COMPREHENSIVE REVIEW SOLVED QUESTION
SET
◉ color return in less than 1-2 seconds. Answer: What would a normal
capillary refill be?
◉ depress and blanch the nails, release and note time for color return.
Answer: How to test for capillary refill
◉ IWIPE, inspect JV pulse, auscultate then palpate carotids, inspect
pulsations on anterior chest, palpate apical impulse, palpate for abnormal
pulsations, auscultate to identify S1 and S1, and auscultate for extra
heart sounds/murmurs. Answer: list the sequence of cardiovascular exam
◉ Bruit. Answer: blowing, swishing sound indicating blood flow
turbulence (normal= no bruit present)
◉ thrill. Answer: a vibratory movement or resonance heard through a
stethoscope
◉ auscultate carotid artery (lightly apply bell of stethoscope over carotid
artery) and have patient exhale and hold breath when you listen. Answer:
How do you assess for bruits?
, ◉ palpate one carotid artery at a time (GENTLY), feel amplitude of
pulse, and make sure it is the same bilaterally. Answer: How do you
assess for thrills?
◉ myocardial infarction. Answer: reduced blood flow to coronary artery
due to occlusion; damage occurs due to ischemia or hypoxia
◉ coronary artery occlusion. Answer: primary cause of myocardial
infarction
◉ MOAN (morphine, oxygen, aspirin, nitroglycerine). Answer: What is
the immediate treatment of MI?
◉ coronary atherosclerosis, vasospasm (platelet aggregation, cocaine
abuse), and emboli. Answer: What factors are responsible for a
myocardial infarction?
◉ heart failure. Answer: heart is unable to pump adequately and blood
backs up; fluid pools in the lungs/extremities (left ventricle enlarges)
◉ dyspnea, orthopnea, crackles/wheezes, cough (frothy sputum),
anxiety, ascites, pitting edema, falling O2 saturation, and JVD. Answer:
Symptoms of heart failure
◉ ulnar pulse. Answer: pulse at pinky side of wrist