APEA Assessment
On otoscopic exam the cone light can be visualized - ANS-at the 7 o clock and 8 clock position
of left tympanic membrane
Aortic stenosis - ANS-narrowing of the aorta, murmur is heard at right second intercostal space
and radiates to the carotid arteries
S3 heart sound - ANS-sign of ventricular failure or volume overload
S4 heart sound in elderly - ANS-Occurs when atria contract adn force blood into left ventricle
that is non compliant, hypertension or infraction
cutis marmorata - ANS-marbled or mottled look to newborn caused by uneven distribution of
blood flow
Aortic dissection s/s - ANS-sudden sharp pain that radiates to the back and into the neck
A bruit heard in the epigastric area with both systolic and diastolic components is suggestive of:
- ANS-renal artery stenosis
A patient complains of a tight, bursting pain in the calf that increases with walking. Elevation of
the leg sometimes relieves the pain. These symptoms may be consistent with - ANS-Deep
venous thrombosis
A disparity between the brachial and femoral pulses in a 4 month old could indicate -
ANS-coarctation of aorta
Thromboangitis Obliterans (Buerger's) - ANS-inflammatory arterial disorder that causes
thrombus formation, pain in the arch of foot and intermittent pain in the toes
Widened pulse pressure greater than or equal to 60 in older patients is a risk factor for
cardiovascular disease, stroke and - ANS-renal disease
Pain or cramping in the legs that occur during exertion and is relieved by rest - ANS-intermittent
claudication
what heart sounds are heard during auscultation of a man with Marfan syndrome who has a
known mitral valve prolapse - ANS-a mid systolic click
, when auscultating the point of maximal impulse, apex of the heart, where should you place the
stethoscope - ANS-5th intercostal space to the left of the midclavicular line
When percussing the chest in a patient who has left sided heart failure the sound emanated
would be - ANS-resonant
To auscultate the heart sounds arising from the pulmonic valve in an adult patient place the
stethoscope - ANS-between 2nd and 3rd intercostal space at the left sternal border
To assess the murmur of aortic insufficiency, position the patient: - ANS-sitting leaning forward
In order to bring the ventricular apex closer to the chest wall when assessing the point of
maximal impulse (PMI), ask the patient to: - ANS-turn to the left side
When auscultating the patients heart, a medium, soft murmur is audible. It is pansystolic and
hear loudest at teh apex and radiates to the left axilla this is consistent with - ANS-mitral
regurgitation
Apical pulse of a 13 month old location - ANS-between the 3rd and 4th intercostal space in the
midclavicular line
The great saphenous vein enters the deep venous system by the way - ANS-femoral vein
Four classic structural defects of tetralogy of fallot - ANS-ventricular septal defect, overriding
aorta, pulmonary stenosis and right ventricular hypertrophy
Ankle brachial index screening test for - ANS-peripheral artery disease
Listening for aortic valve location - ANS-2nd and 3rd intercostal spaces at the right sternal
border
Listening for tricuspid valve location - ANS-between 3rd, 4th, 5th and 6th intercostal spaces at
the left lower sternal border
When examining the left ear, a raised nodule behind the ear is noted to have a lustrous surface
with visible telangiectatic vessels in the center. This is most likely - ANS-basal cell carcinoma
Vitiligo - ANS-depigmented macules appearing on the face, hands, feet and other parks of the
body as they lack melanin
Tinea coporis - ANS-annular lesions with central clearing and papules on the borders
Furuncles - ANS-painful infections that develop within hair follicles
On otoscopic exam the cone light can be visualized - ANS-at the 7 o clock and 8 clock position
of left tympanic membrane
Aortic stenosis - ANS-narrowing of the aorta, murmur is heard at right second intercostal space
and radiates to the carotid arteries
S3 heart sound - ANS-sign of ventricular failure or volume overload
S4 heart sound in elderly - ANS-Occurs when atria contract adn force blood into left ventricle
that is non compliant, hypertension or infraction
cutis marmorata - ANS-marbled or mottled look to newborn caused by uneven distribution of
blood flow
Aortic dissection s/s - ANS-sudden sharp pain that radiates to the back and into the neck
A bruit heard in the epigastric area with both systolic and diastolic components is suggestive of:
- ANS-renal artery stenosis
A patient complains of a tight, bursting pain in the calf that increases with walking. Elevation of
the leg sometimes relieves the pain. These symptoms may be consistent with - ANS-Deep
venous thrombosis
A disparity between the brachial and femoral pulses in a 4 month old could indicate -
ANS-coarctation of aorta
Thromboangitis Obliterans (Buerger's) - ANS-inflammatory arterial disorder that causes
thrombus formation, pain in the arch of foot and intermittent pain in the toes
Widened pulse pressure greater than or equal to 60 in older patients is a risk factor for
cardiovascular disease, stroke and - ANS-renal disease
Pain or cramping in the legs that occur during exertion and is relieved by rest - ANS-intermittent
claudication
what heart sounds are heard during auscultation of a man with Marfan syndrome who has a
known mitral valve prolapse - ANS-a mid systolic click
, when auscultating the point of maximal impulse, apex of the heart, where should you place the
stethoscope - ANS-5th intercostal space to the left of the midclavicular line
When percussing the chest in a patient who has left sided heart failure the sound emanated
would be - ANS-resonant
To auscultate the heart sounds arising from the pulmonic valve in an adult patient place the
stethoscope - ANS-between 2nd and 3rd intercostal space at the left sternal border
To assess the murmur of aortic insufficiency, position the patient: - ANS-sitting leaning forward
In order to bring the ventricular apex closer to the chest wall when assessing the point of
maximal impulse (PMI), ask the patient to: - ANS-turn to the left side
When auscultating the patients heart, a medium, soft murmur is audible. It is pansystolic and
hear loudest at teh apex and radiates to the left axilla this is consistent with - ANS-mitral
regurgitation
Apical pulse of a 13 month old location - ANS-between the 3rd and 4th intercostal space in the
midclavicular line
The great saphenous vein enters the deep venous system by the way - ANS-femoral vein
Four classic structural defects of tetralogy of fallot - ANS-ventricular septal defect, overriding
aorta, pulmonary stenosis and right ventricular hypertrophy
Ankle brachial index screening test for - ANS-peripheral artery disease
Listening for aortic valve location - ANS-2nd and 3rd intercostal spaces at the right sternal
border
Listening for tricuspid valve location - ANS-between 3rd, 4th, 5th and 6th intercostal spaces at
the left lower sternal border
When examining the left ear, a raised nodule behind the ear is noted to have a lustrous surface
with visible telangiectatic vessels in the center. This is most likely - ANS-basal cell carcinoma
Vitiligo - ANS-depigmented macules appearing on the face, hands, feet and other parks of the
body as they lack melanin
Tinea coporis - ANS-annular lesions with central clearing and papules on the borders
Furuncles - ANS-painful infections that develop within hair follicles
