Practical

Question 1

A-E

Answer 1

Remember: introduce, 3 points of ID

• airway
• breathing
• circulation
• disability
• exposure

Question 2

airway

Answer 2

is the patient speaking?
any sign of wheeze?
anything blocking airway- look in mouth

Question 3

breath

Answer 3

• Sats
• RR
• trachea central
• percuss
• auscultate
• chest expansion

if indicated

• ABG
• CXR

Question 4

circulation

Answer 4

• hand temp
• CRT
• radial pulse
• brachial pulse
• BP
• JVP raised?
• listen to heart and murmurs
• ECG

Question 5

disability

Answer 5

• AVPU
• blood glucose
• pupil dilation

Question 6

Listening to the heart

Answer 6

• Aortic (right 2^nd intercostal space)
• Physicians (left 2^nd intercostal space)
• Tricuspid (left 4^th intercostal sternal border)
• Mitral (left 5^th intercostal, midclavicular line)

Question 7

Accentuation manoeuvres: auscultate over the carotid arteries with the diaphragm of the stethoscope whilst the patient holds their breath to listen for

Answer 7

radiation of an ejection systolic murmur

→ aortic stenosis

Question 8

Accentuation manoeuvres: auscultate over the aortic area (right sternal border second intercostal) with the diaphragm of the stethoscope during expiration to listen for an

Answer 8

early diastolic murmur

aortic regurgitation

Question 9

Accentuation manoeuvres: roll patient on their left side and listen over the mitral area with the diaphragm of the stethoscope during expiration to listen for a

Answer 9

pansystolic murmur

mitral regurgitation.

Question 10

Accentuation manoeuvres: roll patient on their left side and listen over the mitral area with the bell of the stethoscope during inspiration to listen for a

Answer 10

mid-diastolic murmur caused by mitral stenosis.

Question 11

cause of collapsing pulse

Answer 11

aortic regurgitation

think aorta supplies peripheral arteries