FAMILY MEDICINE PAEA EOR QUICK
STUDY Exam Questions and Answers
(Solved Papers)
harsh systolic ejection crescendo-decrescendo murmur at the
right upper sternal border (aortic area) with radiation to the
neck and apex heard best by leaning forward with expiration -
Correct Answers ✅Aortic stenosis
harsh, loud, medium pitched systolic murmur heard best at
the 2nd /3rd left intercostal space (pulmonic area) that may
decrease with inspiration - Correct Answers ✅Pulmonic
stenosis
holosystolic high-pitched blowing murmur at apex (mitral
area) that radiates to axilla with a split S2 - Correct
Answers ✅Mitral regurgitation
high pitched holosystolic murmur at LLSB (tricuspid area)
radiates to the sternum and increases with inspiration -
Correct Answers ✅Tricuspid stenosis
midsystolic ejection click heard best at the apex (mitral area)
- Correct Answers ✅MVP
soft early diastolic blowing murmur along left sternal border
with patient sitting leaning forward after exhaling - Correct
Answers ✅Aortic regurgitation
,FAMILY MEDICINE PAEA EOR QUICK
STUDY Exam Questions and Answers
(Solved Papers)
high pitched early diastolic decrescendo murmur at the LUSB
(pulmonic area) that increases with inspiration - Correct
Answers ✅Pulmonic regurgitation
diastolic low pitched decrescendo rumbling murmur with
opening snap heard best at the apex (mitral area) with
patient in lateral decubitus position - Correct Answers
✅Mitral stenosis
diastolic rumbling murmur at the LLSB (tricuspid area) with
an opening snap - Correct Answers ✅Tricuspid stenosis
a 30-year-old woman presents with 2 weeks of arthralgias,
migrating from distal to proximal joints. It began with
increased warmth and erythema in her right ankle and left
knee. She has a low-grade fever and reports a history of sore
throat and swollen glands about 1 month ago. On physical
exam she has red skin lesions on the trunk and proximal
extremities, and also small, non-tender lumps located over
the joints. Antistreptolysin O titer is positive.
What is suspected? - Correct Answers ✅Rheumatic fever --
> JONES CRITERIA
How is rheumatic fever treated? - Correct Answers
✅Penicillin G, aspirin (fever control), corticosteroids
, FAMILY MEDICINE PAEA EOR QUICK
STUDY Exam Questions and Answers
(Solved Papers)
How is endocarditis treated? - Correct Answers ✅IV ABX
Prophylaxis --> Vanco (MCC is staph)
S. aureus --> nafcillin or cefazolin
2 sets of blood cultures every 24-48h until infection clears
from bloodstream
Pylonephritis urine findings? - Correct Answers ✅pyuria
(wbc in urine) and WBC casts
UTI treatment? - Correct Answers ✅Uncomplicated:
bactrim or nitro
Complicated: quinolones, aminoglycosides(-mycins)
Preg: nitro, amox, cephalexin
Pyelonephritis tx? - Correct Answers ✅Fluoquinolones
Preg: cefazolin iV until afebrile, oral abx for 14d
STUDY Exam Questions and Answers
(Solved Papers)
harsh systolic ejection crescendo-decrescendo murmur at the
right upper sternal border (aortic area) with radiation to the
neck and apex heard best by leaning forward with expiration -
Correct Answers ✅Aortic stenosis
harsh, loud, medium pitched systolic murmur heard best at
the 2nd /3rd left intercostal space (pulmonic area) that may
decrease with inspiration - Correct Answers ✅Pulmonic
stenosis
holosystolic high-pitched blowing murmur at apex (mitral
area) that radiates to axilla with a split S2 - Correct
Answers ✅Mitral regurgitation
high pitched holosystolic murmur at LLSB (tricuspid area)
radiates to the sternum and increases with inspiration -
Correct Answers ✅Tricuspid stenosis
midsystolic ejection click heard best at the apex (mitral area)
- Correct Answers ✅MVP
soft early diastolic blowing murmur along left sternal border
with patient sitting leaning forward after exhaling - Correct
Answers ✅Aortic regurgitation
,FAMILY MEDICINE PAEA EOR QUICK
STUDY Exam Questions and Answers
(Solved Papers)
high pitched early diastolic decrescendo murmur at the LUSB
(pulmonic area) that increases with inspiration - Correct
Answers ✅Pulmonic regurgitation
diastolic low pitched decrescendo rumbling murmur with
opening snap heard best at the apex (mitral area) with
patient in lateral decubitus position - Correct Answers
✅Mitral stenosis
diastolic rumbling murmur at the LLSB (tricuspid area) with
an opening snap - Correct Answers ✅Tricuspid stenosis
a 30-year-old woman presents with 2 weeks of arthralgias,
migrating from distal to proximal joints. It began with
increased warmth and erythema in her right ankle and left
knee. She has a low-grade fever and reports a history of sore
throat and swollen glands about 1 month ago. On physical
exam she has red skin lesions on the trunk and proximal
extremities, and also small, non-tender lumps located over
the joints. Antistreptolysin O titer is positive.
What is suspected? - Correct Answers ✅Rheumatic fever --
> JONES CRITERIA
How is rheumatic fever treated? - Correct Answers
✅Penicillin G, aspirin (fever control), corticosteroids
, FAMILY MEDICINE PAEA EOR QUICK
STUDY Exam Questions and Answers
(Solved Papers)
How is endocarditis treated? - Correct Answers ✅IV ABX
Prophylaxis --> Vanco (MCC is staph)
S. aureus --> nafcillin or cefazolin
2 sets of blood cultures every 24-48h until infection clears
from bloodstream
Pylonephritis urine findings? - Correct Answers ✅pyuria
(wbc in urine) and WBC casts
UTI treatment? - Correct Answers ✅Uncomplicated:
bactrim or nitro
Complicated: quinolones, aminoglycosides(-mycins)
Preg: nitro, amox, cephalexin
Pyelonephritis tx? - Correct Answers ✅Fluoquinolones
Preg: cefazolin iV until afebrile, oral abx for 14d
