Barkley 3P Exam Study Guide –
Practice Questions with
Verified Answers. GRADED A+.
Latest 2026/2027 Update.
A soft, high pitched, blowing diastolic decrescendo murmur best heard at the
3rd left interspace at base, initiated with S2 and heard when the patient sits up
and leans forward. - Answer✔✔- Aortic regurgitation
A low pitched diastolic rumble that does not radiate, best heard at the apex
when in the left lateral position. - Answer✔✔- Mitral stenosis
A loud, harsh murmur occurring midsystole, radiating down the side of the
neck and down to the apex. - Answer✔✔- Aortic stenosis
A loud blowing murmur heard at the apex that is pansystolic. - Answer✔✔-
Mitral regurgitation
The most common metabolic bone disease characterized by chronic,
progressive, systemic low bone mass and deterioration of bone tissue, leading
to increased skeletal fragility and deformity. - Answer✔✔- Osteoporosis
,The most common clinical manifestation of osteoporosis. - Answer✔✔- Bone
deformity
A class of medications used to treat erectile dysfunction. - Answer✔✔-
Phosphodiesterase inhibitor
May be used at a dose of 2.5 mg daily if sexual activity will take place two or
more times per week. - Answer✔✔- Tadalafil (Cialis)
5 mg may be taken with a high-fat meal four hours before sexual activity. -
Answer✔✔- Vardenafil (Levitra)
50 mg may be taken one hour before sexual activity as long as the patient has a
resting blood pressure below 170/110 mm Hg. - Answer✔✔- Sildenafil (Viagra)
Recommended at 50 mg for all patients, and may be taken 30 minutes before
sexual activity. - Answer✔✔- Avanafil (Stendra)
A method of describing the three main factors that lead to thrombosis:
hypercoagulability, damage to endothelial cells, and turbulent blood flow. -
Answer✔✔- Virchow's Triad
A condition that leads to clotting, including malignancy, trauma, sepsis, and
thrombophilia. - Answer✔✔- Hypercoagulability
Part of Virchow's triad that causes blood to clot by promoting platelet
adherence to the wall of the vessels. - Answer✔✔- Endothelial cell damage
,A component of circulatory stasis in Virchow's triad, which can be caused by
atrial fibrillation, venous obstruction, and ventricular dysfunction. -
Answer✔✔- Turbulent blood flow
A condition that may present with hypercalcemia and mental confusion. -
Answer✔✔- Kidney stones
A condition that may be evaluated in patients with kidney stones,
hypercalcemia, and mental confusion. - Answer✔✔- Cushing Syndrome
A fracture that occurs due to weakened bone structure, commonly associated
with osteoporosis. - Answer✔✔- Pathologic fracture
A condition that is not common in osteoporosis, resulting from fat obstruction
due to injury or trauma. - Answer✔✔- Fat embolism
A potential symptom of osteoporosis, but not the most common clinical
manifestation. - Answer✔✔- Bone pain
Not part of Virchow's triad and does not affect blood clotting. - Answer✔✔-
Sympathetic tone
The second aspect of Virchow's triad, which promotes blood clotting. -
Answer✔✔- Vascular wall injury
, The third component of Virchow's triad, which can lead to thrombosis. -
Answer✔✔- Circulatory stasis
A symptom that may accompany hypercalcemia in patients with kidney stones.
- Answer✔✔- Mental confusion
An elevated level of calcium in the blood, often associated with kidney stones. -
Answer✔✔- Hypercalcemia
A condition characterized by excessive production of aldosterone, leading to
hypertension and electrolyte imbalances. - Answer✔✔- Conn's Syndrome
A condition where the parathyroid glands produce too much parathyroid
hormone, resulting in elevated calcium levels in the blood. - Answer✔✔-
Hyperparathyroidism
A disorder in which the adrenal glands do not produce sufficient steroid
hormones. - Answer✔✔- Addison's disease
Medications taken by mouth to prevent pregnancy, which may have various
side effects and risks. - Answer✔✔- Oral contraceptives
Drugs that are contraindicated in pregnancy due to evidence of fetal harm. -
Answer✔✔- Pregnancy category X drugs
A peptide hormone that causes blood vessels to constrict, leading to an
increase in blood pressure. - Answer✔✔- Angiotensin
Practice Questions with
Verified Answers. GRADED A+.
Latest 2026/2027 Update.
A soft, high pitched, blowing diastolic decrescendo murmur best heard at the
3rd left interspace at base, initiated with S2 and heard when the patient sits up
and leans forward. - Answer✔✔- Aortic regurgitation
A low pitched diastolic rumble that does not radiate, best heard at the apex
when in the left lateral position. - Answer✔✔- Mitral stenosis
A loud, harsh murmur occurring midsystole, radiating down the side of the
neck and down to the apex. - Answer✔✔- Aortic stenosis
A loud blowing murmur heard at the apex that is pansystolic. - Answer✔✔-
Mitral regurgitation
The most common metabolic bone disease characterized by chronic,
progressive, systemic low bone mass and deterioration of bone tissue, leading
to increased skeletal fragility and deformity. - Answer✔✔- Osteoporosis
,The most common clinical manifestation of osteoporosis. - Answer✔✔- Bone
deformity
A class of medications used to treat erectile dysfunction. - Answer✔✔-
Phosphodiesterase inhibitor
May be used at a dose of 2.5 mg daily if sexual activity will take place two or
more times per week. - Answer✔✔- Tadalafil (Cialis)
5 mg may be taken with a high-fat meal four hours before sexual activity. -
Answer✔✔- Vardenafil (Levitra)
50 mg may be taken one hour before sexual activity as long as the patient has a
resting blood pressure below 170/110 mm Hg. - Answer✔✔- Sildenafil (Viagra)
Recommended at 50 mg for all patients, and may be taken 30 minutes before
sexual activity. - Answer✔✔- Avanafil (Stendra)
A method of describing the three main factors that lead to thrombosis:
hypercoagulability, damage to endothelial cells, and turbulent blood flow. -
Answer✔✔- Virchow's Triad
A condition that leads to clotting, including malignancy, trauma, sepsis, and
thrombophilia. - Answer✔✔- Hypercoagulability
Part of Virchow's triad that causes blood to clot by promoting platelet
adherence to the wall of the vessels. - Answer✔✔- Endothelial cell damage
,A component of circulatory stasis in Virchow's triad, which can be caused by
atrial fibrillation, venous obstruction, and ventricular dysfunction. -
Answer✔✔- Turbulent blood flow
A condition that may present with hypercalcemia and mental confusion. -
Answer✔✔- Kidney stones
A condition that may be evaluated in patients with kidney stones,
hypercalcemia, and mental confusion. - Answer✔✔- Cushing Syndrome
A fracture that occurs due to weakened bone structure, commonly associated
with osteoporosis. - Answer✔✔- Pathologic fracture
A condition that is not common in osteoporosis, resulting from fat obstruction
due to injury or trauma. - Answer✔✔- Fat embolism
A potential symptom of osteoporosis, but not the most common clinical
manifestation. - Answer✔✔- Bone pain
Not part of Virchow's triad and does not affect blood clotting. - Answer✔✔-
Sympathetic tone
The second aspect of Virchow's triad, which promotes blood clotting. -
Answer✔✔- Vascular wall injury
, The third component of Virchow's triad, which can lead to thrombosis. -
Answer✔✔- Circulatory stasis
A symptom that may accompany hypercalcemia in patients with kidney stones.
- Answer✔✔- Mental confusion
An elevated level of calcium in the blood, often associated with kidney stones. -
Answer✔✔- Hypercalcemia
A condition characterized by excessive production of aldosterone, leading to
hypertension and electrolyte imbalances. - Answer✔✔- Conn's Syndrome
A condition where the parathyroid glands produce too much parathyroid
hormone, resulting in elevated calcium levels in the blood. - Answer✔✔-
Hyperparathyroidism
A disorder in which the adrenal glands do not produce sufficient steroid
hormones. - Answer✔✔- Addison's disease
Medications taken by mouth to prevent pregnancy, which may have various
side effects and risks. - Answer✔✔- Oral contraceptives
Drugs that are contraindicated in pregnancy due to evidence of fetal harm. -
Answer✔✔- Pregnancy category X drugs
A peptide hormone that causes blood vessels to constrict, leading to an
increase in blood pressure. - Answer✔✔- Angiotensin
