ADVANCED HEALTH ASSESSMENT QUIZ #2 ACTUAL
EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |AGRADE
Holosystolic murmur heard best at Apex, may transmit to axilla and sternum. -
ANSWER: Mitral Regurgitation
Symptoms of Mitral regurgitation - ANSWER: may be asymptomatic for decades,
then SOB, Fatigue, HF
What increases the murmur of Mitral regurgitation, what decreases the murmur? -
ANSWER: Decrease murmur = stand up
Increase murmur = clench fist
Common causes of mitral regurgitation - ANSWER: Congenital abnormality,
Rheumatic Heart disease, acute endocarditis, Chordae tendinae dysfunction...
Mid-systolic grade II-III/VI, best heard between L. sternal border and apex. -
ANSWER: physiologic murmur - specifically "Still's Murmur" (usually ages 3-6)
Harsh, crescendo-decrescendo systolic murmur best heard at right sternal border.
Can radiate to the neck - ANSWER: Aortic Stenosis
What are the common symptoms of Aortic Stenosis - ANSWER: Chest pain, syncope,
exercise intolerance, dyspnea, CHF. May have a long latent period before sx.
what are patients at risk for with severe aortic stenosis - ANSWER: Sudden Death!
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) - ANSWER: patent
ductus arteriosus
Mid-to late systolic murmur, may have a mid-systolic click best heard over the lower
left sternal border. - ANSWER: Mitral Valve Prolapse
what are the symptoms associated with MVP? - ANSWER: Most people are
asymptomatic. May have chest pain, palpitation, mild dyspnea, fatigue, anxiety.
Loud, blowing, high pitched diastolic murmur best heard Lower Left Sternal Border.. -
ANSWER: Aortic insufficiency / Aortic regurgitation
What are symptoms associated with severe aortic regurgitation? - ANSWER:
Dyspnea, fatigue, CHF, widened pulse pressure. Water-hammer pulse
, Low pitched, mid-diastolic rumble best heard at the apex in the Left Lateral position.
May also hear an "opening Snap" - ANSWER: Mitral Stenosis
What is the most common cause for mitral stenosis - ANSWER: Rheumatic Heart
Disease
What are the sx associated with Mitral stenosis? - ANSWER: DYSPNEA, fatigue,
palpitations, hemoptysis, angina-like chest pain. A-fib is common
What are patients with Mitral Stenosis at risk for? (2 things) - ANSWER:
Thromboembolization & pulmonary hypertension
Which murmurs are louder during inspiration? (left or right) - ANSWER: Right
Which murmurs are louder during expiration? (left or right) - ANSWER: Left
Early, mid, or late systolic OR pansystolic Medium pitched murmur best heard at the
lower left sternal border. Can radiate to the right sternal border? - ANSWER:
Tricuspid Regurgitation/Insufficiency
What is associated with a Pansystolic, louder in midsystole. best heard at LSB with
radiation to the RSB. May have systolic THRILL at LLSB. Increased murmur with
Valsalva. - ANSWER: Ventricular Septal Defect
In a fetus, blood flows from the right atrium to the left atrium through the
__________. - ANSWER: Foramen ovale
In a fetus, the connection between the pulmonary artery and aorta is the
___________. - ANSWER: Ductus arteriosus
_________ brings blood back from the fetus to the placenta - ANSWER: umbilical
artery
________ brings blood from the placenta to the fetus - ANSWER: umbilical vein
Which 3 CHD are associated with INCREASED pulmonary blood flow - ANSWER: PDA,
ASD, VSD
What are symptoms associated with Patent Ductus arteriosus? - ANSWER: may be
asymptomatic, or CHF, bounding peripheral pulses, WIDE pulse pressure, II-V Harsh
machinery like CONTINUOUS murmur best heard left clavicle, 1st/2nd L ICS.
What is the treatment for PDA? - ANSWER: Indomethacin to effect closure
Blood flows from Left to Right Atrium through an opening. Can result in R atrium and
ventricle distention, and increased pulmonary blood flow. - ANSWER: Atrial Septal
Defect
EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |AGRADE
Holosystolic murmur heard best at Apex, may transmit to axilla and sternum. -
ANSWER: Mitral Regurgitation
Symptoms of Mitral regurgitation - ANSWER: may be asymptomatic for decades,
then SOB, Fatigue, HF
What increases the murmur of Mitral regurgitation, what decreases the murmur? -
ANSWER: Decrease murmur = stand up
Increase murmur = clench fist
Common causes of mitral regurgitation - ANSWER: Congenital abnormality,
Rheumatic Heart disease, acute endocarditis, Chordae tendinae dysfunction...
Mid-systolic grade II-III/VI, best heard between L. sternal border and apex. -
ANSWER: physiologic murmur - specifically "Still's Murmur" (usually ages 3-6)
Harsh, crescendo-decrescendo systolic murmur best heard at right sternal border.
Can radiate to the neck - ANSWER: Aortic Stenosis
What are the common symptoms of Aortic Stenosis - ANSWER: Chest pain, syncope,
exercise intolerance, dyspnea, CHF. May have a long latent period before sx.
what are patients at risk for with severe aortic stenosis - ANSWER: Sudden Death!
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) - ANSWER: patent
ductus arteriosus
Mid-to late systolic murmur, may have a mid-systolic click best heard over the lower
left sternal border. - ANSWER: Mitral Valve Prolapse
what are the symptoms associated with MVP? - ANSWER: Most people are
asymptomatic. May have chest pain, palpitation, mild dyspnea, fatigue, anxiety.
Loud, blowing, high pitched diastolic murmur best heard Lower Left Sternal Border.. -
ANSWER: Aortic insufficiency / Aortic regurgitation
What are symptoms associated with severe aortic regurgitation? - ANSWER:
Dyspnea, fatigue, CHF, widened pulse pressure. Water-hammer pulse
, Low pitched, mid-diastolic rumble best heard at the apex in the Left Lateral position.
May also hear an "opening Snap" - ANSWER: Mitral Stenosis
What is the most common cause for mitral stenosis - ANSWER: Rheumatic Heart
Disease
What are the sx associated with Mitral stenosis? - ANSWER: DYSPNEA, fatigue,
palpitations, hemoptysis, angina-like chest pain. A-fib is common
What are patients with Mitral Stenosis at risk for? (2 things) - ANSWER:
Thromboembolization & pulmonary hypertension
Which murmurs are louder during inspiration? (left or right) - ANSWER: Right
Which murmurs are louder during expiration? (left or right) - ANSWER: Left
Early, mid, or late systolic OR pansystolic Medium pitched murmur best heard at the
lower left sternal border. Can radiate to the right sternal border? - ANSWER:
Tricuspid Regurgitation/Insufficiency
What is associated with a Pansystolic, louder in midsystole. best heard at LSB with
radiation to the RSB. May have systolic THRILL at LLSB. Increased murmur with
Valsalva. - ANSWER: Ventricular Septal Defect
In a fetus, blood flows from the right atrium to the left atrium through the
__________. - ANSWER: Foramen ovale
In a fetus, the connection between the pulmonary artery and aorta is the
___________. - ANSWER: Ductus arteriosus
_________ brings blood back from the fetus to the placenta - ANSWER: umbilical
artery
________ brings blood from the placenta to the fetus - ANSWER: umbilical vein
Which 3 CHD are associated with INCREASED pulmonary blood flow - ANSWER: PDA,
ASD, VSD
What are symptoms associated with Patent Ductus arteriosus? - ANSWER: may be
asymptomatic, or CHF, bounding peripheral pulses, WIDE pulse pressure, II-V Harsh
machinery like CONTINUOUS murmur best heard left clavicle, 1st/2nd L ICS.
What is the treatment for PDA? - ANSWER: Indomethacin to effect closure
Blood flows from Left to Right Atrium through an opening. Can result in R atrium and
ventricle distention, and increased pulmonary blood flow. - ANSWER: Atrial Septal
Defect
