Smarty PANCE Cardiology LATEST EXAM
QUESTIONS AND CORRECT ANSWERS
GRADED A+/
Which of the following conditions would cause a positive Kussmaul's sign on physical
examination?
A. Left ventricular failure
B. Pulmonary edema
C. Coarctation of the aorta
D. Constrictive pericarditis
Ans: D. Constrictive pericarditis
Quiz Anginal chest pain is most commonly described as which of the following?
A. Pain changing with position or respiration
B. A sensation of discomfort
C. Tearing pain radiating to the back
D. Pain lasting for several hours
,Ans: B. A sensation of discomfort
Myocardial ischemia is often experienced as a sensation of discomfort lasting 5-15 minutes,
described as dull, aching or pressure.
Quiz Eliciting a history from a patient presenting with dyspnea due to early heart failure the
severity of the dyspnea should be quantified by
A. Amount of activity that precipitates it
B. How many pillows they sleep on at night
C. How long it takes the dyspnea to resolve
D. any associated comorbities
Ans: A. Amount of activity that precipitates it
Quiz A 25 year old female presents with a three day history of chest pain aggravated by
coughing and relieved by sitting. She is febrile and a CBC with differential reveals leukocytosis.
Which of the following physical exam signs is characteristics of her problem?
A. Pulsus paradoxus
B. Localized crackles
C. Pericardial friction rub
D. Wheezing
,Ans: C. Pericardial friction rub
Quiz A 65-year-old white female presents with dilated tortuous veins on the medial aspect of
her lower extremities. Which of the following would be the most common initial complaint?
A. Pain in the calf with ambulation
B. Dull aching heaviness brought on by periods of standing
C. Brownish pigmentation above the ankle
D. Edema on the lower extremities
Ans: B. Dull aching heaviness brought on by periods of standing
Quiz A 22-year-old male received a stab wound in the chest an hour ago. The diagnosis of
pericardial tamponade is strongly supported by the presence of
A. Pulmonary edema
B. Wide pulse pressure
C. Distended neck veins
D. An early diastolic murmur
Ans: C. Distended neck veins
Quiz A 70-year-old man presents to the emergency department with severe substernal chest
pain of one hour's duration. The patient was taking a morning walk when the onset of pain led
him to seek care. His past medical history includes coronary artery disease, hyperlipidemia, and
hypertension. Medications include aspirin, losartan, and atorvastatin. An electrocardiogram
, reveals ST elevations in the inferior leads II, III, and avF as well as in leads V5 and V6. The ST
elevations found in leads V5-V6 are most indicative of pathology in which of the following areas
of the heart?
A. Inferior wall, right coronary artery
B. Interventricular septum, left anterior descending coronary artery
C. Lateral wall of the left ventricle, left circumflex coronary artery
D. Left atrium, left main coronary artery
E. Right ventricle, left main coronary artery
Ans: C. Lateral wall of the left ventricle, left circumflex coronary artery
Quiz A 72-year-old male with a new diagnosis of congestive heart failure and atrial fibrillation
develops episodes of hemodynamic compromise secondary to increased ventricular rate. A
decision to perform elective cardioversion is made and the patient is anticoagulated with
heparin. Which test should be ordered to assess for atrial or ventricular mural thrombi?
A. Electrocardiography
B. Chest xray
C. Transesophageal echocardiogram
D. C-reactive protein
Ans: C. Transesophageal echocardiogram
Quiz A 64-year-old patient with known history of type 1 diabetes mellitus for 50 years has
developed pain radiating from the right buttock to the calf. Patient states that the pain is made
QUESTIONS AND CORRECT ANSWERS
GRADED A+/
Which of the following conditions would cause a positive Kussmaul's sign on physical
examination?
A. Left ventricular failure
B. Pulmonary edema
C. Coarctation of the aorta
D. Constrictive pericarditis
Ans: D. Constrictive pericarditis
Quiz Anginal chest pain is most commonly described as which of the following?
A. Pain changing with position or respiration
B. A sensation of discomfort
C. Tearing pain radiating to the back
D. Pain lasting for several hours
,Ans: B. A sensation of discomfort
Myocardial ischemia is often experienced as a sensation of discomfort lasting 5-15 minutes,
described as dull, aching or pressure.
Quiz Eliciting a history from a patient presenting with dyspnea due to early heart failure the
severity of the dyspnea should be quantified by
A. Amount of activity that precipitates it
B. How many pillows they sleep on at night
C. How long it takes the dyspnea to resolve
D. any associated comorbities
Ans: A. Amount of activity that precipitates it
Quiz A 25 year old female presents with a three day history of chest pain aggravated by
coughing and relieved by sitting. She is febrile and a CBC with differential reveals leukocytosis.
Which of the following physical exam signs is characteristics of her problem?
A. Pulsus paradoxus
B. Localized crackles
C. Pericardial friction rub
D. Wheezing
,Ans: C. Pericardial friction rub
Quiz A 65-year-old white female presents with dilated tortuous veins on the medial aspect of
her lower extremities. Which of the following would be the most common initial complaint?
A. Pain in the calf with ambulation
B. Dull aching heaviness brought on by periods of standing
C. Brownish pigmentation above the ankle
D. Edema on the lower extremities
Ans: B. Dull aching heaviness brought on by periods of standing
Quiz A 22-year-old male received a stab wound in the chest an hour ago. The diagnosis of
pericardial tamponade is strongly supported by the presence of
A. Pulmonary edema
B. Wide pulse pressure
C. Distended neck veins
D. An early diastolic murmur
Ans: C. Distended neck veins
Quiz A 70-year-old man presents to the emergency department with severe substernal chest
pain of one hour's duration. The patient was taking a morning walk when the onset of pain led
him to seek care. His past medical history includes coronary artery disease, hyperlipidemia, and
hypertension. Medications include aspirin, losartan, and atorvastatin. An electrocardiogram
, reveals ST elevations in the inferior leads II, III, and avF as well as in leads V5 and V6. The ST
elevations found in leads V5-V6 are most indicative of pathology in which of the following areas
of the heart?
A. Inferior wall, right coronary artery
B. Interventricular septum, left anterior descending coronary artery
C. Lateral wall of the left ventricle, left circumflex coronary artery
D. Left atrium, left main coronary artery
E. Right ventricle, left main coronary artery
Ans: C. Lateral wall of the left ventricle, left circumflex coronary artery
Quiz A 72-year-old male with a new diagnosis of congestive heart failure and atrial fibrillation
develops episodes of hemodynamic compromise secondary to increased ventricular rate. A
decision to perform elective cardioversion is made and the patient is anticoagulated with
heparin. Which test should be ordered to assess for atrial or ventricular mural thrombi?
A. Electrocardiography
B. Chest xray
C. Transesophageal echocardiogram
D. C-reactive protein
Ans: C. Transesophageal echocardiogram
Quiz A 64-year-old patient with known history of type 1 diabetes mellitus for 50 years has
developed pain radiating from the right buttock to the calf. Patient states that the pain is made
