BARKLEY 3P EXAM ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|| Latest
update 2026/27
A soft, high pitched, blowing diastolic decrescendo murmur best heard at the 3rd left
interspace at base, initiated with S2 and heard when the patient sits up and leans
forward. -CORRECTANSWER Aortic regurgitation
A low pitched diastolic rumble that does not radiate, best heard at the apex when in the
left lateral position. -CORRECTANSWER Mitral stenosis
A loud, harsh murmur occurring midsystole, radiating down the side of the neck and
down to the apex. -CORRECTANSWER Aortic stenosis
A loud blowing murmur heard at the apex that is pansystolic. -CORRECTANSWER
Mitral regurgitation
The most common metabolic bone disease characterized by chronic, progressive,
systemic low bone mass and deterioration of bone tissue, leading to increased skeletal
fragility and deformity. -CORRECTANSWER Osteoporosis
,The most common clinical manifestation of osteoporosis. -CORRECTANSWER Bone
deformity
A class of medications used to treat erectile dysfunction. -CORRECTANSWER
Phosphodiesterase inhibitor
May be used at a dose of 2.5 mg daily if sexual activity will take place two or more times
per week. -CORRECTANSWER Tadalafil (Cialis)
5 mg may be taken with a high-fat meal four hours before sexual activity. -
CORRECTANSWER Vardenafil (Levitra)
50 mg may be taken one hour before sexual activity as long as the patient has a resting
blood pressure below 170/110 mm Hg. -CORRECTANSWER Sildenafil (Viagra)
Recommended at 50 mg for all patients, and may be taken 30 minutes before sexual
activity. -CORRECTANSWER Avanafil (Stendra)
A method of describing the three main factors that lead to thrombosis:
hypercoagulability, damage to endothelial cells, and turbulent blood flow. -
CORRECTANSWER Virchow's Triad
,A condition that leads to clotting, including malignancy, trauma, sepsis, and
thrombophilia. -CORRECTANSWER Hypercoagulability
Part of Virchow's triad that causes blood to clot by promoting platelet adherence to the
wall of the vessels. -CORRECTANSWER Endothelial cell damage
A component of circulatory stasis in Virchow's triad, which can be caused by atrial
fibrillation, venous obstruction, and ventricular dysfunction. -CORRECTANSWER
Turbulent blood flow
A condition that may present with hypercalcemia and mental confusion. -
CORRECTANSWER Kidney stones
A condition that may be evaluated in patients with kidney stones, hypercalcemia, and
mental confusion. -CORRECTANSWER Cushing Syndrome
A fracture that occurs due to weakened bone structure, commonly associated with
osteoporosis. -CORRECTANSWER Pathologic fracture
A condition that is not common in osteoporosis, resulting from fat obstruction due to
injury or trauma. -CORRECTANSWER Fat embolism
, A potential symptom of osteoporosis, but not the most common clinical manifestation. -
CORRECTANSWER Bone pain
Not part of Virchow's triad and does not affect blood clotting. -CORRECTANSWER
Sympathetic tone
The second aspect of Virchow's triad, which promotes blood clotting. -
CORRECTANSWER Vascular wall injury
The third component of Virchow's triad, which can lead to thrombosis. -
CORRECTANSWER Circulatory stasis
A symptom that may accompany hypercalcemia in patients with kidney stones. -
CORRECTANSWER Mental confusion
An elevated level of calcium in the blood, often associated with kidney stones. -
CORRECTANSWER Hypercalcemia
A condition characterized by excessive production of aldosterone, leading to
hypertension and electrolyte imbalances. -CORRECTANSWER Conn's Syndrome
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|| Latest
update 2026/27
A soft, high pitched, blowing diastolic decrescendo murmur best heard at the 3rd left
interspace at base, initiated with S2 and heard when the patient sits up and leans
forward. -CORRECTANSWER Aortic regurgitation
A low pitched diastolic rumble that does not radiate, best heard at the apex when in the
left lateral position. -CORRECTANSWER Mitral stenosis
A loud, harsh murmur occurring midsystole, radiating down the side of the neck and
down to the apex. -CORRECTANSWER Aortic stenosis
A loud blowing murmur heard at the apex that is pansystolic. -CORRECTANSWER
Mitral regurgitation
The most common metabolic bone disease characterized by chronic, progressive,
systemic low bone mass and deterioration of bone tissue, leading to increased skeletal
fragility and deformity. -CORRECTANSWER Osteoporosis
,The most common clinical manifestation of osteoporosis. -CORRECTANSWER Bone
deformity
A class of medications used to treat erectile dysfunction. -CORRECTANSWER
Phosphodiesterase inhibitor
May be used at a dose of 2.5 mg daily if sexual activity will take place two or more times
per week. -CORRECTANSWER Tadalafil (Cialis)
5 mg may be taken with a high-fat meal four hours before sexual activity. -
CORRECTANSWER Vardenafil (Levitra)
50 mg may be taken one hour before sexual activity as long as the patient has a resting
blood pressure below 170/110 mm Hg. -CORRECTANSWER Sildenafil (Viagra)
Recommended at 50 mg for all patients, and may be taken 30 minutes before sexual
activity. -CORRECTANSWER Avanafil (Stendra)
A method of describing the three main factors that lead to thrombosis:
hypercoagulability, damage to endothelial cells, and turbulent blood flow. -
CORRECTANSWER Virchow's Triad
,A condition that leads to clotting, including malignancy, trauma, sepsis, and
thrombophilia. -CORRECTANSWER Hypercoagulability
Part of Virchow's triad that causes blood to clot by promoting platelet adherence to the
wall of the vessels. -CORRECTANSWER Endothelial cell damage
A component of circulatory stasis in Virchow's triad, which can be caused by atrial
fibrillation, venous obstruction, and ventricular dysfunction. -CORRECTANSWER
Turbulent blood flow
A condition that may present with hypercalcemia and mental confusion. -
CORRECTANSWER Kidney stones
A condition that may be evaluated in patients with kidney stones, hypercalcemia, and
mental confusion. -CORRECTANSWER Cushing Syndrome
A fracture that occurs due to weakened bone structure, commonly associated with
osteoporosis. -CORRECTANSWER Pathologic fracture
A condition that is not common in osteoporosis, resulting from fat obstruction due to
injury or trauma. -CORRECTANSWER Fat embolism
, A potential symptom of osteoporosis, but not the most common clinical manifestation. -
CORRECTANSWER Bone pain
Not part of Virchow's triad and does not affect blood clotting. -CORRECTANSWER
Sympathetic tone
The second aspect of Virchow's triad, which promotes blood clotting. -
CORRECTANSWER Vascular wall injury
The third component of Virchow's triad, which can lead to thrombosis. -
CORRECTANSWER Circulatory stasis
A symptom that may accompany hypercalcemia in patients with kidney stones. -
CORRECTANSWER Mental confusion
An elevated level of calcium in the blood, often associated with kidney stones. -
CORRECTANSWER Hypercalcemia
A condition characterized by excessive production of aldosterone, leading to
hypertension and electrolyte imbalances. -CORRECTANSWER Conn's Syndrome
