Inquire through: | Professional | Confidential Support
Health Assessment - Exam 2: Cardio Verified
and Updated Questions and Answers (100%
Correct Answers)
Blood flows from the
Answer: left side of the heart to the right, the right side pumps the blood to the
lungs
Screening for cardiovascular risk factors
Answer: Step 1: Screen for Global Risk Factors
— Begin routine screening for individual risk factors/global risk at age 20.
Step 2: Calculate 10 year and lifetime CVD risk using an online calculator
— Use CVD risk calculators to establish 10 year and life time risk for pts. 40- 79
years old
Step 3: Track Individual Risk Factors
— HTN, DM, Dyslipidemia, Metabolic syndrome, smoking, family history and obesity
Screen for Risk Factors: Major Cardiovascular Risk Factors
(Family/PMH/Social)
Answer: • Family History of Pre-mature CVD (at age <55 years first degree male and
< 65 years in first degree females)
• Cigarette smoking
• Poor diet
• Physical Inactivity
• Obesity—ESPECIALLY Central adiposity
- BMI Goal 20-25 kg/m2; Waist circumference: 40 inches male and <35 female.
,Inquire through: | Professional | Confidential Support
Four Main Conditions than can Contribute to CVD
Answer: Hypertension
Dyslipidemia
Diabetes
Atrial fibrillation
Screen for dyslipidema
Answer: Every 5 years if low risk
Every 2 years if high risk
Screen for Diabetes
Answer: Every 3 years (if normal) beginning at age 45; more frequently at any age if
risk factors
Cardiovascular Review of Systems (ROS)
Answer: • Heart Trouble
• High blood pressure
• Rheumatic fever
• Heart murmurs
• Chest discomfort/pain***
• Palpitations
• Dyspnea
• Orthopnea
• PND
• Syncope
• Edema
,Inquire through: | Professional | Confidential Support
• Calf pain with walking
• Foot ulcers/wounds
• Past CV testing
• Lipid testing
• Stress testing
• Echo
• Cardiac cath
• Congenital heart defects
Orthopnea:
Answer: cough when laying down
PND (paroxysmal nocturnal dyspnea):
Answer: go to sleep, wake up and feel like they're suffocating, have to sit on the
edge of the bed to catch breath, classic sign of HF
Evaluating Chest Pain
Answer: Open ended questions
• Please tell me about any symptoms you are having in your chest?
• Point to location of the pain/discomfort in the chest
• ALL 7 Dimensions
Seven Dimensions
Answer: • Location: Where is it? Does it Radiate?
• Quality: What is it like?
• Quantity and Severity: How bad is it? (rate pain scale 1-10).
, Inquire through: | Professional | Confidential Support
• Timing: When did it start? How long does it last? How often does it come? (for
awhile is not enough)
• Setting in which it occurs: Circumstances that may have contributed to the illness
• Remitting or exacerbating factors: Is there anything that makes it better or worse?
• Associated manifestations: Have you noticed anything else that accompanies it?
Ischemic Pain is brought on by
Answer: physical activity (walking, vacuuming, ect.) and resolves with rest
Baseline Activity Assessment
Answer: • Quantify a patient's baseline level of activity
○ What is the most active thing you do?
○ Can you go to the grocery store, get all of your groceries, bring in from car etc?
○ Vacuum? Make a bed?
○ What are you doing when symptoms occur?
• Helps establish the severity of patient's symptoms and their significance
Chest Pain Eval
Answer: • Is the discomfort related to exertion?
• What kind of activities bring on the pain?
• How intense is the pain? Scale 0-10
• Does it radiate? And Where?
• Associated symptoms?
— Dyspnea
— Sweating
Health Assessment - Exam 2: Cardio Verified
and Updated Questions and Answers (100%
Correct Answers)
Blood flows from the
Answer: left side of the heart to the right, the right side pumps the blood to the
lungs
Screening for cardiovascular risk factors
Answer: Step 1: Screen for Global Risk Factors
— Begin routine screening for individual risk factors/global risk at age 20.
Step 2: Calculate 10 year and lifetime CVD risk using an online calculator
— Use CVD risk calculators to establish 10 year and life time risk for pts. 40- 79
years old
Step 3: Track Individual Risk Factors
— HTN, DM, Dyslipidemia, Metabolic syndrome, smoking, family history and obesity
Screen for Risk Factors: Major Cardiovascular Risk Factors
(Family/PMH/Social)
Answer: • Family History of Pre-mature CVD (at age <55 years first degree male and
< 65 years in first degree females)
• Cigarette smoking
• Poor diet
• Physical Inactivity
• Obesity—ESPECIALLY Central adiposity
- BMI Goal 20-25 kg/m2; Waist circumference: 40 inches male and <35 female.
,Inquire through: | Professional | Confidential Support
Four Main Conditions than can Contribute to CVD
Answer: Hypertension
Dyslipidemia
Diabetes
Atrial fibrillation
Screen for dyslipidema
Answer: Every 5 years if low risk
Every 2 years if high risk
Screen for Diabetes
Answer: Every 3 years (if normal) beginning at age 45; more frequently at any age if
risk factors
Cardiovascular Review of Systems (ROS)
Answer: • Heart Trouble
• High blood pressure
• Rheumatic fever
• Heart murmurs
• Chest discomfort/pain***
• Palpitations
• Dyspnea
• Orthopnea
• PND
• Syncope
• Edema
,Inquire through: | Professional | Confidential Support
• Calf pain with walking
• Foot ulcers/wounds
• Past CV testing
• Lipid testing
• Stress testing
• Echo
• Cardiac cath
• Congenital heart defects
Orthopnea:
Answer: cough when laying down
PND (paroxysmal nocturnal dyspnea):
Answer: go to sleep, wake up and feel like they're suffocating, have to sit on the
edge of the bed to catch breath, classic sign of HF
Evaluating Chest Pain
Answer: Open ended questions
• Please tell me about any symptoms you are having in your chest?
• Point to location of the pain/discomfort in the chest
• ALL 7 Dimensions
Seven Dimensions
Answer: • Location: Where is it? Does it Radiate?
• Quality: What is it like?
• Quantity and Severity: How bad is it? (rate pain scale 1-10).
, Inquire through: | Professional | Confidential Support
• Timing: When did it start? How long does it last? How often does it come? (for
awhile is not enough)
• Setting in which it occurs: Circumstances that may have contributed to the illness
• Remitting or exacerbating factors: Is there anything that makes it better or worse?
• Associated manifestations: Have you noticed anything else that accompanies it?
Ischemic Pain is brought on by
Answer: physical activity (walking, vacuuming, ect.) and resolves with rest
Baseline Activity Assessment
Answer: • Quantify a patient's baseline level of activity
○ What is the most active thing you do?
○ Can you go to the grocery store, get all of your groceries, bring in from car etc?
○ Vacuum? Make a bed?
○ What are you doing when symptoms occur?
• Helps establish the severity of patient's symptoms and their significance
Chest Pain Eval
Answer: • Is the discomfort related to exertion?
• What kind of activities bring on the pain?
• How intense is the pain? Scale 0-10
• Does it radiate? And Where?
• Associated symptoms?
— Dyspnea
— Sweating
