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Anatomy and Radiology Test 2 > Cardiac Exam > Flashcards

Flashcards in Cardiac Exam Deck (31)
1

Sternum mostly covers the

Right ventricle

2

MCL will touch the

left border of LV

3

Point of maximal impulse is where on the heart

Left ventricle at midclavicular line

4

Open during systole/diastole

Systole - aortic and pulmonic
Diastole - tricuspid and bicuspid

5

Jugular venous pressure reflect pressure of

Right atrium and right ventricular diastolic filling pressure

6

PMI surface anatomy

5th or 4th left intercostal space

7

Heaves and lifts where to palpate

Left lower sternal border and apex

8

Thrills and where to palpate

Ball of hand at 2nd right intercostal space

9

Thrills are

Vibrations from valve turbulence

10

Heaves/lifts are

Sustained ventricular motions

11

Ausculation of heart valves

Aortic - 2nd right intercostal
Pulmonic - 2nd left intercostal
Tricuspid - lower left sternal border
Mitral - apex (4th or 5th intercostal space)

12

S1 - S2
S2 - S1

systole
Diastle

13

S1 is closure of and what are pressures?

Mitral and tricuspid valves
LV >>> atrium

14

S2 closure of what and what are pressures?

LV

15

S2 best heard

At base
2nd intercostal space

16

Which is longer

Diastole

17

Why is S2 unique?

Splitting during inspiration
Pulmonic will close later than aortic

18

Split of S2 best heard at

Left 2nd intercostal space

19

Ventricular gallops (S3/S4) best heard with which part of stethoscope?

Bell

20

When is S3 and S4 heard? and what are frequncies

S3 - early diastole
S4 - right before atrial contraction
Low frequency

21

S3 is due to

Rapid, early ventricular filling
Loss of ventricle compliance, diastolic overloading, heart failure

22

Where to hear S3

Mitral are if produced by left
Sternal borders if produced by right
Left lateral

23

S4 due to

Ventricular resistance to atrial filling
Ventricular hypertrophy, ischemic heart disease, MI, hypertension, mitral regurgitation

24

S4 best heard in

Left lateral position/supine

25

Murmurs causedb y

Increased or turbulent blood flow

26

Pericardial friction rubs and how to hear

Inflammation of pericardium
Have patient lean forward and hold breath in expiration

27

Phases of jugular venous pulsations

Biphasic

28

Murmurs best detected with what part of stethoscope?

Diaphragm

29

Mitral stenosis best detected with what part of stethoscope?

Bell

30

Where is MS best heard and when does it occur?

over apex in left lateral position
Diastolic murmur

31

How to hear aortic regurgitation and what is it

Diastolic murmur
Best over Left lower sternal border with patient seated, leaning forward, and full expiration