APEA- Cardiovascular Assessment / APEA –
Cardiovascular Assessment | High-Yield Practice
Questions & Clinical Evaluation Review
A patient with cirrhosis develops portal hypertension as indicated by the presence of:
splenomegaly.
bleeding gums.
jaundice.
muscle wasting. - --answersplenomegaly.
A patient complaints of a sharp, knifelike pain that begins in the chest and radiates to
the tip of the shoulder and to the neck. This type of chest pain is suggestive of:
pericarditis.
an aortic dissection.
angina pectoris.
a myocardial infarction. - --answerpericarditis.
The four classic structural defects of Tetralogy of Fallot include:
tricuspid atresia, atrial septal defect, pulmonary stenosis, and left ventricular
hypertrophy.
a ventricular septal defect, an overriding aorta, pulmonary stenosis, and right ventricular
hypertrophy.
dextroposition of the aorta, ventricular septal defect, aortic stenosis, and patent ductus
stenosis.
an atrial septal defect, ventricular septal defect, pulmonary atresia, and the aorta arising
from the right ventricle. - --answera ventricular septal defect, an overriding aorta,
pulmonary stenosis, and right ventricular hypertrophy.
Presence of a heart murmur in a child would be considered organic if the child:
is 18-months-old and was recently diagnosed with anemia.
was a 3-year-old, afebrile and diagnosed with an upper respiratory infection.
was a 10-month-old who presented with a temperature of 103 °F.
was a 2-year-old with a congenital heart defect. - --answerwas a 2-year-old with a
congenital heart defect.
, A patient describes chest pain as pressing, squeezing, and tight lasting between 1 and
3 minutes. These symptoms are more characteristic of:
myocardial infarction.
costochondritis.
pericarditis.
dissecting aortic aneurysm. - --answermyocardial infarction.
The patient has had an internal pacemaker in place for five years. Pacemaker failure is
being considered because over the past few days, the patient has been experiencing
episodes of:
hiccoughs.
chest pain.
wheezing.
hypertension. - --answerhiccoughs.
A patient presents with chest pain that radiates to the left side of the neck and down the
left arm when he chops wood. This type of pain could be suggestive of:
an early onset myocardial infarction.
angina pectoris.
costochondritis.
a dissecting aneurysm. - --answerangina pectoris.
When screening a patient for peripheral arterial disease (PAD), one risk factor would
include a history of:
smoking.
an implantation of a temporary internal pacemaker.
dysrhythmias.
peripheral edema. - --answersmoking
Pain with walking or prolonged standing, radiating from the spinal area into the buttocks,
thighs, lower legs, or feet, may be seen with:
neurogenic claudication.
intermittent claudication.
atherosclerotic peripheral vascular disease.
Raynaud's disease. - --answerneurogenic claudication.
In older adults, the presence of heart sound S4 suggests:
hypertension.
heart failure.
an aortic aneurysm.
aortic stenosis. - --answerhypertension.
A patient complains of pain in the arch of the foot sometimes relieved by rest.
Occasionally, he experiences intermittent pain in the toes, especially at rest. Exercise
aggravates the pain in the arch. History reveals he smokes approximately a half pack of
cigarettes per day. These symptoms may be consistent with:
Cardiovascular Assessment | High-Yield Practice
Questions & Clinical Evaluation Review
A patient with cirrhosis develops portal hypertension as indicated by the presence of:
splenomegaly.
bleeding gums.
jaundice.
muscle wasting. - --answersplenomegaly.
A patient complaints of a sharp, knifelike pain that begins in the chest and radiates to
the tip of the shoulder and to the neck. This type of chest pain is suggestive of:
pericarditis.
an aortic dissection.
angina pectoris.
a myocardial infarction. - --answerpericarditis.
The four classic structural defects of Tetralogy of Fallot include:
tricuspid atresia, atrial septal defect, pulmonary stenosis, and left ventricular
hypertrophy.
a ventricular septal defect, an overriding aorta, pulmonary stenosis, and right ventricular
hypertrophy.
dextroposition of the aorta, ventricular septal defect, aortic stenosis, and patent ductus
stenosis.
an atrial septal defect, ventricular septal defect, pulmonary atresia, and the aorta arising
from the right ventricle. - --answera ventricular septal defect, an overriding aorta,
pulmonary stenosis, and right ventricular hypertrophy.
Presence of a heart murmur in a child would be considered organic if the child:
is 18-months-old and was recently diagnosed with anemia.
was a 3-year-old, afebrile and diagnosed with an upper respiratory infection.
was a 10-month-old who presented with a temperature of 103 °F.
was a 2-year-old with a congenital heart defect. - --answerwas a 2-year-old with a
congenital heart defect.
, A patient describes chest pain as pressing, squeezing, and tight lasting between 1 and
3 minutes. These symptoms are more characteristic of:
myocardial infarction.
costochondritis.
pericarditis.
dissecting aortic aneurysm. - --answermyocardial infarction.
The patient has had an internal pacemaker in place for five years. Pacemaker failure is
being considered because over the past few days, the patient has been experiencing
episodes of:
hiccoughs.
chest pain.
wheezing.
hypertension. - --answerhiccoughs.
A patient presents with chest pain that radiates to the left side of the neck and down the
left arm when he chops wood. This type of pain could be suggestive of:
an early onset myocardial infarction.
angina pectoris.
costochondritis.
a dissecting aneurysm. - --answerangina pectoris.
When screening a patient for peripheral arterial disease (PAD), one risk factor would
include a history of:
smoking.
an implantation of a temporary internal pacemaker.
dysrhythmias.
peripheral edema. - --answersmoking
Pain with walking or prolonged standing, radiating from the spinal area into the buttocks,
thighs, lower legs, or feet, may be seen with:
neurogenic claudication.
intermittent claudication.
atherosclerotic peripheral vascular disease.
Raynaud's disease. - --answerneurogenic claudication.
In older adults, the presence of heart sound S4 suggests:
hypertension.
heart failure.
an aortic aneurysm.
aortic stenosis. - --answerhypertension.
A patient complains of pain in the arch of the foot sometimes relieved by rest.
Occasionally, he experiences intermittent pain in the toes, especially at rest. Exercise
aggravates the pain in the arch. History reveals he smokes approximately a half pack of
cigarettes per day. These symptoms may be consistent with:
