NUR 631 Cardio and Pulmonary
- What are the physical exam findings of pneumonia?
- Consolodation
- Positive egophony
- Positive bronchophony
- Positive whispered pectoriliquy
- Increased tactile fremitus
Answer
- When would you hear late inspiratory crackles in the dependent portions of the lungs?
Answer Left sided heart failure (interstitial edema)
- When would the trachea be shifted towards the involved side in someone with pulmonary
symptoms?
Answer Atelectasis
- When would the trachea be shifted towards the unaffected side in someone with pulmonary
symptoms?
Answer Pleural effusion and pneumothorax
- What are some risk factors for developing atria ectopy?
Answer
• COPD
• Rheumatic Heart Disease • Valvular dysfunction
- Which are the cardiac arrythmias that can lead to death?
Answer 1 / 3
PVC V-tach V- fib
- What is your top differential for a patient that has palpitations, nervousness, tremors,
weightloss and heat intolerance?
Answer Hyperthyroidism
- What is your top differential for a patient that has palpitations, hyperreflexia in the muscles,
twitching, paresthesias, fatigue and weakness?
Answer Hypocalcemia
- What is your top differential for a patient that has palpitations that occur late in the afternoon
or after meals?
Answer Hypoglycemia
- What is your top differential for a patient that has palpitations, pallor, fatigue and dyspnea
on exertion?
Answer Anemia
- What is your top differential for a patient that has palpitations with headache, dizziness,
nausea and vomitting and a change of level of conscioussness?
Answer Hypertension
- What is your top differential for a patient that has palpitations and a fever?
Answer Infection
- What is your top differential for a patient that has palpitations and hyper- ventilation, facial
flushing, diaphoresis, and trembling? 2 / 3
Answer Anxiety attack
- What is your top differential for a patient that has persistent palpitations?-
Answer Use a holter monitor to rule out any cardiac etiology
- What is your top differential for a patient that has palpitations, paroxymal precordial pain,
dyspnea, fatigue, middystolic click?
Answer Mitral Valve Prolapse
- What is your top differential for a patient that has palpitations with CHEST PAIN, syncope,
dizziness, vital sign changes, and cardiac history?
Answer
RULE OUT MI
- What are the physical findings of someone with chronic arterial insuffi- ciency?
Answer Intermittent claudication that progresses to pain at rest Tissue ischemia Decreased or absent pulses
Color is pale or dusky red on dependency Shiny, atrophic skin with hair loss Ulceration will present on the toes Gangrene may develop
- What are the physical findings of someone with chronic venous insuffi- ciency?
- / 3
Answer Painful