Question 1

You are conducting an examination of Mr. Curtis's heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is:

Accepted Answer

A)   barely discernible.
B)   moderately loud.
C)   loud with palpable thrill.
D)   very loud without a stethoscope.E) C) and D)
F) B) and D)

Question 2

Heart position can vary depending on body habitus. In a short stocky individual, you would expect the heart to be located:

Accepted Answer

A)   more to the right and hanging more vertically.
B)   more to the left and lying more horizontally.
C)   riding higher in the chest and pushed anteriorly.
D)   hanging lower in the chest and riding more vertically.E) All of the above
F) B) and D)

Question 3

The spread of the impulse through the ventricles (ventricular depolarization)  is depicted on the ECG as the:

Accepted Answer

A)   P wave.
B)   QRS complex.
C)   PR interval.
D)   T wave.E) A) and B)
F) A) and C)

Question 4

A palpable rushing vibration over the base of the heart at the second intercostal space is called a:

Accepted Answer

A)   heave.
B)   lift.
C)   thrill.
D)   thrust.E) A) and B)
F) B) and D)

Question 5

The most helpful finding in determining left-sided heart failure is:

Accepted Answer

A)   dyspnea.
B)   orthopnea.
C)   jugular vein distention.
D)   an S3 heart sound.E) A) and D)
F) None of the above

Question 6

Which one of the following is a common symptom of cardiovascular disorders in the older adult?

Accepted Answer

A)   Fatigue
B)   Joint pain
C)   Poor night vision
D)   Weight gainE) None of the above
F) All of the above

Question 7

Fat deposits in the circulatory system of an older adult can lead to:

Accepted Answer

A)   diffuse conduction disturbances.
B)   exaggerated contractility.
C)   heart failure.
D)   thinning of the ventricles.E) B) and D)
F) A) and D)

Question 8

A split second heart sound is:

Accepted Answer

A)   abnormal.
B)   greatest at the peak of inspiration.
C)   heard best after forceful expiration.
D)   supposed to disappear with deep inspiration.E) B) and C)
F) C) and D) B

Question 9

The thin-walled reservoirs of the heart are the:

Accepted Answer

A)   atria.
B)   pericardium.
C)   sinuses.
D)   ventricles.E) A) and D)
F) A) and B)

Question 10

A grade I or II murmur, without radiation and of medium pitch, is a common variation found in:

Accepted Answer

A)   school-age children.
B)   older women.
C)   middle-age men.
D)   older adults.E) All of the above
F) A) and B)

Question 11

Mr. Jones and his wife have brought in their infant daughter for a routine visit. A holosystolic murmur in an infant that is best heard along the left sternal border, is in the third to fifth intercostal spaces, and does not radiate to the neck is indicative of:

Accepted Answer

A)   a ventricular septal defect.
B)   patent ductus arteriosus.
C)   pulmonary stenosis.
D)   dextrocardia.E) A) and B)
F) C) and D) A

Question 12

Which ECG change would not be expected as an age-related pattern?

Accepted Answer

A)   First-degree block
B)   Bundle branch block
C)   Left ventricular hypertrophy
D)   Ventricular fibrillationE) None of the above
F) A) and D)

Question 13

A patient you are seeing in the emergency department for chest pain is believed to be having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of "heart trouble." The most important follow-up question you should pose is which of the following?

Accepted Answer

A)   "Did your father have coronary bypass surgery?"
B)   "Did your father's father have heart trouble also?"
C)   "What were your father's usual dietary habits?"
D)   "What age was your father at the time of his death?"E) C) and D)
F) A) and B)

Question 14

To hear diastolic heart sounds, you should ask patients to:

Accepted Answer

A)   lie on their back.
B)   lie on their left side.
C)   lie on their right side.
D)   sit up and lean forward.E) A) and B)
F) A) and C) B

Question 15

The pacing structure of the heart's electrical activity is the:

Accepted Answer

A)   AV node.
B)   bundle of His.
C)   Purkinje fibers.
D)   sinoatrial (S
A)   node.E) A) and B)
F) A) and C)

Question 16

If the apical impulse is more vigorous than expected, it is called a:

Accepted Answer

A)   lift.
B)   thrill.
C)   bruit.
D)   murmur.E) C) and D)
F) None of the above

Question 17

Which two heart chambers are most anterior in the chest?

Accepted Answer

A)   Both atria
B)   Both ventricles
C)   The right atrium and ventricle
D)   The left atrium and ventricleE) B) and D)
F) None of the above

Question 18

An example of a functional heart murmur is one that is caused by:

Accepted Answer

A)   anemia.
B)   a ventricular septal defect.
C)   an atrial septal defect.
D)   mitral valve prolapse.E) A) and D)
F) A) and C)

Question 19

Which of the following information belongs in the past medical history section related to heart and blood vessel assessment?

Accepted Answer

A)   Adolescent inguinal hernia
B)   Childhood mumps
C)   History of bee stings
D)   Previous unexplained feverE) C) and D)
F) None of the above

Question 20

The condition in which a patient's heart is rotated or displaced to the right or is situated as a mirror image of the expected position is called:

Accepted Answer

A)   amyloidosis.
B)   coarctation.
C)   dextrocardia.
D)   situs inversus.E) A) and D)
F) A) and C)

Exam 14: Heart

You are conducting an examination of Mr. Curtis's heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is:

Correct Answer
verified

Heart position can vary depending on body habitus. In a short stocky individual, you would expect the heart to be located:

Correct Answer
verified

The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:

Correct Answer
verified

A palpable rushing vibration over the base of the heart at the second intercostal space is called a:

Correct Answer
verified

The most helpful finding in determining left-sided heart failure is:

Correct Answer
verified

Which one of the following is a common symptom of cardiovascular disorders in the older adult?

Correct Answer
verified

Fat deposits in the circulatory system of an older adult can lead to:

Correct Answer
verified

A split second heart sound is:

Correct Answer
verified
B

The thin-walled reservoirs of the heart are the:

Correct Answer
verified

A grade I or II murmur, without radiation and of medium pitch, is a common variation found in:

Correct Answer
verified

Mr. Jones and his wife have brought in their infant daughter for a routine visit. A holosystolic murmur in an infant that is best heard along the left sternal border, is in the third to fifth intercostal spaces, and does not radiate to the neck is indicative of:

Correct Answer
verified
A

Which ECG change would not be expected as an age-related pattern?

Correct Answer
verified

Correct Answer
verified

To hear diastolic heart sounds, you should ask patients to:

Correct Answer
verified
B

The pacing structure of the heart's electrical activity is the:

Correct Answer
verified

If the apical impulse is more vigorous than expected, it is called a:

Correct Answer
verified

Which two heart chambers are most anterior in the chest?

Correct Answer
verified

An example of a functional heart murmur is one that is caused by:

Correct Answer
verified

Which of the following information belongs in the past medical history section related to heart and blood vessel assessment?

Correct Answer
verified

The condition in which a patient's heart is rotated or displaced to the right or is situated as a mirror image of the expected position is called:

Correct Answer
verified

Exam 14: Heart

You are conducting an examination of Mr. Curtis's heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is:

Correct AnswerverifiedShow Answer

Heart position can vary depending on body habitus. In a short stocky individual, you would expect the heart to be located:

Correct AnswerverifiedShow Answer

The spread of the impulse through the ventricles (ventricular depolarization) is depicted on the ECG as the:

Correct AnswerverifiedShow Answer

A palpable rushing vibration over the base of the heart at the second intercostal space is called a:

Correct AnswerverifiedShow Answer

The most helpful finding in determining left-sided heart failure is:

Correct AnswerverifiedShow Answer

Which one of the following is a common symptom of cardiovascular disorders in the older adult?

Correct AnswerverifiedShow Answer

Fat deposits in the circulatory system of an older adult can lead to:

Correct AnswerverifiedShow Answer

A split second heart sound is:

Correct AnswerverifiedB

The thin-walled reservoirs of the heart are the:

Correct AnswerverifiedShow Answer

A grade I or II murmur, without radiation and of medium pitch, is a common variation found in:

Correct AnswerverifiedShow Answer

Mr. Jones and his wife have brought in their infant daughter for a routine visit. A holosystolic murmur in an infant that is best heard along the left sternal border, is in the third to fifth intercostal spaces, and does not radiate to the neck is indicative of:

Correct AnswerverifiedA

Which ECG change would not be expected as an age-related pattern?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

To hear diastolic heart sounds, you should ask patients to:

Correct AnswerverifiedB

The pacing structure of the heart's electrical activity is the:

Correct AnswerverifiedShow Answer

If the apical impulse is more vigorous than expected, it is called a:

Correct AnswerverifiedShow Answer

Which two heart chambers are most anterior in the chest?

Correct AnswerverifiedShow Answer

An example of a functional heart murmur is one that is caused by:

Correct AnswerverifiedShow Answer

Which of the following information belongs in the past medical history section related to heart and blood vessel assessment?

Correct AnswerverifiedShow Answer

The condition in which a patient's heart is rotated or displaced to the right or is situated as a mirror image of the expected position is called:

Correct AnswerverifiedShow Answer

Correct Answer
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B

Correct Answer
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A

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B

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