AGNP Board Exam – Cardiovascular Assessment Exam The preauricular nodes drain lymphatic fluid from the:
palpebral conjunctiva and the skin adjacent to
... [Show More] the ear within the temporal
region. Correct
eyelids, the conjunctiva, and the skin and mucous membrane of the nose and cheek.
mouth, throat, and face.
posterior part of the temporoparietal region.
Explanation:
The preauricular nodes drain lymphatic fluid from the palpebral conjunctiva as well as
the skin adjacent to the ear within the temporal region. Tonsillar, submandibular, and
submental nodes (anterior and superficial cervical lymph nodes) drain lymphatic fluid
from portions of the mouth , throat, and face. The facial lymph nodes (infraorbital or
maxillary, buccinator, and supramandibular) drain lymphatic fluid from the eyelids, the
conjunctiva, and the skin and mucous membranes of the nose and cheek. The posterior
auricular lymph nodes drain lymphatic fluid from the posterior part of the
temporoparietal region.
2.Question:
When auscultating the heart, the displacement of the point of maximal impulse (PMI) is
greater than 10 cm lateral to the midsternal line. This finding is consistent with:
right ventricular hypertrophy.
left ventricular hypertrophy. Correct
pulmonary stenosis.
a normal PMI location.
Explanation:
Displacement of the PMI lateral to the midclavicular line or greater than 10 cm lateral to
the midsternal line suggests left ventricular hypertrophy (LVH).
3.Question:
When auscultating the heart of a 55-year-old patient, a loud murmur with a thrill is
audible in the right second intercostal space that radiates to the carotid arteries. Also
noted is a crescendo-decrescendo pitch audible at the apex. The murmur is heard best
with the patient sitting and leaning forward. This finding is consistent with:
pulmonic stenosis.
tricuspid regurgitation.
mitral regurgitation.
aortic stenosis. Correct
Explanation:
With aortic stenosis, the murmur is audible loudest in the right second intercostal space
and radiates to the carotid arteries, down the left sternal border, or the apex. There is a
crescendo-decrescendo pitch audible at the apex. The murmur is heard best with the
patient sitting and leaning forward. The murmur audible with pulmonic stenosis
produces a soft intensity with a crescendo-decrescendo pitch. It is loudest at the second
or third intercostal spaces and radiates to the left shoulder and neck. With tricuspid
regurgitation, the murmur is audible loudest at the left sternal border with radiation to
the right sternal border, xiphoid area, or to the left midclavicular line. It produces a
blowing sound and is pansystolic. The intensity may increase with inspiration. Mitral
regurgitation produces a pansystolic, harsh murmur heard loudest at the apex with
radiation toward the left axilla. The intensity of the murmur can be soft, or if there is an
atrial thrill, it can be loud. [Show Less]