Where is the point of maximal impulse (PMI) normally located?
In the left 5th intercostal space, 7 to 9 cm lateral to the sternum
Which of the following correlates with a sustained, high-amplitude point of maximal impulse (PMI)?
Hyperthyroidism Anemia Fever Hypertension
A 68-year-old woman with hypertension and diabetes is seen by the nurse practitioner for a dry cough that worsens at night when she lies in bed. She has shortness of breath, which worsens when she exerts herself. The patient’s pulse rate is 90/min and regular. The patient has gained 6 lbs over the past two months. She is on a nitroglycerine patch and furosemide daily. The explanation for her symptoms is:
During a routine physical exam of a 90 year old woman, a low-pitched diastolic murmur grade II/VI is auscultated. It is located on the fifth intercostal space on the left side of the midclavicular line. Which is the following is the correct diagnosis?
You are performing a cardiac examination on a patient with shortness of breath and palpitations. You have the patient turn onto his left side in the left lateral decubitus position to listen to the heart. Which of the following valvular defects is best heard in this position?
You are concerned that a patient has an aortic regurgitation murmur. Which is the best position to accentuate the murmur?