NSG6020: CARDIOVASCULAR: TEST QUESTIONS WITH COMPLETE
SOLUTIONS
1) What heart sounds are heard during auscultation of a man with Marfan syndrome
who has a known mitral valve prolapse? -- Answer ✔✔ A mid-systolic click
2) The four classic structural defects of Tetralogy of Fallot include: -- Answer ✔✔ A
Ventricular septal defect, an overriding aorta, pulmonary stenosis, and right
ventricular hypertrophy.
3) Widened pulse pressure (PP) is defined as systolic blood pressure (SBP): --
Answer ✔✔ Minus diastolic blood pressure
4) Pain or cramping of the legs that occurs during exertion and is relieved by rest is
termed: -- Answer ✔✔ intermittent claudication
5) The patient has had an internal pacemaker in place for five years. Pacemaker
failure is being considered because over the past few days, the patient has been
experiencing episodes of: -- Answer ✔✔ Hiccoughs
, 6) The hemodynamic changes resulting from structural defects in children can lead
to heart failure. The most common reason for these changes is related to: --
Answer ✔✔ Volume and pressure overload resulting in decreased cardiac output
7) When auscultating the point of maximal impulse (PMI), apex of the heart, in an
adult, the stethoscope is placed at the: -- Answer ✔✔ fifth intercostal space to
the left of the midclavicular line
8) A condition that presents with symptomatic limb ischemia upon exertion is
termed: -- Answer ✔✔ atherosclerotic peripheral vascular disease
9) When auscultating the heart for aortic insufficiency, ask the patient to: -- Answer
✔✔ sit up, lean forward, and exhale
10) Right atrial pressure can be determined by: -- Answer ✔✔ identifying the
pulsations of the right jugular vein
11) Absent or diminished pulses in the wrist could be indicative of: -- Answer ✔✔
arterial occlusive disease
12) Presence of a heart murmur in a child would be considered organic if the child: --
Answer ✔✔ was a 2-year-old with a congenital heart defect
13) When palpating the carotid pulse, it is important to: -- Answer ✔✔ position the
patient in the lying or sitting positions
14) A pediatric patient present with erythema marginatum, chorea, and a heart
murmur. These symptoms are consistent with: -- Answer ✔✔ rheumatic heart
disease
SOLUTIONS
1) What heart sounds are heard during auscultation of a man with Marfan syndrome
who has a known mitral valve prolapse? -- Answer ✔✔ A mid-systolic click
2) The four classic structural defects of Tetralogy of Fallot include: -- Answer ✔✔ A
Ventricular septal defect, an overriding aorta, pulmonary stenosis, and right
ventricular hypertrophy.
3) Widened pulse pressure (PP) is defined as systolic blood pressure (SBP): --
Answer ✔✔ Minus diastolic blood pressure
4) Pain or cramping of the legs that occurs during exertion and is relieved by rest is
termed: -- Answer ✔✔ intermittent claudication
5) The patient has had an internal pacemaker in place for five years. Pacemaker
failure is being considered because over the past few days, the patient has been
experiencing episodes of: -- Answer ✔✔ Hiccoughs
, 6) The hemodynamic changes resulting from structural defects in children can lead
to heart failure. The most common reason for these changes is related to: --
Answer ✔✔ Volume and pressure overload resulting in decreased cardiac output
7) When auscultating the point of maximal impulse (PMI), apex of the heart, in an
adult, the stethoscope is placed at the: -- Answer ✔✔ fifth intercostal space to
the left of the midclavicular line
8) A condition that presents with symptomatic limb ischemia upon exertion is
termed: -- Answer ✔✔ atherosclerotic peripheral vascular disease
9) When auscultating the heart for aortic insufficiency, ask the patient to: -- Answer
✔✔ sit up, lean forward, and exhale
10) Right atrial pressure can be determined by: -- Answer ✔✔ identifying the
pulsations of the right jugular vein
11) Absent or diminished pulses in the wrist could be indicative of: -- Answer ✔✔
arterial occlusive disease
12) Presence of a heart murmur in a child would be considered organic if the child: --
Answer ✔✔ was a 2-year-old with a congenital heart defect
13) When palpating the carotid pulse, it is important to: -- Answer ✔✔ position the
patient in the lying or sitting positions
14) A pediatric patient present with erythema marginatum, chorea, and a heart
murmur. These symptoms are consistent with: -- Answer ✔✔ rheumatic heart
disease
