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NURS607 Physical Assessment Exam 1
Questions and Correct Answers the
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Innocent Murmur (Still's Murmur)
✓ common murmur found in infants and children; no structural defects in the heart or
vessels
What does OLDCARTS stand for?
✓ Onset
✓ Location
✓ Duration
✓ Characteristics
✓ Aggravating and Alleviating Factors
✓ Radiation
✓ Timing
✓ Setting
List all 12 cranial nerves in order
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✓ Olfactory (I)
✓ Optic (II)
✓ Oculomotor (III)
✓ Trochlear (IV)
✓ Trigeminal (V)
✓ Abducens (VI)
✓ Facial (VII)
✓ Vestibulocochlear (VIII)
✓ Glossopharyngeal (IX)
✓ Vagus (X)
✓ Accessory (XI)
✓ Hypoglossal (XII)
List the 7 attributes of a symptom
✓ Location
✓ Quality
✓ Quantity/Severity
✓ Timing
✓ Setting
✓ Aggravating/Relieving Factors
✓ Associated Manifestations
Where is the point of maximal impulse (PMI)?
✓ 5th intercostal space, left mid-clavicular line; apex of the heart
Venous Hum
✓ benign, soft, hollow, continuous; louder in diastole, below the right clavicle; best
heard in the sitting position and with the bell of the stethoscope
Description of Aortic Stenosis
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✓ Loud blowing sounds
Description of Mitral Stenosis
✓ Low rumbling sound
Descriptions of Aortic Regurgitation
✓ Soft, swishy sound
Description of Mitral Regurgitation
✓ Loud, swishy sound
Grade 1 Murmur
✓ Very faint, heard only after listener has "tuned in"; may not be heard in all positions
Grade 2 Murmur
✓ Quiet, but heard immediately after placing the stethoscope on the chest
Grade 3 Murmur
✓ moderately loud
Grade 4 Mumur
✓ loud with a palpable thrill
Grade 5 Murmur
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