential diagnosis for a patient with chest pain?

    <p>All of the above</p> Signup and view all the answers

    What is a characteristic of a patient with Palpitations?

    <p>Syncope</p> Signup and view all the answers

    What is a common cause of Shortness of Breath?

    <p>All of the above</p> Signup and view all the answers

    What is Paroxysmal Nocturnal Dyspnea/Orthopnea typically characterized by?

    <p>All of the above</p> Signup and view all the answers

    What is a symptom of Aortic dissection?

    <p>Tearing, ripping, migrating pain</p> Signup and view all the answers

    What is a common symptom of Pneumothorax?

    <p>All of the above</p> Signup and view all the answers

    What is a symptom of Tamponade?

    <p>All of the above</p> Signup and view all the answers

    Study Notes

    Anatomical Structures and Physiological Functioning

    • The cardiac cycle consists of a series of events that occur in a specific order.
    • The cardiac conduction system is responsible for regulating the heartbeat.

    Concerning Signs and Symptoms

    • Chest pain can be a symptom of:
      • Acute Coronary Syndrome (ACS), characterized by retrosternal, anterior chest pain, radiation, and discomfort.
      • Pneumothorax, characterized by history of trauma, dyspnea, jugular venous pressure, and auscultatory findings.
      • Tamponade, characterized by blood or effusion, hypotension, narrow pulse pressure, and auscultatory findings.
      • Pulmonary embolus, characterized by sudden-onset dyspnea, tachypnea, pleuritic chest pain, tachycardia, and pulse oximetry.
      • Aortic dissection, characterized by tearing, ripping, migrating, hypertension, and anatomical findings.
    • Palpitations can be a symptom of:
      • Atrial fibrillation, ischaemia, PSVT, POTS (Postural Orthostatic Tachycardia Syndrome), and cardiac failure.
    • Shortness of breath can be a symptom of:
      • Acute conditions such as pulmonary embolus, pneumothorax, and ACS.
      • Chronic conditions such as cardiac failure and infection.
    • Paroxysmal Nocturnal Dyspnea/Orthopnea is characterized by:
      • Wheezing or unproductive cough within 1-2 hours of being supine, resolving on position change.
    • Edema can be a symptom of:
      • Cardiac disease, renal disease, liver disease, and nutritional disease.
    • Fatigue can be a symptom of:
      • Exercise intolerance, shortness of breath, and somnolence.

    Physical Assessment

    • ECG lead placement:
      • V1: 4th intercostal space to the right of the sternum.
      • V2: 4th intercostal space to the left of the sternum.
      • V3: Midway between V2 and V4.
      • V4: 5th intercostal space at the midclavicular line.
      • V5: Anterior axillary line at the same level as V4.
      • V6: Midaxillary line at the same level as V4 and V5.
      • RL: Anywhere above the ankle and below the torso.
      • RA: Anywhere between the shoulder and the elbow.
      • LL: Anywhere above the ankle and below the torso.
      • LA: Anywhere between the shoulder and the elbow.
    • Cardiovascular assessment includes:
      • Jugular Venous Pressure Assessment.
      • Carotid, central, and peripheral pulse assessment.
      • Thrills and Bruits.
      • Cardiac Auscultation.
      • Apical and Right Ventricular Heave.
      • Peripheral signs.

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    Description

    This quiz covers the cardiac cycle, cardiac conduction system, and signs and symptoms of chest pain, including Acute Coronary Syndrome and Pneumothorax.

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