NU 650
MIDTERM EXAM
ACTUAL QUESTIONS & ANSWERS WITH RATIONALES
HEALTH ASSESSMENT
(Latest 2025/ 2026 Update)
GRADED A | 100% Correct – Regis
WHAT YOU WILL GET:
➢ 120+ Questions With Correct Answers.
➢ Detailed Rationales Included.
➢ Midterm Exam Review Quizzes.
➢ Graded A+.
➢ 100% Guaranteed Pass.
, Question 1
Which valve lesion typically produces a murmur of equal intensity throughout systole?
A) Aortic stenosis
B) Mitral insufficiency
C) Pulmonic stenosis
D) Aortic insufficiency
Correct Answer: B) Mitral insufficiency
Rationale: Mitral insufficiency (regurgitation) produces a holosystolic murmur that is equal in
intensity throughout systole. Aortic stenosis and pulmonic stenosis produce crescendo-
decrescendo (ejection) murmurs that increase then decrease in intensity. Aortic insufficiency
produces a diastolic murmur.
Question 2
You notice a patient has a strong pulse and then a weak pulse. This pattern continues. Which of
the following is likely?
A) Emphysema
B) Asthma exacerbation
C) Severe left heart failure
D) Cardiac tamponade
Correct Answer: C) Severe left heart failure
Rationale: Pulsus alternans—a strong pulse alternating with a weak pulse—is a classic sign of
severe left-sided heart failure. This pattern results from alternating strong and weak ventricular
contractions. Emphysema, asthma, and cardiac tamponade do not typically produce this finding.
Question 3
Suzanne is a 20-year-old college student who complains of chest pain. This is intermittent and is
located to the left of her sternum. There are no associated symptoms. On examination, you hear a
short, high-pitched sound in systole, followed by a murmur which increases in intensity until S2.
This is heard best over the apex. When she squats, this noise moves later in systole along with the
murmur. Which of the following is the most likely diagnosis?
,A) Mitral stenosis
B) Mitral insufficiency
C) Mitral valve prolapse
D) Mitral valve papillary muscle ischemia
Correct Answer: C) Mitral valve prolapse
Rationale: Mitral valve prolapse is characterized by a mid-systolic click followed by a late
systolic murmur that increases in intensity until S2. The murmur is heard best at the apex.
Squatting increases venous return and delays the click and murmur, moving them later in systole.
This is a classic presentation of mitral valve prolapse.
Question 4
A 57-year-old maintenance worker comes to your office for evaluation of pain in his legs. He has
smoked two packs per day since the age of 16, but he is otherwise healthy. You are concerned that
he may have peripheral vascular disease. Which of the following is part of common or concerning
symptoms for the peripheral vascular system?
A) Intermittent claudication
B) Chest pressure with exertion
C) Shortness of breath
D) Knee pain
Correct Answer: A) Intermittent claudication
Rationale: Intermittent claudication—leg pain or cramping that occurs with exercise and is
relieved by rest—is the classic symptom of peripheral arterial disease. This patient's smoking
history significantly increases his risk for PVD.
Question 5
A 72-year-old teacher comes to your clinic for an annual examination. She is concerned about her
risk for peripheral vascular disease and states that there is a place in town that does tests to let
her know if she has this or not. Which of the following disease process is a risk factor for
peripheral vascular disease?
A) Gastroesophageal reflux disease
B) Coronary artery disease
, C) Migraine headaches
D) Osteoarthritis
Correct Answer: B) Coronary artery disease
Rationale: Coronary artery disease is a significant risk factor for peripheral vascular disease
because atherosclerosis affects multiple vascular beds. Patients with CAD have a high likelihood of
also having PVD due to shared risk factors and underlying atherosclerotic disease.
Question 6
A 68-year-old retired truck driver comes to your office for evaluation of swelling in his legs. He is a
smoker and has been taking medications to control his hypertension for the past 25 years. You are
concerned about his risk for peripheral vascular disease. Which of the following tests are
appropriate to order to initially evaluate for this condition?
A) Venogram
B) CT scan of the lower legs
C) Ankle-brachial index (ABI)
D) PET scan
Correct Answer: C) Ankle-brachial index (ABI)
Rationale: The ankle-brachial index (ABI) is the initial, noninvasive screening test of choice for
peripheral arterial disease. It compares the blood pressure in the ankle to the blood pressure in
the arm and is quick, inexpensive, and reliable.
Question 7
A 55-year-old secretary with a recent history of breast cancer, for which she underwent surgery
and radiation therapy, and a history of hypertension comes to your office for a routine checkup.
Which of the following aspects of the physical are important to note when assessing the patient
for peripheral vascular disease in the arms?
A) Femoral pulse, popliteal pulse
B) Dorsalis pedis pulse, posterior tibial pulse
C) Carotid pulse
MIDTERM EXAM
ACTUAL QUESTIONS & ANSWERS WITH RATIONALES
HEALTH ASSESSMENT
(Latest 2025/ 2026 Update)
GRADED A | 100% Correct – Regis
WHAT YOU WILL GET:
➢ 120+ Questions With Correct Answers.
➢ Detailed Rationales Included.
➢ Midterm Exam Review Quizzes.
➢ Graded A+.
➢ 100% Guaranteed Pass.
, Question 1
Which valve lesion typically produces a murmur of equal intensity throughout systole?
A) Aortic stenosis
B) Mitral insufficiency
C) Pulmonic stenosis
D) Aortic insufficiency
Correct Answer: B) Mitral insufficiency
Rationale: Mitral insufficiency (regurgitation) produces a holosystolic murmur that is equal in
intensity throughout systole. Aortic stenosis and pulmonic stenosis produce crescendo-
decrescendo (ejection) murmurs that increase then decrease in intensity. Aortic insufficiency
produces a diastolic murmur.
Question 2
You notice a patient has a strong pulse and then a weak pulse. This pattern continues. Which of
the following is likely?
A) Emphysema
B) Asthma exacerbation
C) Severe left heart failure
D) Cardiac tamponade
Correct Answer: C) Severe left heart failure
Rationale: Pulsus alternans—a strong pulse alternating with a weak pulse—is a classic sign of
severe left-sided heart failure. This pattern results from alternating strong and weak ventricular
contractions. Emphysema, asthma, and cardiac tamponade do not typically produce this finding.
Question 3
Suzanne is a 20-year-old college student who complains of chest pain. This is intermittent and is
located to the left of her sternum. There are no associated symptoms. On examination, you hear a
short, high-pitched sound in systole, followed by a murmur which increases in intensity until S2.
This is heard best over the apex. When she squats, this noise moves later in systole along with the
murmur. Which of the following is the most likely diagnosis?
,A) Mitral stenosis
B) Mitral insufficiency
C) Mitral valve prolapse
D) Mitral valve papillary muscle ischemia
Correct Answer: C) Mitral valve prolapse
Rationale: Mitral valve prolapse is characterized by a mid-systolic click followed by a late
systolic murmur that increases in intensity until S2. The murmur is heard best at the apex.
Squatting increases venous return and delays the click and murmur, moving them later in systole.
This is a classic presentation of mitral valve prolapse.
Question 4
A 57-year-old maintenance worker comes to your office for evaluation of pain in his legs. He has
smoked two packs per day since the age of 16, but he is otherwise healthy. You are concerned that
he may have peripheral vascular disease. Which of the following is part of common or concerning
symptoms for the peripheral vascular system?
A) Intermittent claudication
B) Chest pressure with exertion
C) Shortness of breath
D) Knee pain
Correct Answer: A) Intermittent claudication
Rationale: Intermittent claudication—leg pain or cramping that occurs with exercise and is
relieved by rest—is the classic symptom of peripheral arterial disease. This patient's smoking
history significantly increases his risk for PVD.
Question 5
A 72-year-old teacher comes to your clinic for an annual examination. She is concerned about her
risk for peripheral vascular disease and states that there is a place in town that does tests to let
her know if she has this or not. Which of the following disease process is a risk factor for
peripheral vascular disease?
A) Gastroesophageal reflux disease
B) Coronary artery disease
, C) Migraine headaches
D) Osteoarthritis
Correct Answer: B) Coronary artery disease
Rationale: Coronary artery disease is a significant risk factor for peripheral vascular disease
because atherosclerosis affects multiple vascular beds. Patients with CAD have a high likelihood of
also having PVD due to shared risk factors and underlying atherosclerotic disease.
Question 6
A 68-year-old retired truck driver comes to your office for evaluation of swelling in his legs. He is a
smoker and has been taking medications to control his hypertension for the past 25 years. You are
concerned about his risk for peripheral vascular disease. Which of the following tests are
appropriate to order to initially evaluate for this condition?
A) Venogram
B) CT scan of the lower legs
C) Ankle-brachial index (ABI)
D) PET scan
Correct Answer: C) Ankle-brachial index (ABI)
Rationale: The ankle-brachial index (ABI) is the initial, noninvasive screening test of choice for
peripheral arterial disease. It compares the blood pressure in the ankle to the blood pressure in
the arm and is quick, inexpensive, and reliable.
Question 7
A 55-year-old secretary with a recent history of breast cancer, for which she underwent surgery
and radiation therapy, and a history of hypertension comes to your office for a routine checkup.
Which of the following aspects of the physical are important to note when assessing the patient
for peripheral vascular disease in the arms?
A) Femoral pulse, popliteal pulse
B) Dorsalis pedis pulse, posterior tibial pulse
C) Carotid pulse
