FITZGERALD PRACTICE QUESTIONS EXAM
DETAILED ANSWERS|LATEST
You examine a 24-year-old woman with mitral valve prolapse (MVP). Her physical
examination findings may also include:
A. pectus excavatum.
B. obesity.
C. petite stature.
D. hyperextensible joints. - ANSWER A. pectus excavatum.
In performing a cardiac examination in a person with MVP, you expect to find:
A. an early- to mid-systolic, crescendo-decrescendo
murmur.
B. a pansystolic murmur.
C. a low-pitched, diastolic rumble.
D. a mid- to late-systolic murmur. - ANSWER D. a mid- to late-systolic murmur.
A risk factor for MVP includes a history of:
A. rheumatic fever.
B. rheumatoid arthritis.
C. Kawasaki disease.
D. Marfan syndrome - ANSWER D. Marfan syndrome
Additional findings in MVP include:
A. an opening snap.
B. a mid-systolic click.
1
,C. a paradoxical splitting of the second heart sound (S2).
D. a fourth heart sound (S4). - ANSWER B. a mid-systolic click.
Intervention for patients with MVP often includes advice about which of the
following?
A. restricted activity because of low cardiac output
B. control of fluid intake to minimize risk of volume overload
C. routine use of beta-adrenergic antagonists to control palpitations
D. encouragement of a regular program of aerobic activity - ANSWER D.
encouragement of a regular program of aerobic activity
When a heart valve fails to open to its normal orifice size, it is said to be:
A. stenotic.
B. incompetent.
C. sclerotic.
D. regurgitant. - ANSWER A. stenotic.
When a heart valve fails to close properly, it is said to be:
A. stenotic.
B. incompetent.
C. sclerotic.
D. regurgitant. - ANSWER B. incompetent.
Upon detection of a suspected pathologic cardiac murmur, the next step in obtaining
a diagnostic procedure usually includes a:
A. ventilation perfusion scan.
B. echocardiogram.
C. pulmonary artery angiography.
2
, D. cardiac computerized tomography - ANSWER B. echocardiogram.
You are evaluating a patient who has rheumatic heart
disease. When assessing her for mitral stenosis, you auscultate the heart, anticipating
finding the following murmur:
A. systolic with wide radiation over the precordium.
B. localized diastolic with little radiation.
C. diastolic with radiation to the neck.
D. systolic with radiation to the axilla. - ANSWER B. localized diastolic with little
radiation.
In evaluating mitral valve incompetency, you expect to find the following murmur:
A. systolic with radiation to the axilla.
B. diastolic with little radiation.
C. diastolic with radiation to the axilla.
D. localized systolic. - ANSWER A. systolic with radiation to the axilla.
In evaluating the person with aortic stenosis, the NP anticipates finding 12-lead ECG
changes consistent with:
A. right bundle branch block.
B. extreme axis deviation.
C. right atrial enlargement.
D. left ventricular hypertrophy. - ANSWER D. left ventricular hypertrophy.
Signs and symptoms consistent with endocarditis include all of the following except:
A. bradycardia.
B. Osler's nodes.
C. hematuria.
3
DETAILED ANSWERS|LATEST
You examine a 24-year-old woman with mitral valve prolapse (MVP). Her physical
examination findings may also include:
A. pectus excavatum.
B. obesity.
C. petite stature.
D. hyperextensible joints. - ANSWER A. pectus excavatum.
In performing a cardiac examination in a person with MVP, you expect to find:
A. an early- to mid-systolic, crescendo-decrescendo
murmur.
B. a pansystolic murmur.
C. a low-pitched, diastolic rumble.
D. a mid- to late-systolic murmur. - ANSWER D. a mid- to late-systolic murmur.
A risk factor for MVP includes a history of:
A. rheumatic fever.
B. rheumatoid arthritis.
C. Kawasaki disease.
D. Marfan syndrome - ANSWER D. Marfan syndrome
Additional findings in MVP include:
A. an opening snap.
B. a mid-systolic click.
1
,C. a paradoxical splitting of the second heart sound (S2).
D. a fourth heart sound (S4). - ANSWER B. a mid-systolic click.
Intervention for patients with MVP often includes advice about which of the
following?
A. restricted activity because of low cardiac output
B. control of fluid intake to minimize risk of volume overload
C. routine use of beta-adrenergic antagonists to control palpitations
D. encouragement of a regular program of aerobic activity - ANSWER D.
encouragement of a regular program of aerobic activity
When a heart valve fails to open to its normal orifice size, it is said to be:
A. stenotic.
B. incompetent.
C. sclerotic.
D. regurgitant. - ANSWER A. stenotic.
When a heart valve fails to close properly, it is said to be:
A. stenotic.
B. incompetent.
C. sclerotic.
D. regurgitant. - ANSWER B. incompetent.
Upon detection of a suspected pathologic cardiac murmur, the next step in obtaining
a diagnostic procedure usually includes a:
A. ventilation perfusion scan.
B. echocardiogram.
C. pulmonary artery angiography.
2
, D. cardiac computerized tomography - ANSWER B. echocardiogram.
You are evaluating a patient who has rheumatic heart
disease. When assessing her for mitral stenosis, you auscultate the heart, anticipating
finding the following murmur:
A. systolic with wide radiation over the precordium.
B. localized diastolic with little radiation.
C. diastolic with radiation to the neck.
D. systolic with radiation to the axilla. - ANSWER B. localized diastolic with little
radiation.
In evaluating mitral valve incompetency, you expect to find the following murmur:
A. systolic with radiation to the axilla.
B. diastolic with little radiation.
C. diastolic with radiation to the axilla.
D. localized systolic. - ANSWER A. systolic with radiation to the axilla.
In evaluating the person with aortic stenosis, the NP anticipates finding 12-lead ECG
changes consistent with:
A. right bundle branch block.
B. extreme axis deviation.
C. right atrial enlargement.
D. left ventricular hypertrophy. - ANSWER D. left ventricular hypertrophy.
Signs and symptoms consistent with endocarditis include all of the following except:
A. bradycardia.
B. Osler's nodes.
C. hematuria.
3
