TEST TASKS

T O P I C : Pulse and blood pressure measurement.

Variant №6

1. What is normal puise rate in adult person?

a) 70 per minute;
b) 60 - 70 per minute;
c) 70 - 90 per minute;
d) 60 - 80 per minute;
e) 50-80 per minute.
2. In which patients is pulse on lower limbs weaker than on upper ones?
a) in patients with hypertensive disease;
b) in pathients with hypotension;
c) in case of aortic valve incompetence;
d) in case of coarctation of abdominal aorta;
e) in patients with myocarditis.
3. What does term "pulsus difference” mean?
a) alternation of large and small waves;
b) different pulse on both arms;
c) difference between number of heart contractions determined with the heart auscultation and
number of the pulse waves;
d) absence of some pulse waves;
e) pulse in patients with embryocardia.
4. When does rapid pulse (pulsus frequens) occur?
a) in elevated body temperature;
b) in sleep;
c) in increased intracranial pressure;
d) in myxedema;
e) in case of thyrotoxicosis;
f) after physical exertion;
g) after emotional stress.
5. Deficiency of pulse is typical for:
a) mitral valve incompetence;;
b) hypertensive disease;
c) heart failure;
d) atrial fibrillation;
e) hypotension.
6. Slow pulse is typical for:
a) elevation of body temperature;
b) heart failure;
c) atrioventricular heart block;
d) myocarditis;
e) thyrotoxicosis.
7. When does “pulsus durus” occur?
a) after physical exertion;
b) after emotional stress;
c) in pericarditis;
d) after strong tea abuse;
e) in hypertensive disease;
f) in case of atherosclerosis;
g) in case of decreasing of arterial pressure.
8. Weak pulse is typical for:
 a) hypertensive disease;
b) coffee abuse;
c) symptomatic arterial hypertension;
d) arterial hypotension;
e) hemorrhage.
9. Thread pulse (pulsus filiformis) is typical for:
a) arteriosclerosis;
b) chronic heart failure;
c) acute vascular insufficiency;
d) endarteritis;
e) hypertensive disease.
10. “Pulsus celer” is typical for:
a) mixedema;
b) aortic insufficiency;
c) aortic stenosis;
d) mitral stenosis;
e) thyrotoxicosis;
f) coronary heart disease;
g) hypertensive disease.
11. What is upper limit of arterial pressure in health persons (accordance to WQH)?
a) 120/80 mm Hg;
b) 130/90 mm Hg;
c) 145/95 mm Hg;
d) 155/100 mm Hg;
e) 140/90 mmHg.
12. Which method is used only for recording of arterial pressure on lower extremities?
a) auscultatory;
b) palpatory;
c) oscillography;
d) capillaroscopy;
e) ballistocardiography.
13. Systolic pressure is sometimes elevated, whereas diastolic pressure remains
normal or decreased in:
a) thyrotoxicosis;
b) mixedema;
c) acute vascular failure;
d) atherosclerosis of aorta;
e) aortic regurgitation;
f) mitral valve incompetence;
g) mitral stenosis.
14. Auscultatory method of measuring of arterial pressure gives possibility to
determine:
a) maximal pressure;
b) minimal pressure;
c) maximal and minimal pressure;
d) venous pressure;
e) capillary pressure.
15. What is pulse pressure?
a) pulse pressure (tension);
b) difference between maximal and minimal arterial pressure;
c) average systolic pressure;
d) average diastolic pressure;
e) average pressure.
16. Decrease of pulse pressure occurs in:
 a) aortic stenosis;
b) aorctic valve incompetence;
c) thyrotoxicosis;
d) exudative or adhesive pericarditis;
e) heart failure;
f) stenocardia (angina pectoris);
g) mitral stenosis.
17. Pulse differens mostly is typical for:
a) aortic stenosis;
b) myocarditis;
c) cardiac fibrillation;
d) exudative pericarditis;
e) aortal valvular diseases.

Questions:
1. Name place and patient’s position for palpation of popliteal artery.
2. What is diagnostic importance of pulse palpation on the arteries of the legs?
3. Name three main methods of indirect measurement of blood pressure.
4. Who proposed palpatory (palpation) method of blood pressure measurement?
5. What blood pressure is named basal?
6. Name indications for daily monitoring of blood pressure.