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H&P II – Cardiovascular (MED212) | 80+ Verified Exam Q&A on Heart Sounds, Murmurs, Pulses, JVP, Edema | 2025/2026 Clinical Review

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This expert-reviewed document contains over 80 high-yield clinical questions and answers designed for students taking MED212 – Cardiovascular Physical Examination and Pathophysiology in the 2025/2026 academic year. The material is formatted in clinical vignette and knowledge-check style, closely aligned with OSCEs, internal exams, and board-style formats. It emphasizes core cardiovascular findings obtained through inspection, palpation, auscultation, and percussion. The content covers: Cyanosis (central vs peripheral) and causes of abnormal capillary refill Auscultation findings: S1, S2, S3, S4, ejection clicks, opening snaps, pericardial rubs, and summation gallops Heart murmurs: systolic vs diastolic, pitch differences (stenosis vs regurgitation), grading systems, and enhancement maneuvers (Valsalva, Muller, inspiration, expiration) Jugular venous waveforms (a, v waves) and interpretations in conditions like tricuspid stenosis, regurgitation, and atrial fibrillation Assessment of pulses: femoral, popliteal, dorsalis pedis, posterior tibial Peripheral vascular signs: varicosities, dependent/pitting edema, claudication, caput medusa, hepatojugular reflex Special maneuvers: Allen's test, pulse comparisons, anatomical PMI evaluation, and auscultatory areas of valve closure This document is ideal for: Medical students in systems-based courses or clinical skills training PA students preparing for clinical exams or rotations Nursing and NP students learning cardiovascular assessment USMLE Step 2/COMLEX/NCLEX candidates focused on physical exam skills The document is highly useful as a compact, structured review to consolidate understanding of both normal and pathological cardiovascular exam findings. Keywords: cardiovascular exam, MED212, heart sounds, murmurs, jugular venous pressure, peripheral pulses, cyanosis, capillary refill, pericardial rub, PMI, splitting S1 S2, S3 S4 gallop, edema grading, Allen's test, valsalva maneuver, thrill, heave, varicosities, claudication, caput medusa, right heart failure, tricuspid regurgitation, pericarditis, pulse locations, murmur pitch

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Uploaded on
December 30, 2025
Number of pages
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Written in
2025/2026
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H&P II – Cardiovascular 2025/2026 Exam
Questions and Verified Answers |
Already Graded A+



Central cyanosis - 🧠 ANSWER ✔✔Decreased oxygenation of the arterial

blood in the lungs; appears as a bluish tinge of the conjunctivae and

mucous membranes of the mouth and tongue. Desaturation of hemoglobin

leads to bluish or darkened discoloration of the nail beds, earlobes, lips or

toes. May be indicative of impaired lung function or a right to left shunt in

congenital heart conditions


Peripheral cyanosis - 🧠 ANSWER ✔✔Occurs when blood flow to the

peripheral vessels is decreased by peripheral vacoconstriction; results from

low cardiac output or an increased extraction of oxygen from the peripheral

, tissues. when it is is localized in an extremity, it is usually a result of arterial

or venous insufficiency


Capillary refill - 🧠 ANSWER ✔✔A test that evaluates distal circulatory

system function by squeezing (blanching) blood from an area such as a nail

bed and watching the speed of its return after releasing the pressure.


Dependent edema - 🧠 ANSWER ✔✔Swelling in the part of the body closest

to the ground, caused by collection of fluid in the tissues; a possible sign of

congestive heart failure.


Point of maximal impulse (PMI) - 🧠 ANSWER ✔✔The point on the chest

wall over the heart at which the contraction of the heart is best seen or felt

(apex); normally at the fifth intercostal space in the midclavicular line.

Lateral displacement of PMI is suggestive of what? - 🧠 ANSWER

✔✔Cardiomegaly


Heaves - 🧠 ANSWER ✔✔Sustained lifts of the chest wall in the precordial

area that can be seen or palpated.


Thrills - 🧠 ANSWER ✔✔Abnormal, palpable vibrations that signify turbulent

blood flow. Soft heart murmur.

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