Question 1

An apical PMI palpated beyond the fifth intercostal space may indicate:

Accepted Answer

A)   decreased cardiac output.
B)   obesity.
C)   left ventricular hypertrophy.
D)   hyperventilation.E) A) and B)
F) All of the above

Question 2

In the adult, the apical impulse should be most visible when the patient is in what position?

Accepted Answer

A)   Supine
B)   Upright
C)   Lithotomy
D)   Right lateral recumbentE) All of the above
F) None of the above

Question 3

You are listening to a patient's heart sounds in the aortic and pulmonic areas. The sound becomes asynchronous during inspiration. The prevalent heart sound in this area is most likely:

Accepted Answer

A)   S1.
B)   S2.
C)   S3.
D)   S4.E) B) and C)
F) A) and C)

Question 4

To hear diastolic heart sounds, you should ask patients to:

Accepted Answer

A)   lie on their back.
B)   lie on their left side.
C)   lie on their right side.
D)   sit up and lean forward.E) All of the above
F) A) and C)

Question 5

A lift along the left sternal border is most likely the result of:

Accepted Answer

A)   aortic stenosis.
B)   atrial septal defect.
C)   pulmonary hypertension.
D)   right ventricular hypertrophy.E) All of the above
F) A) and D)

Question 6

The most helpful finding in determining left-sided heart failure is:

Accepted Answer

A)   dyspnea.
B)   orthopnea.
C)   jugular vein distention.
D)   an S3 heart sound.E) B) and D)
F) A) and B) C

Question 7

To estimate heart size by percussion, you should begin tapping at the:

Accepted Answer

A)   anterior axillary line.
B)   left sternal border.
C)   midclavicular line.
D)   midsternal line.E) A) and B)
F) A) and C) A

Question 8

Which of the following information belongs in the past medical history section related to heart and blood vessel assessment?

Accepted Answer

A)   Adolescent inguinal hernia
B)   Childhood mumps
C)   History of bee stings
D)   Previous unexplained feverE) A) and D)
F) A) and C)

Question 9

A palpable rushing vibration over the base of the heart at the second intercostal space is called a:

Accepted Answer

A)   heave.
B)   lift.
C)   thrill.
D)   thrust.E) A) and B)
F) None of the above C

Question 10

Your patient, who abuses intravenous (IV)  drugs, has a sudden onset of fever and symptoms of congestive heart failure. Inspection of the skin reveals nontender erythematic lesions to the palms. These findings are consistent with the development of:

Accepted Answer

A)   rheumatic fever.
B)   cor pulmonale.
C)   pericarditis.
D)   endocarditis.E) B) and C)
F) B) and D)

Question 11

Your patient has been diagnosed with pericarditis. Which are signs and symptoms, or a precipitating factor? (Select all that apply.)

Accepted Answer

A)   Sharp pain
B)   Pain relieved by sitting up
C)   Pain relieved by resting
D)   Friction rub heard to right of sternum
E)   History of kidney failureF)  Result of viral infectionG)  Result of medications such as procainamideH) C) and D)
I) A) and D)

Question 12

If the apical impulse is more vigorous than expected, it is called a:

Accepted Answer

A)   lift.
B)   thrill.
C)   bruit.
D)   murmur.E) A) and B)
F) All of the above

Question 13

Which one of the following is a common symptom of cardiovascular disorders in the older adult?

Accepted Answer

A)   Fatigue
B)   Joint pain
C)   Poor night vision
D)   Weight gainE) B) and D)
F) C) and D)

Question 14

Chest pain with an organic cause in a child is most likely the result of:

Accepted Answer

A)   cardiac disease.
B)   asthma.
C)   esophageal reflux.
D)   arthritis.E) B) and C)
F) A) and D)

Question 15

A patient you are seeing in the emergency department for chest pain is believed to be having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of "heart trouble." The most important follow-up question you should pose is which of the following?

Accepted Answer

A)   "Did your father have coronary bypass surgery?"
B)   "Did your father's father have heart trouble also?"
C)   "What were your father's usual dietary habits?"
D)   "What age was your father at the time of his death?"E) B) and C)
F) C) and D)

Question 16

Mr. O, age 50 years, comes for his annual health assessment, which is provided by his employer. During your initial history-taking interview, Mr. O mentions that he routinely engages in light exercise. At this time, you should:

Accepted Answer

A)   ask if he makes his own bed daily.
B)   have the patient describe his exercise.
C)   make a note that he walks each day.
D)   record "light exercise" in the history.E) A) and B)
F) B) and D)

Question 17

A condition that is likely to present with dizziness and syncope is:

Accepted Answer

A)   bacterial endocarditis.
B)   hypertension.
C)   sick sinus syndrome.
D)   pericarditis.E) B) and C)
F) A) and D)

Exam 15: Heart

An apical PMI palpated beyond the fifth intercostal space may indicate:

Correct Answer
verified

In the adult, the apical impulse should be most visible when the patient is in what position?

Correct Answer
verified

You are listening to a patient's heart sounds in the aortic and pulmonic areas. The sound becomes asynchronous during inspiration. The prevalent heart sound in this area is most likely:

Correct Answer
verified

To hear diastolic heart sounds, you should ask patients to:

Correct Answer
verified

A lift along the left sternal border is most likely the result of:

Correct Answer
verified

The most helpful finding in determining left-sided heart failure is:

Correct Answer
verified
C

To estimate heart size by percussion, you should begin tapping at the:

Correct Answer
verified
A

Which of the following information belongs in the past medical history section related to heart and blood vessel assessment?

Correct Answer
verified

A palpable rushing vibration over the base of the heart at the second intercostal space is called a:

Correct Answer
verified
C

Your patient, who abuses intravenous (IV) drugs, has a sudden onset of fever and symptoms of congestive heart failure. Inspection of the skin reveals nontender erythematic lesions to the palms. These findings are consistent with the development of:

Correct Answer
verified

Your patient has been diagnosed with pericarditis. Which are signs and symptoms, or a precipitating factor? (Select all that apply.)

Correct Answer
verified

If the apical impulse is more vigorous than expected, it is called a:

Correct Answer
verified

Which one of the following is a common symptom of cardiovascular disorders in the older adult?

Correct Answer
verified

Chest pain with an organic cause in a child is most likely the result of:

Correct Answer
verified

Correct Answer
verified

Mr. O, age 50 years, comes for his annual health assessment, which is provided by his employer. During your initial history-taking interview, Mr. O mentions that he routinely engages in light exercise. At this time, you should:

Correct Answer
verified

A condition that is likely to present with dizziness and syncope is:

Correct Answer
verified

Exam 15: Heart

An apical PMI palpated beyond the fifth intercostal space may indicate:

Correct AnswerverifiedShow Answer

In the adult, the apical impulse should be most visible when the patient is in what position?

Correct AnswerverifiedShow Answer

You are listening to a patient's heart sounds in the aortic and pulmonic areas. The sound becomes asynchronous during inspiration. The prevalent heart sound in this area is most likely:

Correct AnswerverifiedShow Answer

To hear diastolic heart sounds, you should ask patients to:

Correct AnswerverifiedShow Answer

A lift along the left sternal border is most likely the result of:

Correct AnswerverifiedShow Answer

The most helpful finding in determining left-sided heart failure is:

Correct AnswerverifiedC

To estimate heart size by percussion, you should begin tapping at the:

Correct AnswerverifiedA

Which of the following information belongs in the past medical history section related to heart and blood vessel assessment?

Correct AnswerverifiedShow Answer

A palpable rushing vibration over the base of the heart at the second intercostal space is called a:

Correct AnswerverifiedC

Your patient, who abuses intravenous (IV) drugs, has a sudden onset of fever and symptoms of congestive heart failure. Inspection of the skin reveals nontender erythematic lesions to the palms. These findings are consistent with the development of:

Correct AnswerverifiedShow Answer

Your patient has been diagnosed with pericarditis. Which are signs and symptoms, or a precipitating factor? (Select all that apply.)

Correct AnswerverifiedShow Answer

If the apical impulse is more vigorous than expected, it is called a:

Correct AnswerverifiedShow Answer

Which one of the following is a common symptom of cardiovascular disorders in the older adult?

Correct AnswerverifiedShow Answer

Chest pain with an organic cause in a child is most likely the result of:

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Mr. O, age 50 years, comes for his annual health assessment, which is provided by his employer. During your initial history-taking interview, Mr. O mentions that he routinely engages in light exercise. At this time, you should:

Correct AnswerverifiedShow Answer

A condition that is likely to present with dizziness and syncope is:

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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C

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A

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C

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Correct Answer
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Correct Answer
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