Program Progress:
You are incorrect - our patient's jugular venous pulse wave form shows a prominent, or giant, "a" wave and a smaller "v" wave.
Your choice: Small "a," systolic "cv"
A positive systolic wave, the “cv” wave, occurs with significant tricuspid regurgitation, because the systolic regurgitant wave from the right ventricle is transmitted via the right atrium into the neck veins. In the video, note the “cv” wave occurs with the carotid impulse. The cotton swab reflects the carotid impulse.
