NSG 500 Advanced Health Assessment -
Exam #2 Questions and Answers
1. Holosystolic murmur heard best at Apex, may transmit to axilla and
sternum.-
ANS Mitral Regurgitation
2. Symptoms of Mitral regurgitation
ANS may be asymptomatic for decades, then SOB, Fatigue, HF
3. What increases the murmur of Mitral regurgitation,
what decreases the murmur?
ANS Decrease murmur = stand up
Increase murmur = clench fist
4. Common causes of mitral regurgitation
ANS Congenital abnormality, Rheumatic Heart disease, acute endocarditis, Chordae
tendinae dysfunction...
5. Mid-systolic grade II-III/VI, best heard between L. sternal border and
apex.
ANS -
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,physiologic murmur - specifically "Still's Murmur" (usually ages 3-6)
6. Harsh, crescendo-decrescendo systolic murmur best heard at
right sternal border. Can radiate to the neck
ANS Aortic Stenosis
7. What are the common symptoms of Aortic Stenosis
ANS Chest pain, syncope, exercise intolerance, dyspnea, CHF. May have a long latent
period before sx.
8. what are patients at risk for with severe aortic stenosis
ANS Sudden Death!
9...........................................What am I associated with Medium pitched
CONTINUOUS murmur in both
systole/diastole. Usually harsh, machinery like noise. Loud, sometimes
a thrill is present. (heard best L infraclavicular fossa and pulmonic area)
ANS patent ductus arteriosus
10. Mid-to late systolic murmur, may have a mid-systolic click
best heard over the lower left sternal border.
ANS Mitral Valve Prolapse
11. what are the symptoms associated with MVP?
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, ANS Most people are asymptomatic. May have chest pain, palpitation, mild dyspnea,
fatigue, anxiety.
12. Loud, blowing, high pitched diastolic murmur best heard Lower
Left Sternal Border..
ANS Aortic insuflciency / Aortic regurgitation
13. What are symptoms associated with severe aortic
regurgitation?
ANS Dyspnea, fa- tigue, CHF, widened pulse pressure. Water-hammer pulse
14. Low pitched, mid-diastolic rumble best heard at the apex in
the Left Lateral position. May also hear an "opening Snap"
ANS Mitral Stenosis
15. What is the most common cause for mitral stenosis
ANS Rheumatic Heart Disease
16. What are the sx associated with Mitral stenosis?
ANS DYSPNEA, fatigue, palpitations, hemopt- ysis, angina-like chest pain. A-fib is common
17. What are patients with Mitral Stenosis at risk for? (2 things)
ANS Thromboembolization & pulmonary hypertension
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Exam #2 Questions and Answers
1. Holosystolic murmur heard best at Apex, may transmit to axilla and
sternum.-
ANS Mitral Regurgitation
2. Symptoms of Mitral regurgitation
ANS may be asymptomatic for decades, then SOB, Fatigue, HF
3. What increases the murmur of Mitral regurgitation,
what decreases the murmur?
ANS Decrease murmur = stand up
Increase murmur = clench fist
4. Common causes of mitral regurgitation
ANS Congenital abnormality, Rheumatic Heart disease, acute endocarditis, Chordae
tendinae dysfunction...
5. Mid-systolic grade II-III/VI, best heard between L. sternal border and
apex.
ANS -
1/
22
,physiologic murmur - specifically "Still's Murmur" (usually ages 3-6)
6. Harsh, crescendo-decrescendo systolic murmur best heard at
right sternal border. Can radiate to the neck
ANS Aortic Stenosis
7. What are the common symptoms of Aortic Stenosis
ANS Chest pain, syncope, exercise intolerance, dyspnea, CHF. May have a long latent
period before sx.
8. what are patients at risk for with severe aortic stenosis
ANS Sudden Death!
9...........................................What am I associated with Medium pitched
CONTINUOUS murmur in both
systole/diastole. Usually harsh, machinery like noise. Loud, sometimes
a thrill is present. (heard best L infraclavicular fossa and pulmonic area)
ANS patent ductus arteriosus
10. Mid-to late systolic murmur, may have a mid-systolic click
best heard over the lower left sternal border.
ANS Mitral Valve Prolapse
11. what are the symptoms associated with MVP?
2/
22
, ANS Most people are asymptomatic. May have chest pain, palpitation, mild dyspnea,
fatigue, anxiety.
12. Loud, blowing, high pitched diastolic murmur best heard Lower
Left Sternal Border..
ANS Aortic insuflciency / Aortic regurgitation
13. What are symptoms associated with severe aortic
regurgitation?
ANS Dyspnea, fa- tigue, CHF, widened pulse pressure. Water-hammer pulse
14. Low pitched, mid-diastolic rumble best heard at the apex in
the Left Lateral position. May also hear an "opening Snap"
ANS Mitral Stenosis
15. What is the most common cause for mitral stenosis
ANS Rheumatic Heart Disease
16. What are the sx associated with Mitral stenosis?
ANS DYSPNEA, fatigue, palpitations, hemopt- ysis, angina-like chest pain. A-fib is common
17. What are patients with Mitral Stenosis at risk for? (2 things)
ANS Thromboembolization & pulmonary hypertension
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22
