Clinical Examination - Cardiovascular System (III)

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  • Created by: Eltanova
  • Created on: 06-10-20 15:59
What is the major differentiation between Hypercarotenaemia and Jaundice?
Hypercarotenaemia is seen as a yellowish discoloration in the face, palms and soles, but not the sclera and conjunctiva as observed in Jaundice
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Reduction of circulating oxyhaemoglobin in the dermal and subconjunctival capillaries, or from the vasoconstriction due to cold exposure or sympathetic activation. What sign is associated with this description?
Pallor
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What do the following signs share as a possible disease indication: Splinter Haemorrhage, Finger clubbing, Janeway lesions and Osler's nodes
Infective endocarditis
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Why is it important not to palpate both side of the carotid artery at the same time?
May cause decreased blood flow to the brain
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What is the indication of a 'bouncy' carotid artery pulse?
Aortic regurgitation
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What is the indication of a 'weak' carotid artery pulse?
Cardiogenic shock
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Why would you consider getting the apical pulse?
Radial pulse is irregular
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What is a pulse deficit?
When there is a difference of 2 bpm or more between the radial pulse and apical pulse
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Why is it potentially dangerous to apply too much pressure on carotid artery palpation?
Vasovagal syncope due to sudden drop in cardiac output, causing cerebral hypoperfusion
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A pulse deficit may be indicative of atrial fibrillation. What is your opinion about this statement?
True
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Where can the apical pulse be heard?
5th intercostal space mid-clavicular line
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When/why do you measure BP on the popliteal artery?
When the blood pressure on the arm is too high
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If the BP of the thigh is lower than that of the arm, what does it suggest?
Coarctation of the aorta
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Which statement is false regarding BP in pregnancy?
The BP readings that show 20% drop on repeat is normal
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Which statement is false regarding BP in the elderly?
BP generally lowers with age
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What are the names of the atrioventricular values?
Mitral, Tricuspid
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What are the names of the semilunar values?
Pulmonary, Aortic
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Where would you hear tricuspid value sounds?
4th left intercostal space
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Where would you hear mitral value sounds?
5th left intercostal space midclavicular line
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Where would you hear aortic value sounds?
2nd right intercostal space
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Where would you hear pulmonary value sounds?
2nd left intercostal space
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What describes the first heart sound (s1) "lub"
The sound of the atrioventricular valves shutting when the ventricles have been filled from the atria
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What describes the second heart sound (s2) "dub"
The sound of the semilunar values shutting after the blood is pushed out of the ventricles into the exiting arteries of the heart
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Why is it said that upon inspiration, s2 sounds are 'split' (also known as the physiological splitting of S2)?
Pulmonary valve closure heard after aortic valve closure, as the right ventricle takes longer to squeeze the extra blood out
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Other cards in this set

Card 2

Front

Reduction of circulating oxyhaemoglobin in the dermal and subconjunctival capillaries, or from the vasoconstriction due to cold exposure or sympathetic activation. What sign is associated with this description?

Back

Pallor

Card 3

Front

What do the following signs share as a possible disease indication: Splinter Haemorrhage, Finger clubbing, Janeway lesions and Osler's nodes

Back

Preview of the front of card 3

Card 4

Front

Why is it important not to palpate both side of the carotid artery at the same time?

Back

Preview of the front of card 4

Card 5

Front

What is the indication of a 'bouncy' carotid artery pulse?

Back

Preview of the front of card 5
View more cards

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