3P CARDIOVASCULAR LATEST EXAM
– QUESTIONS AND ACTUAL
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A patient describes chest pain as pressing, squeezing, and tight lasting between 1 and 3 minutes. These symptoms are more
characteristic of: - ANSWER-myocardial infarction.
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: -
ANSWER-thromboangiitis obliterans.Symptoms of orthostatic hypotension include all of the following
except: - ANSWER-respiratory rate greater than 30.
Characteristic symptoms of chronic arterial insufficiency may include which one of the following? - ANSWER-Feet appear pale on elevation and dusky red on dependency When auscultating the heart, a scratchy, continuous murmur is audible during atrial systole and ventricular systole and diastole.
This finding may be indicative of a: - ANSWER-pericardial friction
rub.
In order to assess for varicosities in the lower extremities, position
the patient: - ANSWER-standing.
The amplitude of the pulse in a patient in cardiogenic shock would
most likely appear: - ANSWER-thready.
The four classic structural defects of Tetralogy of Fallot include: -
ANSWER-a ventricular septal defect, an overriding aorta, pulmonary stenosis, and right ventricular hypertrophy.When auscultating the heart of a 55-year- old patient, a loud murmur with a thrill is audible in the right second intercostal space that radiates to the carotid arteries. Also noted is a crescendo-decrescendo pitch audible at the apex. The murmur is heard best with the patient sitting and leaning forward. This
finding is consistent with: - ANSWER-aortic stenosis.
When palpating the carotid pulse, it is important to: - ANSWER-
position the patient in the lying or sitting positions.When percussing the chest in a patient who has left sided heart
failure, the sound emanated would be: - ANSWER-resonant.
In older adults, the presence of heart sound S4 suggests: -
ANSWER-hypertension.Men between the ages of 40 and 64 years should be screened
yearly for: - ANSWER-hypertension.
Presence of a heart murmur in a child would be considered
organic if the child: - ANSWER-was a 2-year-old with a congenital
heart defect.A three-week-old infant presents with a generalized lacy,
reticulated blue discoloration of the skin. This is suggestive of: -
ANSWER-cutis marmorata.A widened pulse pressure greater than or equal to 60 in an older
patient is a risk factor for cardiovascular disease, stroke, and: -
ANSWER-renal disease.
Absent or diminished pulses in the wrist could be indicative of: -
ANSWER-arterial occlusive disease.A patient presents with chest pain that radiates to the left side of the neck and down the left arm when he chops wood. This type of
pain could be suggestive of: - ANSWER-angina pectoris.
A patient suspected of having chronic venous insufficiency, may
present with: - ANSWER-a brownish discoloration just above the
malleolus.Pain with walking or prolonged standing, radiating from the spinal area into the buttocks, thighs, lower legs, or feet, may be seen
with: - ANSWER-neurogenic claudication.
While auscultating the patient's heart, a medium, soft murmur is audible. It is pansystolic and heard loudest at the apex with
radiation to the left axilla. These findings are consistent with: -
ANSWER-mitral regurgitation.A bruit heard in the epigastric area with both systolic and diastolic
components is suggestive of: - ANSWER-renal artery stenosis.
In order to bring the ventricular apex closer to the chest wall when assessing the point of maximal impulse (PMI), ask the
patient to: - ANSWER-turn to the left side.
The patient has had an internal pacemaker in place for five years.Pacemaker failure is being considered because over the past few
days, the patient has been experiencing episodes of: - ANSWER-
hiccoughs.A condition that presents with symptomatic limb ischemia upon
exertion is termed: - ANSWER-atherosclerotic peripheral vascular
disease.To auscultate the tricuspid valve heart sounds in an adult patient,
place the stethoscope: - ANSWER-between the 3rd, 4th, 5th, and
6th intercostal spaces at the left lower sternal border.
In older adults, the presence of heart sound S3 suggests: -
ANSWER-heart failure.To assess aortic pulsations in patients with carotid obstruction,