NR 507 MIDTERM CARDIAC EXAM
QUESTIONS AND ANSWERS
A 40-year old male reports to the primary care office with a chief complaint of dyspnea,
especially with activity, over the last 5 days. He also notices that several times during
the last two days that he could feel his heart "pounding and racing". A low-pitched
murmur is also auscultated and is heard most prominently at the apex. The NP also
notes jugular vein distention (JVD) and bilateral crackles in the lung bases. The NP
performs an ECG in the office that reveals atrial fibrillation and left atrial hypertrophy. -
Answer-Mitral Stenosis
Rheumatic fever is a common cause for _____ valve disorder. - Answer-Mitral Stenosis
Cor Pulmonale is: - Answer-Right ventricular failure secondary to pulmonary
hypertension.
The most common cause of right-sided heart failure is: - Answer-Pulmonary
hypertension.
Hypertension has its most immediate effect on: - Answer-Afterload.
In the healthy heart, the response to an increase in preload is for the stroke volume to -
Answer-Increase
Which of the following conditions can decrease preload? - Answer-Hemorrhage.
The patient with aortic stenosis would most likely present with: - Answer-Mid-systolic
crescendo-decrescendo murmur.
A patient with mitral regurgitation would most likely present with - Answer-a blowing,
holosystolic murmur / blowing pansystolic murmur best heard at the hearts apex and
radiates to the back and axilla
A patient with mitral stenosis would most likely present with: - Answer-Rumbling,
decrescendo diastolic murmur heard at apex of the heart.
The patient with aortic regurgitation would most likely present with: - Answer-An early,
high-pitched diastolic murmur heard at the left lower sternal border
A diastolic rumbling murmur heart at the apex of the heart
A systolic crescendo-decrescendo murmur heart at the left upper sternal border
A 64-year old female reports to the primary care office with a complaint of "fainting".
There is a laterally displaced, sustained apical impulse and a grade 4/6 mid-systolic
QUESTIONS AND ANSWERS
A 40-year old male reports to the primary care office with a chief complaint of dyspnea,
especially with activity, over the last 5 days. He also notices that several times during
the last two days that he could feel his heart "pounding and racing". A low-pitched
murmur is also auscultated and is heard most prominently at the apex. The NP also
notes jugular vein distention (JVD) and bilateral crackles in the lung bases. The NP
performs an ECG in the office that reveals atrial fibrillation and left atrial hypertrophy. -
Answer-Mitral Stenosis
Rheumatic fever is a common cause for _____ valve disorder. - Answer-Mitral Stenosis
Cor Pulmonale is: - Answer-Right ventricular failure secondary to pulmonary
hypertension.
The most common cause of right-sided heart failure is: - Answer-Pulmonary
hypertension.
Hypertension has its most immediate effect on: - Answer-Afterload.
In the healthy heart, the response to an increase in preload is for the stroke volume to -
Answer-Increase
Which of the following conditions can decrease preload? - Answer-Hemorrhage.
The patient with aortic stenosis would most likely present with: - Answer-Mid-systolic
crescendo-decrescendo murmur.
A patient with mitral regurgitation would most likely present with - Answer-a blowing,
holosystolic murmur / blowing pansystolic murmur best heard at the hearts apex and
radiates to the back and axilla
A patient with mitral stenosis would most likely present with: - Answer-Rumbling,
decrescendo diastolic murmur heard at apex of the heart.
The patient with aortic regurgitation would most likely present with: - Answer-An early,
high-pitched diastolic murmur heard at the left lower sternal border
A diastolic rumbling murmur heart at the apex of the heart
A systolic crescendo-decrescendo murmur heart at the left upper sternal border
A 64-year old female reports to the primary care office with a complaint of "fainting".
There is a laterally displaced, sustained apical impulse and a grade 4/6 mid-systolic
