age 1 of 54
AG-ACNP Cardiovascular Actual Exam 2025/2026
Questions with Verified Solutions || Already Graded
A+ <Recent Version>
Risk factors for thromboembolism for AFIB .......Answer.........>75,
HR, TIA or CVA, DM, HTN, mitral stenosis
Rhythm control AFIB .......Answer.........Amiodarone 100-400 mg
PO QD
Flecainide 200-300 mg PO
Propafenone 450-900 mg PO divided q 8
Sotolol 160-320 mg PO
Rate Control AFIB .......Answer.........Metoprolol
propranolol
,age 2 of 54
Diltiazem
Verapamil
Digoxin
Therapy for AAA .......Answer.........watchful waiting (yearly US if
< 3.5cm)
Class A aortic disection .......Answer.........proximal dissection:
ascending aorta or arch, most devastating
Management of aortic dissection .......Answer.........Systolic BP
100-120, labetolol or esmolol infusion
EVAR .......Answer.........involves the placement of graft /stent
components delivered via the iliac or femoral arteries to line the
aorta and exclude the aneurysm sac from the circulation.
,age 3 of 54
S1 is associated with which heart valves? .......Answer.........S1 -
Mitral and Tricuspid (AV) CLOSE
S2 is associated with which heart valves? .......Answer.........S2 -
Aortic and Pulmonic (SL) CLOSE
Define systole. .......Answer.........The period between S1 (MT
close) and S2 (AP close)
Define diastole. .......Answer.........Period between S2 and S1
Which heart sound is best associated with CHF?
.......Answer.........S3 - atrial gallop. FVE states.
Which heart sound is best associated with LVH?
.......Answer.........S4 - ventricular gallop. Stiff ventricular wall -
MI, HTN, LVH
, age 4 of 54
What are the characteristics of a Grade IV/VI heart murmur?
.......Answer.........Loud
Thrill - palpable thrill
Patient presents with history of multiple syncopal episodes.
Physical exam remarkable for loud, diamond shaped, systolic
murmur at 2nd R ICS that radiates to neck. What do you suspect
and what are your actions? .......Answer.........Aortic Stenosis -
syncope r/t decreased cardiac output
Consult cardiology
Which murmur is associated with S3, systolic murmur at 5th ICS
MCL that radiates to L axilla? .......Answer.........Mitral
Regurgitation
AG-ACNP Cardiovascular Actual Exam 2025/2026
Questions with Verified Solutions || Already Graded
A+ <Recent Version>
Risk factors for thromboembolism for AFIB .......Answer.........>75,
HR, TIA or CVA, DM, HTN, mitral stenosis
Rhythm control AFIB .......Answer.........Amiodarone 100-400 mg
PO QD
Flecainide 200-300 mg PO
Propafenone 450-900 mg PO divided q 8
Sotolol 160-320 mg PO
Rate Control AFIB .......Answer.........Metoprolol
propranolol
,age 2 of 54
Diltiazem
Verapamil
Digoxin
Therapy for AAA .......Answer.........watchful waiting (yearly US if
< 3.5cm)
Class A aortic disection .......Answer.........proximal dissection:
ascending aorta or arch, most devastating
Management of aortic dissection .......Answer.........Systolic BP
100-120, labetolol or esmolol infusion
EVAR .......Answer.........involves the placement of graft /stent
components delivered via the iliac or femoral arteries to line the
aorta and exclude the aneurysm sac from the circulation.
,age 3 of 54
S1 is associated with which heart valves? .......Answer.........S1 -
Mitral and Tricuspid (AV) CLOSE
S2 is associated with which heart valves? .......Answer.........S2 -
Aortic and Pulmonic (SL) CLOSE
Define systole. .......Answer.........The period between S1 (MT
close) and S2 (AP close)
Define diastole. .......Answer.........Period between S2 and S1
Which heart sound is best associated with CHF?
.......Answer.........S3 - atrial gallop. FVE states.
Which heart sound is best associated with LVH?
.......Answer.........S4 - ventricular gallop. Stiff ventricular wall -
MI, HTN, LVH
, age 4 of 54
What are the characteristics of a Grade IV/VI heart murmur?
.......Answer.........Loud
Thrill - palpable thrill
Patient presents with history of multiple syncopal episodes.
Physical exam remarkable for loud, diamond shaped, systolic
murmur at 2nd R ICS that radiates to neck. What do you suspect
and what are your actions? .......Answer.........Aortic Stenosis -
syncope r/t decreased cardiac output
Consult cardiology
Which murmur is associated with S3, systolic murmur at 5th ICS
MCL that radiates to L axilla? .......Answer.........Mitral
Regurgitation
