NSG 6020 WEEK 4 CARDIAC STUDY GUIDE
What is responsible for the inspiratory splitting of S2?
Closure of aortic, then pulmonic valves
A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As
part of your physical examination, you listen to her heart and hear a murmur only
at the cardiac apex. Which valve is most likely to be involved, based on the
location of the murmur?
Mitral
You are conducting a workshop on the measurement of jugular venous pulsation.
As part of your instruction, you tell the students to make sure that they can
distinguish between the jugular venous pulsation and the carotid pulse. Which one
of the following characteristics is typical of the carotid pulse?
Palpable
A 68-year-old mechanic presents to the emergency room for shortness of breath.
You are concerned about a cardiac cause and measure his jugular venous pressure
(JVP). It is elevated. Which one of the following conditions is a potential cause of
elevated JVP?
Constrictive pericarditis
You are palpating the apical impulse in a patient with heart disease and find that
the amplitude is diffuse and increased. Which of the following conditions could be
a potential cause of an increase in the amplitude of the impulse?
Aortic stenosis, with pressure overload of the left ventricle
Which of the following events occurs at the start of diastole?
Closure of the aortic valve
Which is true of a third heart sound (S3)?
, It is caused by rapid deceleration of blood against the ventricular wall.
Which is true of splitting of the second heart sound?
It is best heard over the pulmonic area with the bell of the stethoscope
In healthy adults over 20, how often should blood pressure, body mass index, waist
circumference, and pulse be assessed, according to American Heart Association
guidelines?
Every 2 years
Which of the following may be missed unless the patient is placed in the left lateral
decubitus position and auscultated with the bell?
Mitral stenosis murmur Opening snap of the mitral valve S3 and S4 gallops(all)
You are listening carefully for S2 splitting. Which of the following will help?
Using the bell with light pressure over the 2nd left intercostal space
A patient comes to the emergency room for evaluation of shortness of breath. To
which anatomic region would you assign the symptom?
Cardiac
Patient presents for evaluation of a cough. Which of the following anatomic
regions can be responsible for a cough?
Cardiac
You are assessing a patient with joint pain and are trying to decide whether it is
inflammatory or noninflammatory in nature. Which one of the following symptoms
is consistent with an inflammatory process?
Tenderness
What is responsible for the inspiratory splitting of S2?
Closure of aortic, then pulmonic valves
A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As
part of your physical examination, you listen to her heart and hear a murmur only
at the cardiac apex. Which valve is most likely to be involved, based on the
location of the murmur?
Mitral
You are conducting a workshop on the measurement of jugular venous pulsation.
As part of your instruction, you tell the students to make sure that they can
distinguish between the jugular venous pulsation and the carotid pulse. Which one
of the following characteristics is typical of the carotid pulse?
Palpable
A 68-year-old mechanic presents to the emergency room for shortness of breath.
You are concerned about a cardiac cause and measure his jugular venous pressure
(JVP). It is elevated. Which one of the following conditions is a potential cause of
elevated JVP?
Constrictive pericarditis
You are palpating the apical impulse in a patient with heart disease and find that
the amplitude is diffuse and increased. Which of the following conditions could be
a potential cause of an increase in the amplitude of the impulse?
Aortic stenosis, with pressure overload of the left ventricle
Which of the following events occurs at the start of diastole?
Closure of the aortic valve
Which is true of a third heart sound (S3)?
, It is caused by rapid deceleration of blood against the ventricular wall.
Which is true of splitting of the second heart sound?
It is best heard over the pulmonic area with the bell of the stethoscope
In healthy adults over 20, how often should blood pressure, body mass index, waist
circumference, and pulse be assessed, according to American Heart Association
guidelines?
Every 2 years
Which of the following may be missed unless the patient is placed in the left lateral
decubitus position and auscultated with the bell?
Mitral stenosis murmur Opening snap of the mitral valve S3 and S4 gallops(all)
You are listening carefully for S2 splitting. Which of the following will help?
Using the bell with light pressure over the 2nd left intercostal space
A patient comes to the emergency room for evaluation of shortness of breath. To
which anatomic region would you assign the symptom?
Cardiac
Patient presents for evaluation of a cough. Which of the following anatomic
regions can be responsible for a cough?
Cardiac
You are assessing a patient with joint pain and are trying to decide whether it is
inflammatory or noninflammatory in nature. Which one of the following symptoms
is consistent with an inflammatory process?
Tenderness
