Family Medicine EOR Exam 3 With Correct Answers 2025/2026.
This form of infectious diarrhea presents with abdominal pain that mimics appendicitis
and diarrhea that begins watery and then becomes bloody - correct answer
Campylobacter
What position accentuates aortic murmurs? - correct answer Sitting up and leaning
forward
What position accentuates mitral murmurs? - correct answer Lying on left side
Think __________ when you hear "blowing" murmur.... - correct answer Regurgitation
Think _________ when you hear "harsh" murmur - correct answer Stenosis
Most common cause of aortic stenosis and the population it affects. - correct answer
Calcification of the valve d/t wear and tear in patients over 70 y/o
Most common presenting symptom of a patient with aortic stenosis - correct answer
Dyspnea
Three main symptoms of Aortic stenosis - correct answer Angina
Exertional syncope
Congestive heart failure (dyspnea and pulmonary edema)
Systolic crescendo-decrescendo murmur at the right upper sternal border that radiates
to the carotid - correct answer Aortic stenosis
Narrowed pulse pressure and pulsus parvus et tardus are two sign associated with
which valvular disease? - correct answer Aortic stenosis
What is pulsus parvus et tardus? - correct answer small, delayed carotid pulse
Management of aortic stenosis - correct answer Aortic valve replacement
ECG changes associated with aortic stenosis - correct answer Left ventricular
hypertrophy
Medical therapy for severe aortic stenosis - correct answer avoid physical exertion
vasodilators
Causes of aortic regurgitation/insufficiency - correct answer Rheumatic heart disease
Endocarditis
Acute clinical manifestations of aortic regurgitation - correct answer Pulmonary edema
Hypotension
,Clinical manifestations of chronic aortic regurgitation - correct answer Congestive Heart
Failure
Diastolic, decrescendo, blowing murmur maximal at the left upper sternal border. May
be described as "high-pitched" - correct answer Aortic regurgitation
Mid-late diastolic rumble - correct answer Austin-Flint murmur
Austin-Flint murmur is associated with which valvular disease? - correct answer Aortic
regurgitation
Physical examination findings associated with aortic regurgitation - correct answer
Bounding pulse
Wide pulse pressure
Management of aortic regurgitation - correct answer Vasodilators to decrease afterload
Surgical replacement for definitive treatment
Most common cause of mitral stenosis - correct answer Rheumatic heart disease
Clinical manifestations of mitral stenosis - correct answer Dyspnea
Hemoptysis
Pulmonary hypertension
A-fib
Ruddy cheeks with facial pallor (mitral facies)
Early mid-diastolic rumble at the apex with an opening snap and a prominent S1 -
correct answer Mitral stenosis
EKG changes that may be present in mitral stenosis - correct answer A-fib
Left atrial enlargement
Management of mitral stenosis - correct answer Percutaneous balloon valvuloplasty in
younger patients
Mitral valve replacement
Diuretics to relieve congestion
Rate control if A-fib is present
Causes of mitral regurgitation - correct answer Mitral valve prolapse - most common
Endocarditis
Rheumatic heart disease
Clinical manifestations of acute mitral regurgitation - correct answer Dyspnea
Hypotension
Fatigue
, Pulmonary edema
Clinical manifestations of chronic mitral regurgitation - correct answer A-fib
CHF
Hemoptysis
Pulmonary hypertension
Blowing, high-pitched, holosystolic murmur at the apex with radiation to the axilla with a
widely split S2 - correct answer Mitral regurgitation
Management of mitral regurgitation - correct answer Surgical repair over replacement
Vasodilators to reduce afterload
Mid-late systolic ejection click best heard at the apex; may or may not have a mid-late
systolic murmur - correct answer Mitral valve prolapse
Most common presentation of mitral valve prolapse - correct answer Asymptomatic
Harsh midsystolic ejection crescendo-decrescendo murmur maximal at the left upper
sternal border with radiation to the neck - correct answer Pulmonic stenosis
Treatment of pulmonic stenosis - correct answer balloon valvuloplasty
Brief decrescendo earyl diastolic murmur at LUSB with full inspiration - correct answer
Graham Steell murmur indicative of pulmonic regurgitation
Mid-diastolic murmur at LLSB - correct answer Tricuspid stenosis
Treatment of pulmonic regurgitation/Graham Steell murmur - correct answer No
treatment needed
Holosystolic blowing high-pitched murmur at the subxyphoid area - correct answer
Tricuspid regurgitation
A-fib that is self-terminating within 7 days and usually lasts less than 24 hours. May or
may not be recurrent - correct answer Paroxysmal A-fib
A-fib that lasts >7 days and require termination - correct answer Persistent A-fib
A-fib that is resistant to conversion and persists for >1 year - correct answer Permanent
A-fib
Treatment of unstable A-fib - correct answer Direct current cardioversion
Three drugs of choice for rate control of A-fib - correct answer Metoprolol
Diltiazem
This form of infectious diarrhea presents with abdominal pain that mimics appendicitis
and diarrhea that begins watery and then becomes bloody - correct answer
Campylobacter
What position accentuates aortic murmurs? - correct answer Sitting up and leaning
forward
What position accentuates mitral murmurs? - correct answer Lying on left side
Think __________ when you hear "blowing" murmur.... - correct answer Regurgitation
Think _________ when you hear "harsh" murmur - correct answer Stenosis
Most common cause of aortic stenosis and the population it affects. - correct answer
Calcification of the valve d/t wear and tear in patients over 70 y/o
Most common presenting symptom of a patient with aortic stenosis - correct answer
Dyspnea
Three main symptoms of Aortic stenosis - correct answer Angina
Exertional syncope
Congestive heart failure (dyspnea and pulmonary edema)
Systolic crescendo-decrescendo murmur at the right upper sternal border that radiates
to the carotid - correct answer Aortic stenosis
Narrowed pulse pressure and pulsus parvus et tardus are two sign associated with
which valvular disease? - correct answer Aortic stenosis
What is pulsus parvus et tardus? - correct answer small, delayed carotid pulse
Management of aortic stenosis - correct answer Aortic valve replacement
ECG changes associated with aortic stenosis - correct answer Left ventricular
hypertrophy
Medical therapy for severe aortic stenosis - correct answer avoid physical exertion
vasodilators
Causes of aortic regurgitation/insufficiency - correct answer Rheumatic heart disease
Endocarditis
Acute clinical manifestations of aortic regurgitation - correct answer Pulmonary edema
Hypotension
,Clinical manifestations of chronic aortic regurgitation - correct answer Congestive Heart
Failure
Diastolic, decrescendo, blowing murmur maximal at the left upper sternal border. May
be described as "high-pitched" - correct answer Aortic regurgitation
Mid-late diastolic rumble - correct answer Austin-Flint murmur
Austin-Flint murmur is associated with which valvular disease? - correct answer Aortic
regurgitation
Physical examination findings associated with aortic regurgitation - correct answer
Bounding pulse
Wide pulse pressure
Management of aortic regurgitation - correct answer Vasodilators to decrease afterload
Surgical replacement for definitive treatment
Most common cause of mitral stenosis - correct answer Rheumatic heart disease
Clinical manifestations of mitral stenosis - correct answer Dyspnea
Hemoptysis
Pulmonary hypertension
A-fib
Ruddy cheeks with facial pallor (mitral facies)
Early mid-diastolic rumble at the apex with an opening snap and a prominent S1 -
correct answer Mitral stenosis
EKG changes that may be present in mitral stenosis - correct answer A-fib
Left atrial enlargement
Management of mitral stenosis - correct answer Percutaneous balloon valvuloplasty in
younger patients
Mitral valve replacement
Diuretics to relieve congestion
Rate control if A-fib is present
Causes of mitral regurgitation - correct answer Mitral valve prolapse - most common
Endocarditis
Rheumatic heart disease
Clinical manifestations of acute mitral regurgitation - correct answer Dyspnea
Hypotension
Fatigue
, Pulmonary edema
Clinical manifestations of chronic mitral regurgitation - correct answer A-fib
CHF
Hemoptysis
Pulmonary hypertension
Blowing, high-pitched, holosystolic murmur at the apex with radiation to the axilla with a
widely split S2 - correct answer Mitral regurgitation
Management of mitral regurgitation - correct answer Surgical repair over replacement
Vasodilators to reduce afterload
Mid-late systolic ejection click best heard at the apex; may or may not have a mid-late
systolic murmur - correct answer Mitral valve prolapse
Most common presentation of mitral valve prolapse - correct answer Asymptomatic
Harsh midsystolic ejection crescendo-decrescendo murmur maximal at the left upper
sternal border with radiation to the neck - correct answer Pulmonic stenosis
Treatment of pulmonic stenosis - correct answer balloon valvuloplasty
Brief decrescendo earyl diastolic murmur at LUSB with full inspiration - correct answer
Graham Steell murmur indicative of pulmonic regurgitation
Mid-diastolic murmur at LLSB - correct answer Tricuspid stenosis
Treatment of pulmonic regurgitation/Graham Steell murmur - correct answer No
treatment needed
Holosystolic blowing high-pitched murmur at the subxyphoid area - correct answer
Tricuspid regurgitation
A-fib that is self-terminating within 7 days and usually lasts less than 24 hours. May or
may not be recurrent - correct answer Paroxysmal A-fib
A-fib that lasts >7 days and require termination - correct answer Persistent A-fib
A-fib that is resistant to conversion and persists for >1 year - correct answer Permanent
A-fib
Treatment of unstable A-fib - correct answer Direct current cardioversion
Three drugs of choice for rate control of A-fib - correct answer Metoprolol
Diltiazem
