Dr. Bolden Spring 2025) Questions With Complete Solutions
Pallor
extreme or unnatural paleness
Paroxysmal nocturnal dyspnea
sudden awakening from sleeping with shortness of breath
Orthopnea
difficulty breathing when lying down
Edema
puffy swelling of tissue from the accumulation of fluid
Carotid Bruit
turbulent blood flow heard as a whooshing sound with
auscultation over the carotid artery due to narrowing or plaque
Tachycardia
abnormally rapid heartbeat; usually over 100 bpm
Bradycardia
abnormally slow heart rate; usually under 60 bpm
Central Venous Pressure
venous blood pressure within the right atrium that influences the
pressure in the large peripheral veins
Point of Maximum Impulse
,place on the chest wall where heart pulsations are most strongly
felt
Thrill
palpable vibration on the chest wall accompanying strong heart
murmurs
Pulse Deficit
difference between the apical and radial pulse rates; must be
larger than 2 bpm to be considered a deficit
Murmur
a blowing, swooshing sound that occurs with turbulent blood
flow in the heart or great vessels
Sinus Arrthymia
a heart rhythm that varies with respiration
Orthostatic Hypotension
decrease in blood pressure related to positional or postural
changes from lying to sitting or standing positions
Capillary Refill
the amount of time it takes for capillaries that have been
compressed to refill with blood; should be less than 2 seconds
S1 Sound
-sound associated with the start of systole
-heard loudest at the apex
-the "lub" of lub-dup
, S2 Sound
-sound associated with the closing of the semilunar valves
-heard loudest at the base
-the "dup" of lub-dup
S3 Sound
-a pathologic ventricular gallop heard in patients with heart
failure and volume overload
-common in children but always abnormal past age 35
Lymphedema
swelling due to an abnormal accumulation of lymph fluid within
the tissues
Atherosclerosis
condition in which plaque (fatty deposit) builds up on the inner
walls of the arteries
Modified Allen Test
-used to evaluate the adequacy of collateral circulation before
cannulating (putting an IV in) the radial artery
-test consists of occluding both the ulnar and radial arteries
while the patient makes a fist, then releasing the arteries while
they open their palm; the color should return to their palm in less
than 7 seconds
Arteriosclerosis
hardening of the arteries