APEA- Cardiovascular Assessment
A bruit heard in the epigastric area with both systolic and diastolic components is suggestive of:
renal artery stenosis.
aortic regurgitation.
femoral artery occlusion.
an aortic aneurysm. - ANS -renal artery stenosis
\A characteristic finding in the elderly population is:
the increase in diastolic blood pressure after the sixth decade.
a tendency toward developing postural hypertension.
the development of heart rhythm changes leading to syncope.
the susceptibility to hyperthermia. - ANS -the development of heart rhythm changes leading to
syncope.
\A condition that presents with symptomatic limb ischemia upon exertion is termed:
neurogenic claudication.
intermittent claudication.
atherosclerotic peripheral vascular disease.
Raynaud's disease. - ANS -atherosclerotic peripheral vascular disease.
\A disease that may present as indigestion, but is precipitated by exertion and relieved by rest is
most likely:
gastroesophageal reflux.
inflammatory bowel disease.
angina.
aortic stenosis. - ANS -angina.
\A disparity between the brachial and femoral pulses in a 4-month-old could indicate:
an atrial septal defect (ASD).
Tetralogy of Fallot.
coarctation of the aorta (COA).
tricuspid atresia (TA). - ANS -coarctation of the aorta (COA).
\A heart rate of 100-180 beats per minute in an adult is considered:
normal sinus rhythm.
sinus tachycardia.
supraventricular tachycardia.
ventricular tachycardia. - ANS -sinus tachycardia.
\A male patient states that he has difficulty breathing when he is lying down but when he sits up,
it improves. This is a classic description of:
eupnea.
dyspnea.
orthopnea.
paroxysmal nocturnal dyspnea. - ANS -orthopnea
\A patient complains of a tight, bursting pain in the calf that increases with walking. Elevation of
the leg sometimes relieves the pain. These symptoms may be consistent with:
, intermittent claudication.
Raynaud's disease.
deep venous thrombosis.
superficial thrombophlebitis. - ANS -deep venous thrombosis.
\A patient complains of increased pain in the calf muscles and buttocks especially after walking
or riding his bicycle. He states that the pain stops after he sits still for about 2-3 minutes. This
condition may be associated with:
intermittent claudication.
Raynaud's disease.
deep venous thrombosis.
superficial thrombophlebitis. - ANS -intermittent claudication.
\A patient complains of pain in the arch of the foot sometimes relieved by rest. Occasionally, he
experiences intermittent pain in the toes, especially at rest. Exercise aggravates the pain in the
arch. History reveals he smokes approximately a half pack of cigarettes per day. These
symptoms may be consistent with:
intermittent claudication.
Raynaud's disease.
deep venous thrombosis.
thromboangiitis obliterans. - ANS -thromboangiitis obliterans.
\A patient complains of some pain in the distal portions of her fingers on both hands. She states
that it tends to occur more frequently with exposure to cold. These symptoms may be consistent
with:
intermittent claudication.
Raynaud's disease.
deep venous thrombosis.
superficial thrombophlebitis. - ANS -Raynaud's disease.
\A patient complains of a sharp, knifelike pain that begins in the chest and radiates to the tip of
the shoulder and to the neck. This type of chest pain is suggestive of:
pericarditis.
an aortic dissection.
angina pectoris.
a myocardial infarction. - ANS -pericarditis.
\A patient describes chest pain as persistent, sharp, and knife-like. These symptoms are more
characteristic of:
myocardial infarction.
costochondritis.
pericarditis.
dissecting aortic aneurysm. - ANS -pericarditis.
\A patient describes chest pain as pressing, squeezing, and tight lasting between 1 and 3
minutes. These symptoms are more characteristic of:
myocardial infarction.
costochondritis.
pericarditis.
dissecting aortic aneurysm. - ANS -myocardial infarction.
A bruit heard in the epigastric area with both systolic and diastolic components is suggestive of:
renal artery stenosis.
aortic regurgitation.
femoral artery occlusion.
an aortic aneurysm. - ANS -renal artery stenosis
\A characteristic finding in the elderly population is:
the increase in diastolic blood pressure after the sixth decade.
a tendency toward developing postural hypertension.
the development of heart rhythm changes leading to syncope.
the susceptibility to hyperthermia. - ANS -the development of heart rhythm changes leading to
syncope.
\A condition that presents with symptomatic limb ischemia upon exertion is termed:
neurogenic claudication.
intermittent claudication.
atherosclerotic peripheral vascular disease.
Raynaud's disease. - ANS -atherosclerotic peripheral vascular disease.
\A disease that may present as indigestion, but is precipitated by exertion and relieved by rest is
most likely:
gastroesophageal reflux.
inflammatory bowel disease.
angina.
aortic stenosis. - ANS -angina.
\A disparity between the brachial and femoral pulses in a 4-month-old could indicate:
an atrial septal defect (ASD).
Tetralogy of Fallot.
coarctation of the aorta (COA).
tricuspid atresia (TA). - ANS -coarctation of the aorta (COA).
\A heart rate of 100-180 beats per minute in an adult is considered:
normal sinus rhythm.
sinus tachycardia.
supraventricular tachycardia.
ventricular tachycardia. - ANS -sinus tachycardia.
\A male patient states that he has difficulty breathing when he is lying down but when he sits up,
it improves. This is a classic description of:
eupnea.
dyspnea.
orthopnea.
paroxysmal nocturnal dyspnea. - ANS -orthopnea
\A patient complains of a tight, bursting pain in the calf that increases with walking. Elevation of
the leg sometimes relieves the pain. These symptoms may be consistent with:
, intermittent claudication.
Raynaud's disease.
deep venous thrombosis.
superficial thrombophlebitis. - ANS -deep venous thrombosis.
\A patient complains of increased pain in the calf muscles and buttocks especially after walking
or riding his bicycle. He states that the pain stops after he sits still for about 2-3 minutes. This
condition may be associated with:
intermittent claudication.
Raynaud's disease.
deep venous thrombosis.
superficial thrombophlebitis. - ANS -intermittent claudication.
\A patient complains of pain in the arch of the foot sometimes relieved by rest. Occasionally, he
experiences intermittent pain in the toes, especially at rest. Exercise aggravates the pain in the
arch. History reveals he smokes approximately a half pack of cigarettes per day. These
symptoms may be consistent with:
intermittent claudication.
Raynaud's disease.
deep venous thrombosis.
thromboangiitis obliterans. - ANS -thromboangiitis obliterans.
\A patient complains of some pain in the distal portions of her fingers on both hands. She states
that it tends to occur more frequently with exposure to cold. These symptoms may be consistent
with:
intermittent claudication.
Raynaud's disease.
deep venous thrombosis.
superficial thrombophlebitis. - ANS -Raynaud's disease.
\A patient complains of a sharp, knifelike pain that begins in the chest and radiates to the tip of
the shoulder and to the neck. This type of chest pain is suggestive of:
pericarditis.
an aortic dissection.
angina pectoris.
a myocardial infarction. - ANS -pericarditis.
\A patient describes chest pain as persistent, sharp, and knife-like. These symptoms are more
characteristic of:
myocardial infarction.
costochondritis.
pericarditis.
dissecting aortic aneurysm. - ANS -pericarditis.
\A patient describes chest pain as pressing, squeezing, and tight lasting between 1 and 3
minutes. These symptoms are more characteristic of:
myocardial infarction.
costochondritis.
pericarditis.
dissecting aortic aneurysm. - ANS -myocardial infarction.
