EMQ: 2
Radial Pulse
a)
Anacrotic
b)
Collapsing
c)
Pulsus paradoxus
d)
Bisferiens
e)
Bounding
f)
Radio-femoral delay
g)
Radio-radial delay
h)
Small volume, irregular in rhythm and volume
i)
Jerky upstroke
j)
Pulsus alternans
Select the most likely pulse that will be felt in the
clinical scenarios given below:
1)
A young man with hypertension. He has visible pulsations in the
suprasternal notch, a heaving apex beat and there are prominent periscapular
blood vessels. There is a continuous bruit best heard over the back.
2)
An elderly female with a tapping apex beat, a loud first heart sound,
an opening snap and a rumbling mid-diastolic murmur best heard just medial to
the apex beat. There is no pre-systolic accentuation of the murmur.
3)
An elderly man with a heaving apex beat, soft single second heart sound
and a harsh ejection systolic murmur radiating to the neck
4) A teenager with severe breathlessness, showing signs
of respiratory distress. On auscultation of his chest there are bilateral
sibilant rhonchi.
5)
An elderly patient who is breathless and oedematous and has an elevated
JVP , displaced apex beat , a 3rd heart sound and bilateral basal
crepitations
