Questions and Answers | 2026 New
1.A major difference between varicose veins and arteriosclerosis - Correct
Answer✔✔-Arteriosclerosis affects the arteries and is more common in men
after age 70 years.
Varicose veins affect the veins. and is more common in women.
2.A pt. had poorly controlled hypertension for more than 10 years Where would
the PMI point of maximal impulse be - Correct Answer✔✔-Correct 5th ICS
left of MCL-This is because of certain diseases like heart failure or
cardiomyopathy or hypertension can displace the apical impulse to the left
laterally.
The normal PMI is at 5th intercostal space midclavicular.
3.43 yr. old male has audible murmur best heard in the mitral listening point.
There is not audible click. His status has been monitored for the past 2 years.
The murmur is probably heard: - Correct Answer✔✔-Correct- Mitral Stenosis
because it produces only diastolic murmur listed
- Mitral Prolapse is a systolic murmur with a mid to late systolic click
- Acute Mitral Regurgitation- usually develops after rupture of the chordae
tendinous, rupture papillary muscle after an MI or secondary to bacterial
endocarditis. This pt. would abruptly deteriate.
4.Pt with diabetes present with pain in his lower legs when he walks and pain
resolution with rest. When asked about pain in his lower leg he like with will
report pain - Correct Answer✔✔-He will have pain in the CALF muscle. This
is symptoms of ARTERIOSCLEROSIS- symptoms are intermittent
claudication.
5.A pt. with hypertension described a previous allergic reaction to sulfa
antibiotics as sloughing of skin and hospitalized. Which medication is
contraindicated in this pt. - Correct Answer✔✔-Hydrochlorothiazide- has a
sulfonamide ring which makes anyone allergic to sulfa drugs should not take
this medication
6.A 75 yr. old pt. who has aortic stenosis wants to know what symptoms
indicate worsening of his stenosis - Correct Answer✔✔-Correct Answer
Shortness of breath and syncope