Practice Exam
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During a post-hospital discharge Diastole
visit, you notice your 71 year old
female patient has been diagnosed
with a "new murmur" found by the
hospitalist during their recent
hospitalization for CHF
exacerbation. In evaluating the
patient, during which phase of the
cardiac cycle would you anticipate
auscultation of a S3 or S4 heart
sound?
*Diastole
*53 in systole while S4 in diastole
*Systole
*S4 in diastole while S3 in systole
,The point of maximum impulse Left 5th intercostal space, midclavicular line
(PMI) is MOST often palpable in
healthy adults when positioned in
the supine or left lateral decubitus
position. Which one of the
following locations is most
commonly described as the PMI in
a healthy adult?
*Left 2nd intercostal space,
midaxillary line.
*Left 5th intercostal space,
midclavicular line.
*Right 4th intercostal space,
midaxillary line.
*Right 2nd intercostal space,
midclavicular line.
The nurse practitioner assessing the Peak of the R wave.
patient with a rapid cardiac rhythm
may assess for a pulse deficit by
auscultating the patient's heart
while watching the EKG rhythm.
Where would the S1 heart sounds
correlate with the
electrocardiographic waves?
*At the end of the T wave.
*At the start of the T wave.
*Peak of the R wave.
*At the start of the P wave.
,Michael, a 72 year old male patient Check for thyroid dysfunction
who previously presented with
stable cardiac-type chest pain has
underwent a stress test. He
presents today to review the stress
test results, which show EKG
findings of ST segment depression
during the exam in leads V3 and V4
as well as some concurrent chest
discomfort. Based on these
findings, which of the following are
NOT priority medical decisions?
*Prescribe metoprolol (Lopressor)
12.5mg PO BID
*Prescribe aspirin 81mg PO daily
*Refer to cardiology for
angiography
• Check for thyroid dysfunction
While examining a 53 year old Positive for egophony
female patient, you auscultate
abnormal breath sounds over all
fields, and now assess transmission
of voice sounds by having the
patient say "ee" while auscultating
the chest with the diaphragm of
your stethoscope. Normally, you
should auscultate a muffled "e"
sound, however, you hear hear a
nasally "a" sound. Which one of the
following will you document is
present?
*Positive stereognosis.
*Positive for egophony.
*Negative for bronchophony.
*Negative for egophony
, While assessing the 19 year old To identify if underlying tissue are air-filled, fluid-
patient for a new onset cough, the filled or consolidated
nurse practitioner may inspect,
auscultate, palpate, and/or percuss.
How does performing percussion
of the thorax assist the provider
during the physical examination?
*To assist with the confirmation of
cardiac origin of angina.
*To assess for deep-seated lesion
and tumors.
*To assess for any pain or
discomfort prior to palpitation of
the chest wall.
*To identify if underlying tissue are
air-filled, fluid-filled or
consolidated