Physical assessment: heart and neck vessels
Terms
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- the precordium is:
- the area on the anterior chest overlying the heart and great vessels
- Describe the tricuspid valve.
- right atrioentricular valve
- the function of the pulmonic valve:
- protect the orifice between the right ventricle and the pulmonary artery
- atrial systole occurs:
- during ventricular diastole
- The second heart sound is the result of:
- clostingo f the aoritc and pulmonic valves
- The examiner has estimated the jugular venous pressure. What would be a normal finding?
- pt elevated 30*, with jugular vein pulsation at 1-w cm above sternal angle, pt elevated 40*, with jugular vein pulsation at 1 cm above sternal angle
- The examiner is palpating the apical impulse. The normal size of this impulse is about
- 2cm
- The examiner wishes to listen in the pulmonic valve area. To do this, the stethoscope would be placed at the:
- second left intercostal space
- Differentiate S2 from S3:
- S3 is lower pitched and is heard at the apex.
- The examiner wants to listen for a pericardial friction rub. The best method to listen is:
- with the diaphragm, patient sitting up and leaning forward, breath held in expiration
- When auscultating the heart your first step is to identify
- S1 and S2
- You'll hear a split S2 most clearly in what area?
- pulmonic
- The sethoscope bell should be pressed lightly against the skin so that:
- it does not act as a diaphragm
- A murmer heard after S1 and before S2, is classified as:
- systolic - possibly benign
- Pericardial fluid ensures:
- smooth, friction-free movement of the heart muscle
- the ventricle is a pumping:
- chamber
- The endocardium is
- a thin layer of endothelial tssue that lines the inner surface of the heart chambers and valves
- the myocardium is
- the muscular wall of the heart
- the pericardium is
- tough, fibrous, double-walled sac that surrounds and protects the heart
- the atrium is a blood holding:
- reservoir