Clinical 3

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?

Rhythmic nodding of the head synchronous with heart action (C) Signup and view all the answers

What is facies mitralis (Courvoisier)?

Reddish-livid discoloration of the lips and around the cheeks (B) Signup and view all the answers

Which arteries can show pulsation in aortic regurgitation?

Carotid arteries (D) Signup and view all the answers

What is palpation performed over the topographic projections of?

Heart valves (B) Signup and view all the answers

What is assessed during arterial pulse wave assessment?

Pulse quality (C) Signup and view all the answers

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

Carotid artery (C) Signup and view all the answers

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

Percussion (C) Signup and view all the answers

Which intercostal spaces are used for percussion of the heart?

III to V (B) Signup and view all the answers

Where does the right border of the heart start?

At the dullness of the liver (C) Signup and view all the answers

Where does the left border of the heart move to?

To the ictus in the 5th intercostal space (B) Signup and view all the answers

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

To listen to heart sounds and murmurs (C) Signup and view all the answers

Where is the mitral area located?

At the apex of the heart in the 5th left intercostal space (A) Signup and view all the answers

What are the basic heart sounds?

S1 and S2 (B) Signup and view all the answers

What is the audibility of the third heart sound called?

Gallop rhythm (D) Signup and view all the answers

When does the fourth heart sound occur?

At the end of diastole (C) Signup and view all the answers

What causes heart murmurs?

All of the above (D) Signup and view all the answers

What are the characteristics of heart murmurs?

Intensity, frequency, configuration, quality, duration, direction of propagation (D) Signup and view all the answers

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

Pericardial murmurs (C) Signup and view all the answers

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

Palpable with normal size and localization (A) Signup and view all the answers

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

120/80mmHg (D) Signup and view all the answers

What is the normal pulse rate for the patient?

75/min (C) Signup and view all the answers

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

No signs of arterial and venous insufficiency (B) Signup and view all the answers

What is the characteristic of pericardial friction rub?

Not intense and heard in both systole and diastole (B) Signup and view all the answers

Do the normal heart sounds have any accompanying pathological murmurs?

No, they do not have any accompanying pathological murmurs (B) Signup and view all the answers

Do pericardial murmurs change over time?

Yes, they change over time (B) Signup and view all the answers

What is the characteristic of the auscultatory heart action?

Normal rhythm (B) Signup and view all the answers

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

No, there is no palpable thrill (freme) (A) Signup and view all the answers