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Question 1
Free
Multiple Choice

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:

Choose correct answer/s
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.

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Question 2
Free
Multiple Choice

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

Choose correct answer/s
A

Adolescent inguinal hernia

B

Childhood mumps

C

History of bee stings

D

Previous unexplained fever

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Question 3
Free
Multiple Choice

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?

Choose correct answer/s
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?"

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Question 4
Free
Multiple Choice

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

Choose correct answer/s
A

Fatigue

B

Joint pain

C

Poor night vision

D

Weight gain

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Question 5
Free
Multiple Choice

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

Choose correct answer/s
A

Supine

B

Upright

C

Lithotomy

D

Right lateral recumbent

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Question 6
Multiple Choice

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

Choose correct answer/s
A
lift.
B
thrill.
C
bruit.
D
murmur.
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Question 7
Multiple Choice

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

Choose correct answer/s
A
heave.
B
lift.
C
thrill.
D
thrust.
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Question 8
Multiple Choice

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

Choose correct answer/s
A
decreased cardiac output.
B
obesity.
C
left ventricular hypertrophy.
D
hyperventilation.
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Question 9
Multiple Choice

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

Choose correct answer/s
A
aortic stenosis.
B
atrial septal defect.
C
pulmonary hypertension.
D
right ventricular hypertrophy.
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Question 10
Multiple Choice

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

Choose correct answer/s
A
anterior axillary line.
B
left sternal border.
C
midclavicular line.
D
midsternal line.
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Question 11
Multiple Choice

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

Choose correct answer/s
A
lie on their back.
B
lie on their left side.
C
lie on their right side.
D
sit up and lean forward.
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Question 12
Multiple Choice

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:

Choose correct answer/s
A
S1.
B
S2.
C
S3.
D
S4.
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Question 13
Multiple Choice

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

Choose correct answer/s
A
cardiac disease.
B
asthma.
C
esophageal reflux.
D
arthritis.
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Question 14
Multiple Choice

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

Choose correct answer/s
A
bacterial endocarditis.
B
hypertension.
C
sick sinus syndrome.
D
pericarditis.
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Question 15
Multiple Choice

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:

Choose correct answer/s
A
rheumatic fever.
B
cor pulmonale.
C
pericarditis.
D
endocarditis.
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Question 16
Multiple Choice

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

Choose correct answer/s
A
dyspnea.
B
orthopnea.
C
jugular vein distention.
D
an S3 heart sound.
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Question 17
Multiple Choice

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

Choose correct answer/s
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 failure
F
Result of viral infection
G
Result of medications such as procainamide
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