ADVANCED PATHOPHYSIOLOGY EXAM 2
EXAM PREP COMPLETE QUESTIONS AND
ANSWERS FULL SOLUTION
◉ Which of the following statements related to infective
endocarditis (bacterial endocarditis) is not correct?
A) It is a complication of valvular heart disease.
B) Fibrin-platelet thrombi form on rough valve surface; bacteria
implant in the thrombus and incite inflammation.
C) Microorganisms never implant on a normal heart valve.
D) Part of valve vegetations may break loose and be carried into the
circulation as emboli.
Answer: Ans: C
◉ A patient presents to the emergency department complaining of
severe chest pain. On examination, you note a temperature of
102.5ºF, a white blood count of 20,000/μL, and a friction rub near
the lower left sternal border when the breath is held. What is the
likely diagnosis?
A) Pleuritis
B) Pneumonia
C) Myocarditis
D) Pericarditis
, Answer: Ans: D
◉ With mitral valve prolapse, the leaflets:
A) are narrow impeding forward blood flow during systole.
B) prolapse into the right atrium causing altered flow.
C) collapse into the left atrium during systole.
D) calcify, which prevents proper opening.
Answer: Ans: C
◉ A 70-year-old woman comes in after a syncopal episode. She said
she fainted while she was gardening. She said she's been feeling a bit
fatigued and short of breath but attributes this to not sleeping
well. On examination, a systolic murmur is heard. Based on these
findings, a common valvular disorder, and the most likely, is:
A) mitral regurgitation.
B) mitral stenosis.
C) aortic regurgitation.
D) aortic stenosis.
Answer: Ans: D
◉ An 80-year-old patient in the intensive care unit with an
overwhelming systemic infection begins to exhibit splinter
EXAM PREP COMPLETE QUESTIONS AND
ANSWERS FULL SOLUTION
◉ Which of the following statements related to infective
endocarditis (bacterial endocarditis) is not correct?
A) It is a complication of valvular heart disease.
B) Fibrin-platelet thrombi form on rough valve surface; bacteria
implant in the thrombus and incite inflammation.
C) Microorganisms never implant on a normal heart valve.
D) Part of valve vegetations may break loose and be carried into the
circulation as emboli.
Answer: Ans: C
◉ A patient presents to the emergency department complaining of
severe chest pain. On examination, you note a temperature of
102.5ºF, a white blood count of 20,000/μL, and a friction rub near
the lower left sternal border when the breath is held. What is the
likely diagnosis?
A) Pleuritis
B) Pneumonia
C) Myocarditis
D) Pericarditis
, Answer: Ans: D
◉ With mitral valve prolapse, the leaflets:
A) are narrow impeding forward blood flow during systole.
B) prolapse into the right atrium causing altered flow.
C) collapse into the left atrium during systole.
D) calcify, which prevents proper opening.
Answer: Ans: C
◉ A 70-year-old woman comes in after a syncopal episode. She said
she fainted while she was gardening. She said she's been feeling a bit
fatigued and short of breath but attributes this to not sleeping
well. On examination, a systolic murmur is heard. Based on these
findings, a common valvular disorder, and the most likely, is:
A) mitral regurgitation.
B) mitral stenosis.
C) aortic regurgitation.
D) aortic stenosis.
Answer: Ans: D
◉ An 80-year-old patient in the intensive care unit with an
overwhelming systemic infection begins to exhibit splinter
