Clinical 3
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Questions and Answers

Which part of the body is normally inspected to assess visible pulsations at the heart?

  • Abdomen
  • Neck
  • Chest (correct)
  • Legs

    • What is the normal location of visible pulsations at the heart?

  • IV/V intercostal space on the right
  • Medio-clavicular line on the left
  • IV/V intercostal space on the left (correct)
  • Medio-clavicular line on the right

    • Which condition is associated with pulsation in the epigastrium?

  • Enlarged left ventricle
  • Enlarged right ventricle (correct)
  • Aortic regurgitation
  • Mitral stenosis

    • What is Musset's sign?

    <p>Rhythmic nodding of the head synchronous with heart action</p> Signup and view all the answers

    What is facies mitralis (Courvoisier)?

    <p>Reddish-livid discoloration of the lips and around the cheeks</p> Signup and view all the answers

    Which arteries can show pulsation in aortic regurgitation?

    <p>Carotid arteries</p> Signup and view all the answers

    What is palpation performed over the topographic projections of?

    <p>Heart valves</p> Signup and view all the answers

    What is assessed during arterial pulse wave assessment?

    <p>Pulse quality</p> Signup and view all the answers

    Which artery is not listed as one of the peripheral arteries for pulse wave assessment?

    <p>Carotid artery</p> Signup and view all the answers

    Which method of cardiology examination has lost most of its everyday meaning?

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

    Which intercostal spaces are used for percussion of the heart?

    <p>III to V</p> Signup and view all the answers

    Where does the right border of the heart start?

    <p>At the dullness of the liver</p> Signup and view all the answers

    Where does the left border of the heart move to?

    <p>To the ictus in the 5th intercostal space</p> Signup and view all the answers

    What is the purpose of auscultation in the examination of the heart?

    <p>To listen to heart sounds and murmurs</p> Signup and view all the answers

    Where is the mitral area located?

    <p>At the apex of the heart in the 5th left intercostal space</p> Signup and view all the answers

    What are the basic heart sounds?

    <p>S1 and S2</p> Signup and view all the answers

    What is the audibility of the third heart sound called?

    <p>Gallop rhythm</p> Signup and view all the answers

    When does the fourth heart sound occur?

    <p>At the end of diastole</p> Signup and view all the answers

    What causes heart murmurs?

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

    What are the characteristics of heart murmurs?

    <p>Intensity, frequency, configuration, quality, duration, direction of propagation</p> Signup and view all the answers

    Which type of murmurs are heard best at the base of the heart?

    <p>Pericardial murmurs</p> Signup and view all the answers

    What is the normal size and localization of the heart tip (ictus cordis)?

    <p>Palpable with normal size and localization</p> Signup and view all the answers

    What is the normal blood pressure (BP) reading for the patient?

    <p>120/80mmHg</p> Signup and view all the answers

    What is the normal pulse rate for the patient?

    <p>75/min</p> Signup and view all the answers

    Are there any signs of arterial and venous insufficiency in the peripheral vascular system?

    <p>No signs of arterial and venous insufficiency</p> Signup and view all the answers

    What is the characteristic of pericardial friction rub?

    <p>Not intense and heard in both systole and diastole</p> Signup and view all the answers

    Do the normal heart sounds have any accompanying pathological murmurs?

    <p>No, they do not have any accompanying pathological murmurs</p> Signup and view all the answers

    Do pericardial murmurs change over time?

    <p>Yes, they change over time</p> Signup and view all the answers

    What is the characteristic of the auscultatory heart action?

    <p>Normal rhythm</p> Signup and view all the answers

    Is there any palpable thrill (freme) at the heart tip (ictus cordis)?

    <p>No, there is no palpable thrill (freme)</p> Signup and view all the answers

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