EXAM 2 WITH VERIFIED QUESTIONS AND
ANSWERS|| GUARANTEED PASS|| LATEST
VERSION 2026
You are examining an 85-year-old woman and find a grade 3/6 crescendo-
decrescendo systolic murmur with radiation to the neck. This is most likely
caused by:
A. aortic stenosis.
B. aortic regurgitation.
C. anemia.
D. mitral stenosis. - ANSWER-A
Aortic stenosis in a 15-year-old male is most likely:
A. a sequela of rheumatic fever.
B. a result of a congenital defect.
C. calcific in nature.
D. found with atrial septal defect. - ANSWER-B
A risk factor for acquired aortic stenosis is:
A. history of pulmonary embolism.
B. chronic obstructive pulmonary disease (COPD).
C. type 2 diabetes.
D. prior rheumatic fever. - ANSWER-D
,Management of mild aortic stenosis in a 12-year-old boy usually includes:
A. ongoing monitoring with ECG and echocardiogram.
B. use of a balloon catheter to separate fused valve
leaflets.
C. valve replacement.
D. use of warfarin or other anticoagulant. - ANSWER-A
A serological marker for acute hepatitis A virus (HAV)
infection is:
A. HAV IgM.
B. HAV viral RNA.
C. TNF-alpha.
D. IL-10. - ANSWER-a
You are caring for a 45-year-old woman from a developing country. She reports
that she had "yellow jaundice" as a young child. Her physical examination is
unremarkable. Her laboratory studies are as follows:
AST, 22 U/L (normal, 0 to 31 U/L); alanine aminotransferase
(ALT), 25 U/L (normal, 0 to 40 U/L);
hepatitis A virus immunoglobulin G (HAV IgG)
positive. Laboratory testing reveals:
A. chronic hepatitis A.
B. no evidence of prior or current hepatitis A infection.
C. resolved hepatitis A infection.
D. prodromal hepatitis A. - ANSWER-c
The most common source of hepatitis A infection is:
A. sharing intravenous drug equipment.
,B. cooked seafood.
C. contaminated water supplies.
D. sexual contact. - ANSWER-c
In a well adult with modest hepatic enzyme elevation and hepatitis B surface
antigen (HBsAg) positive, these findings are most consistent with:
A. no evidence of hepatitis B infection.
B. resolved hepatitis B infection.
C. chronic hepatitis B.
D. evidence of effective hepatitis B immunization. - ANSWER-C
The average incubation time for HAV is approximately:
A. 10 days.
B. 28 days.
C. 60 days.
D. 6 months. - ANSWER-B
Current vaccine guidelines recommend administering the immunization against
HAV to:
A. those living in or traveling to areas endemic for the disease.
B. food handlers and day-care providers.
C. military personnel.
D. any person who wishes to receive the vaccine. - ANSWER-D
All of the following are effective methods to kill the hepatitis A virus except:
A. heating food to more than 185°F (85°C) for at least 1 minute.
B. adequately chlorinating water.
C. cleaning surfaces with a 1:100 bleach solution.
, D. freezing food for at least 1 hour - ANSWER-D
You see a 27-year-old man who says he ate at a restaurant last week that was
later reported to have a worker identified with hepatitis A. He is healthy and
shows no sign of infection but is concerned about contracting HAV infection.
You recommend:
A. HAV vaccine.
B. HAV immune globulin.
C. HAV vaccine plus immune globulin.
D. no intervention at this time and wait until symptoms
manifest. - ANSWER-A
A 54-year-old man has been recently diagnosed with HAV infection. You
recommend all of the following except:
A. eating smaller, more frequent meals to help combat nausea.
B. avoiding consumption of any alcohol.
C. reviewing current medication use for consideration of discontinuation.
D. taking daily acetaminophen to alleviate joint pains. - ANSWER-D
A 38-year-old man with a recent history of injection
drug use presents with malaise, nausea, fatigue,
and "yellow eyes" for the past week. After ordering
diagnostic tests, you confirm the diagnosis of acute
hepatitis B. Anticipated laboratory results include:
A. the presence of hepatitis B surface antibody
(HBsAb).
B. neutrophilia.
C. thrombocytosis.
D. the presence of HBsAg. - ANSWER-D