ACTUAL EXAM PAPER 2026 COMPLETE
QUESTIONS AND ANSWERS GRADED A+
⩥ Orthopnea. Answer: shortness of breath that begins or increases when
the patient lies down; ask whether the patient needs to sleep with more
than one pillow and whether that helps
⩥ Paroxysmal nocturnal dyspnea. Answer: a sudden onset of shortness
of breath after a period of sleep; sitting upright is helpful
⩥ Platypnea. Answer: dyspnea increases in the upright posture
⩥ Still murmurs. Answer: Many murmurs-particularly in children,
adolescents, and especially in young athletes-have no apparent cause
⩥ point of maximal impulse. Answer: The point at which the apical
pulse is most readily seen or felt
⩥ "heave" or "lift.". Answer: apical impulse is more vigorous than
expected,
, ⩥ dextrocardia, diaphragmatic hernia, distended stomach, or a
pulmonary abnormality.. Answer: Displacement of the apical pulse to the
right without a loss or gain in thrust
⩥ palpating the precordium,. Answer: use your other hand to palpate the
carotid artery so that you can describe the finding in relation to the
cardiac cycle. The carotid pulse and S1 are practically synchronous.
⩥ Purplish plethora. Answer: associated with polycythemia (increased
red cell mass)
⩥ o Ashen white color-. Answer: indicates shock
⩥ Central cyanosis. Answer: suggests congenital heart disease
⩥ Acrocyanosis. Answer: (cyanosis of hands and feet without central
cyanosis) - does not signify pathology; usually disappears within a few
days or even hours after birth.
⩥ diaphragmatic hernia shifts the heart to. Answer: the right
⩥ Bacterial Endocarditis. Answer: bacterial infection of the endothelial
layer of the heart and valves