Inspection of Neck Veins Series Editor and Author: Bernard Karnath, MD
	1. If the vertical distance between the sternal angle and the highest point of pulsation of the jugular vein is 5 cm—with respect to a patient whose trunk is elevated 30 degrees—what, approximately, is the patient’s central venous pressure in cm H2O and mm Hg? 5 cm H2O; 5 mm Hg 10 cm H2O; 7 mm Hg 15 cm H2O; 9 mm Hg 20 cm H2O; 11 mm Hg Click here to compare your answer. 2. Which of the following statements best describes the timing of the a wave and v wave of the jugular venous pulse? The a wave closely follows the carotid pulse, whereas the v wave precedes the carotid pulse The a wave follows the carotid pulse, whereas the v wave occurs simultaneously with the carotid pulse The a wave occurs simultaneously with the carotid pulse, whereas the v wave closely follows the carotid pulse The a wave precedes the carotid pulse, whereas the v wave closely follows the carotid pulse Click here to compare your answer.		3. A patient whose jugular venous pulse is characterized by a large v wave most likely has which of the following conditions? Pulmonic regurgitation Pulmonic stenosis Tricuspid regurgitation Tricuspid stenosis Click here to compare your answer. 4. A positive result on elicitation of the abdominojugular reflux sign is best described by which of the following statements? An increase in jugular venous pressure greater than 3 cm H2O that is sustained for longer than 15 seconds The presence of large a waves The presence of large v waves A rapid nonsustained increase in jugular venous pressure greater than 3 cm H2O Click here to compare your answer.
	Click here to read more about Inspection of Neck Veins (Requires Adobe Acrobat Reader) Check our archives to test your knowledge in other clinical signs: If you do not already have Acrobat Reader, simply click on the icon below, scroll down to the "Get the Free Acrobat Reader" heading and follow the instructions to install the program. Acrobat enables you to convert any document into an Adobe Portable Document Format (PDF) file for easy viewing. Download Adobe Acrobat Reader
	Hospital Physician     JCOM     Seminars in Medical Practice Hospital Physician Board Review Manuals About TWC    Subscribe    Contact TWC    Home    Search   Site Map Copyright © 2009, Turner White Communications Updated 1/04/08 • kkj