Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With
ELABORATED 100% Correct COMPLETE SOLUTIONS
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1. Where do you listen on the chest to assess the aortic valve?
a) 2nd intercostal space, right sternal border
b) 2nd intercostal space, left sternal border
c) 4th-5th intercostal space, left lower sternal border
d) 5th intercostal space, midclavicular line (around the left nipple area)
- ANSWER a) 2nd intercostal space, right sternal border
2. What is the acronym for the order in which you listen to heart sounds?
- ANSWER All People Enjoy Time Magazine (aortic, pulmonic, Erb's point,
tricuspid, mitral)
3. Where do you listen on the chest to assess the pulmonic valve?
a) 2nd intercostal space, right sternal border
b) 2nd intercostal space, left sternal border
c) 4th-5th intercostal space, left lower sternal border
d) 5th intercostal space, midclavicular line (around the left nipple area)
- ANSWER b) 2nd intercostal space, left sternal border
4. Where do you listen on the chest to assess the tricuspid valve?
a) 2nd intercostal space, right sternal border
,b) 2nd intercostal space, left sternal border
c) 4th-5th intercostal space, left lower sternal border
d) 5th intercostal space, midclavicular line (around the left nipple area)
- ANSWER c) 4th-5th intercostal space, left sternal border
5. Where do you listen on the chest to asssess the mitral valve?
a) 2nd intercostal space, right sternal border
b) 2nd intercostal space, left sternal border
c) 4th-5th intercostal space, left lower sternal border
d) 5th intercostal space, midclavicular line (around the left nipple area)
- ANSWER d) 5th intercostal space, midclavicular line (around the left nipple
area)
6. List the flow of blood through the valves of the heart in order
- ANSWER Tricuspid, Pulmonic, Mitral, Aortic
7. Valve insufficiency is another word for....
- ANSWER regurgitation
8. Which of the following can occur due to LV dilation?
a) mitral stenosis
b) aortic stenosis
c) mitral insufficiency
d) aortic insufficiency
- ANSWER c) mitral insufficiency
9. Which of the following can occur due to an aneurysm of the ascending aorta?
a) mitral stenosis
b) aortic stenosis
c) mitral insufficiency
d) aortic insufficiency
- ANSWER d) aortic insufficiency
,10. True/False: valve tendinea can rupture to an MI or other reasons which makes
it hard for the valve to close and causes regurgitation
- ANSWER true
11. What's the difference between V-A ECMO and V-V ECMO?
- ANSWER V-A ECMO does the work of the heart and lungs by pumping and
oxygenating blood while V-V ECMO just does the work of the lungs by taking
blood from a vein, oxygenating it, and then returning it to a vein
12. Which side are internal pacemakers usually placed on?
- ANSWER left side (because most people are right handed)
13. How do you check a BP on an LVAD patient?
- ANSWER take a manual blood pressure cufff, inflate to over 120 (until you
don't hear the pulse, put doppler on brachial artery, slowly deflate, first sound you
hear is the MAP
14. If somoene has just had a permanent pacemaker placed, how long do they
need to use an arm sling for?
- ANSWER 24 hours
15. Pacemakers have minimum ___________, which means if the person's HR
drops below that, the pacemaker will kick in and make their heart beat at the set
minimum ________
- ANSWER rate
16. The lower the number for pacemaker sensitivity, the __________ (more, less)
sensitive it is.
- ANSWER more (lower number means a lower wall which means the
pacemaker can see more of what's going on and can respond appropriately)
17. The higher the number for pacemaker sensitivity, the _____________ (more,
less) sensitive it is
, - ANSWER less (higher number means a higher wall which means the
pacemaker can't see what's going on and starts reacting randomly/too
aggressively because it thinks nothing is going on over there)
18. mA (milliamperage) for a pacemaker represents what?
- ANSWER how loud the pacemaker is yelling at the heart
19. For a pacemaker, failure to discharge is a _______________ issue
a) sensitivity
b) mA
- ANSWER a) sensitivity
20. If a pacemaker is having failure to discharge (gaps with no QRS), what action
do you need to take?
a) increase sensitivity
b) decrease sensitivity
c) increase mA
d) decrease mA
- ANSWER a) increase sensitivity (we need to make the wall higher to cover the
minor/fake electrical activity so the pacemaker knows it needs to fire because
right now it's getting distracted by the extra stuff)
21. For a pacemaker, failure to caputure is a _____________ issue
a) sensitivity
b) mA
- ANSWER b) mA
22. If a pacemaker is having failure to capture (heart doesn't respond to a spike
from the pacemaker), what action do you need to take?
a) increase sensitivity
b) decrease sensitivity
c) increase mA
d) decrease mA