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Cardiovascular (Bickley) 35 Questions
• You are performing a thorough cardiac examination. Which of the following
chambers of theheart can you assess by palpation?
• Left atrium
• Right atrium C) Right ventricle
D) Sinus node
• What is responsible for the
inspiratory splitting of S2?A) Closure of
aortic, then pulmonic valves
• Closure of mitral, then tricuspid valves
• Closure of aortic, then tricuspid valves
• Closure of mitral, then pulmonic valves
• A 25-year-old optical technician comes to your clinic for evaluation of
fatigue. As part of your physical examination, you listen to her heart and hear a
murmur only at the cardiac apex. Which valve is most likely to be involved,
based on the location of the murmur?
• Mitral
• Tricuspid
• Aortic
• Pulmonic
• A 58-year-old teacher presents to your clinic with a complaint of
breathlessness with activity. The patient has no chronic conditions and does not
take any medications, herbs, or supplements. Which of the following symptoms
is appropriate to ask about in the cardiovascular review of systems?
A) Abdominal painB) Orthopnea
• Hematochezia
• Tenesmus
• You are screening people at the mall as part of a health fair. The first
person who comes forscreening has a blood pressure of 132/85. How would
you categorize this?
,• Normal
• Prehypertension
• Stage 1 hypertension
• Stage 2 hypertension
• You are participating in a health fair and performing cholesterol screens.
One person has a cholesterol of 225. She is concerned about her risk for
developing heart disease. Which of the following factors is used to estimate
the 10-year risk of developing coronary heart disease?
• Ethnicity
• Alcohol intakeC) Gender
D) Asthma
• You are evaluating a 40-year-old banker for coronary heart disease risk
factors. He has a history of hypertension, which is well-controlled on his current
medications. He does not smoke; he does 45 minutes of aerobic exercise five
times weekly. You are calculating his 10-year coronary heart disease risk.
Which of the following conditions is considered to be a coronary heart disease
risk equivalent?
• Hypertension
• Peripheral arterial disease
• Systemic lupus erythematosus
• Chronic obstructive pulmonary disease (COPD)
• You are conducting a workshop on the measurement of jugular venous
pulsation. As part of your instruction, you tell the students to make sure that
they can distinguish between the jugularvenous pulsation and the carotid pulse.
Which one of the following characteristics is typical of the carotid pulse?
• Palpable
• Soft, rapid, undulating quality
• Pulsation eliminated by light pressure on the vessel
• Level of pulsation changes with changes in position
• A 68-year-old mechanic presents to the emergency room for shortness of
breath. You are concerned about a cardiac cause and measure his jugular
venous pressure (JVP). It is elevated. Which one of the following conditions is
a potential cause of elevated JVP?
• Left-sided heart failure
• Mitral stenosis
• Constrictive pericarditis
• Aortic aneurysm
• You are palpating the apical impulse in a patient with heart disease and
find that the amplitude is diffuse and increased. Which of the following
conditions could be a potential causeof an increase in the amplitude of the
impulse?
, • Hypothyroidism
• Aortic stenosis, with pressure overload of the left ventricle
• Mitral stenosis, with volume overload of the left atrium
• Cardiomyopathy
• You are performing a cardiac examination on a patient with shortness of
breath and palpitations. You listen to the heart with the patient sitting upright,
then have him change to a supine position, and finally have him turn onto his
left side in the left lateral decubitus position. Which of the following valvular
defects is best heard in this position?
• Aortic
• PulmonicC) Mitral
D) Tricuspid
• You are concerned that a patient has an aortic regurgitation murmur.
Which is the best position to accentuate the murmur?
• Upright
• Upright, but leaning forward
• Supine
• Left lateral decubitus
• A 68-year-old retired waiter comes to your clinic for evaluation of
fatigue. You perform acardiac examination and find that his pulse rate is less
than 60. Which of the following conditions could be responsible for this
heart rate?
• Second-degree A-V block
• Atrial flutter
• Sinus arrhythmia
• Atrial fibrillation
• Where is the point of maximal impulse (PMI)
normally located?A) In the left 5th intercostal
space, 7 to 9 cm lateral to the sternum
• In the left 5th intercostal space, 10 to 12 cm lateral to the sternum
• In the left 5th intercostal space, in the anterior axillary line
• In the left 5th intercostal space, in the midaxillary line
• Which of the following events occurs at the start of diastole?
• Closure of the tricuspid valve
• Opening of the
pulmonic valveC)
Closure of the
aortic valve
D) Production of the first heart sound (S1)
• Which is true of a third heart sound (S3)?
UNIVERSITY||(Verified and Correct
Document)||LATEST 2023/24.||RATED
A++
Cardiovascular (Bickley) 35 Questions
• You are performing a thorough cardiac examination. Which of the following
chambers of theheart can you assess by palpation?
• Left atrium
• Right atrium C) Right ventricle
D) Sinus node
• What is responsible for the
inspiratory splitting of S2?A) Closure of
aortic, then pulmonic valves
• Closure of mitral, then tricuspid valves
• Closure of aortic, then tricuspid valves
• Closure of mitral, then pulmonic valves
• A 25-year-old optical technician comes to your clinic for evaluation of
fatigue. As part of your physical examination, you listen to her heart and hear a
murmur only at the cardiac apex. Which valve is most likely to be involved,
based on the location of the murmur?
• Mitral
• Tricuspid
• Aortic
• Pulmonic
• A 58-year-old teacher presents to your clinic with a complaint of
breathlessness with activity. The patient has no chronic conditions and does not
take any medications, herbs, or supplements. Which of the following symptoms
is appropriate to ask about in the cardiovascular review of systems?
A) Abdominal painB) Orthopnea
• Hematochezia
• Tenesmus
• You are screening people at the mall as part of a health fair. The first
person who comes forscreening has a blood pressure of 132/85. How would
you categorize this?
,• Normal
• Prehypertension
• Stage 1 hypertension
• Stage 2 hypertension
• You are participating in a health fair and performing cholesterol screens.
One person has a cholesterol of 225. She is concerned about her risk for
developing heart disease. Which of the following factors is used to estimate
the 10-year risk of developing coronary heart disease?
• Ethnicity
• Alcohol intakeC) Gender
D) Asthma
• You are evaluating a 40-year-old banker for coronary heart disease risk
factors. He has a history of hypertension, which is well-controlled on his current
medications. He does not smoke; he does 45 minutes of aerobic exercise five
times weekly. You are calculating his 10-year coronary heart disease risk.
Which of the following conditions is considered to be a coronary heart disease
risk equivalent?
• Hypertension
• Peripheral arterial disease
• Systemic lupus erythematosus
• Chronic obstructive pulmonary disease (COPD)
• You are conducting a workshop on the measurement of jugular venous
pulsation. As part of your instruction, you tell the students to make sure that
they can distinguish between the jugularvenous pulsation and the carotid pulse.
Which one of the following characteristics is typical of the carotid pulse?
• Palpable
• Soft, rapid, undulating quality
• Pulsation eliminated by light pressure on the vessel
• Level of pulsation changes with changes in position
• A 68-year-old mechanic presents to the emergency room for shortness of
breath. You are concerned about a cardiac cause and measure his jugular
venous pressure (JVP). It is elevated. Which one of the following conditions is
a potential cause of elevated JVP?
• Left-sided heart failure
• Mitral stenosis
• Constrictive pericarditis
• Aortic aneurysm
• You are palpating the apical impulse in a patient with heart disease and
find that the amplitude is diffuse and increased. Which of the following
conditions could be a potential causeof an increase in the amplitude of the
impulse?
, • Hypothyroidism
• Aortic stenosis, with pressure overload of the left ventricle
• Mitral stenosis, with volume overload of the left atrium
• Cardiomyopathy
• You are performing a cardiac examination on a patient with shortness of
breath and palpitations. You listen to the heart with the patient sitting upright,
then have him change to a supine position, and finally have him turn onto his
left side in the left lateral decubitus position. Which of the following valvular
defects is best heard in this position?
• Aortic
• PulmonicC) Mitral
D) Tricuspid
• You are concerned that a patient has an aortic regurgitation murmur.
Which is the best position to accentuate the murmur?
• Upright
• Upright, but leaning forward
• Supine
• Left lateral decubitus
• A 68-year-old retired waiter comes to your clinic for evaluation of
fatigue. You perform acardiac examination and find that his pulse rate is less
than 60. Which of the following conditions could be responsible for this
heart rate?
• Second-degree A-V block
• Atrial flutter
• Sinus arrhythmia
• Atrial fibrillation
• Where is the point of maximal impulse (PMI)
normally located?A) In the left 5th intercostal
space, 7 to 9 cm lateral to the sternum
• In the left 5th intercostal space, 10 to 12 cm lateral to the sternum
• In the left 5th intercostal space, in the anterior axillary line
• In the left 5th intercostal space, in the midaxillary line
• Which of the following events occurs at the start of diastole?
• Closure of the tricuspid valve
• Opening of the
pulmonic valveC)
Closure of the
aortic valve
D) Production of the first heart sound (S1)
• Which is true of a third heart sound (S3)?
