Assessment Questions And Answers
Latest |Update| Verified Answers
When assessing family history what questions do you ask for CV history? - CORRECT ANSWER-
Long QT syndrome. Marfan syndrome-genetic, connective tissue disease MVR/MVP, AR, AD.
DM, heart disease, HLD, HTN, obesity, congenital heart disease, morbidity, mortality r/t heart,
age at time of illness or death, especially young and middle age relatives.
What questions do you ask for patient history in MI? - CORRECT ANSWER-Heart
surgery/hospitalization for cardiac evaluation, congenital heart disease, rhythm, acute
rheumatic fever, Kawasaki disease.
What creates each heart sound? - CORRECT ANSWER-S1-first heart sound (lub), ventricular
contraction, closure of the mitral and tricuspid valve (AV valve), beginning of systole, heard best
at apex, lower pitch.
S2-Second heart sound (dub), aortic and pulmonic valve closure (SL valves), end of systole, best
heard at base, higher pitch.
S3-Early passive diastole phase that causes distention in the ventricular walls and vibration,
ventricular filling phase, best heard in the left lateral recumbent position, Ken-TUCK-y, right
after S2.
S4-2nd phase of active ventricular filling, vibration in the valves, papillae, and walls produce
sound, TEN-nes-see, right before S1.
What is S4 indicative of? - CORRECT ANSWER-In the 2nd phase of ventricular filling, vibration in
the valves, papillae, and ventricular walls produce S4. When there is increased resistance to
filling because ventricular walls have lost compliance. HTN, CAD or increased stroke volume high