Cardiac History and Physical Exam

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17 Questions

What is an important aspect of a physical exam to assess for cardiac distress in a child?

Assessing for pallor and sweating

What is a relevant question to ask during the history of current complaint to assess for respiratory manifestations?

Have you experienced any chest pain?

What is an important assessment to make during a physical exam to evaluate for cardiac distress?

Heart tones and murmurs

What is a sign of cardiac distress that may be observed during a physical exam?

All of the above

What is an important aspect of the history of current complaint to assess for cardiac distress?

Exertional dyspnea and paroxysmal nocturnal dyspnea

What is the term for the difference between the systolic and diastolic blood pressure?

Pulse pressure

What is the target apical heart rate for a 4 to 5 year old child?

70-110 bpm

During physical assessment of the abdomen, what might you inspect for in a patient with cardiac distress?

Distention

Which of the following is a physical sign of cardiac distress?

Dusky skin or pallor

What is the term for a vibration felt during palpation over a narrowed vessel?

Thrill

What is the term for the third heart sound, which occurs during early diastolic filling of the left ventricle?

S3

What is the term for swelling caused by excess fluid trapped in the tissues?

Edema

What percentage of children have murmurs?

50%

During physical assessment of the neck, what might you evaluate with the head of the bed at 30-45 degrees?

Jugular vein distension

Which of the following is a location where the heart sounds can be best auscultated?

Apex of the heart

What is the term for a blowing sound heard during auscultation over a narrowed vessel?

Bruit

What is the term for the contraction of the left atrium, which can be heard as a fourth heart sound?

Atrial gallop

Test your knowledge of cardiac history and physical exam, including risk factors, medications, and physical signs of cardiac distress. Covering topics such as surgical history, family health history, and physical signs of cardiac distress. Assessment of cardiac health and patient evaluation.

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