Family Medicine EOR 2026 || All Answers are Correct.
This form of infectious diarrhea presents with abdominal pain that mimics appendicitis and
diarrhea that begins watery and then becomes bloody correct answers Campylobacter
What position accentuates aortic murmurs? correct answers Sitting up and leaning forward
What position accentuates mitral murmurs? correct answers Lying on left side
Think __________ when you hear "blowing" murmur.... correct answers Regurgitation
Think _________ when you hear "harsh" murmur correct answers Stenosis
Most common cause of aortic stenosis and the population it affects. correct answers 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 answers Dyspnea
Three main symptoms of Aortic stenosis correct answers 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 answers Aortic stenosis
Narrowed pulse pressure and pulsus parvus et tardus are two sign associated with which valvular
disease? correct answers Aortic stenosis
What is pulsus parvus et tardus? correct answers small, delayed carotid pulse
Management of aortic stenosis correct answers Aortic valve replacement
ECG changes associated with aortic stenosis correct answers Left ventricular hypertrophy
Medical therapy for severe aortic stenosis correct answers avoid physical exertion
vasodilators
Causes of aortic regurgitation/insufficiency correct answers Rheumatic heart disease
Endocarditis
Acute clinical manifestations of aortic regurgitation correct answers Pulmonary edema
Hypotension
Clinical manifestations of chronic aortic regurgitation correct answers Congestive Heart Failure
,Diastolic, decrescendo, blowing murmur maximal at the left upper sternal border. May be
described as "high-pitched" correct answers Aortic regurgitation
Mid-late diastolic rumble correct answers Austin-Flint murmur
Austin-Flint murmur is associated with which valvular disease? correct answers Aortic
regurgitation
Physical examination findings associated with aortic regurgitation correct answers Bounding
pulse
Wide pulse pressure
Management of aortic regurgitation correct answers Vasodilators to decrease afterload
Surgical replacement for definitive treatment
Most common cause of mitral stenosis correct answers Rheumatic heart disease
Clinical manifestations of mitral stenosis correct answers 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 answers
Mitral stenosis
EKG changes that may be present in mitral stenosis correct answers A-fib
Left atrial enlargement
Management of mitral stenosis correct answers 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 answers Mitral valve prolapse - most common
Endocarditis
Rheumatic heart disease
Clinical manifestations of acute mitral regurgitation correct answers Dyspnea
Hypotension
Fatigue
Pulmonary edema
Clinical manifestations of chronic mitral regurgitation correct answers 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 answers Mitral regurgitation
Management of mitral regurgitation correct answers 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 answers Mitral valve prolapse
Most common presentation of mitral valve prolapse correct answers Asymptomatic
Harsh midsystolic ejection crescendo-decrescendo murmur maximal at the left upper sternal
border with radiation to the neck correct answers Pulmonic stenosis
Treatment of pulmonic stenosis correct answers balloon valvuloplasty
Brief decrescendo earyl diastolic murmur at LUSB with full inspiration correct answers Graham
Steell murmur indicative of pulmonic regurgitation
Mid-diastolic murmur at LLSB correct answers Tricuspid stenosis
Treatment of pulmonic regurgitation/Graham Steell murmur correct answers No treatment
needed
Holosystolic blowing high-pitched murmur at the subxyphoid area correct answers 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 answers Paroxysmal A-fib
A-fib that lasts >7 days and require termination correct answers Persistent A-fib
A-fib that is resistant to conversion and persists for >1 year correct answers Permanent A-fib
Treatment of unstable A-fib correct answers Direct current cardioversion
Three drugs of choice for rate control of A-fib correct answers Metoprolol
Diltiazem
Verapamil
Four drugs for rhythm control of A-fib correct answers Flecainide
Ibutilide
Sotalol
This form of infectious diarrhea presents with abdominal pain that mimics appendicitis and
diarrhea that begins watery and then becomes bloody correct answers Campylobacter
What position accentuates aortic murmurs? correct answers Sitting up and leaning forward
What position accentuates mitral murmurs? correct answers Lying on left side
Think __________ when you hear "blowing" murmur.... correct answers Regurgitation
Think _________ when you hear "harsh" murmur correct answers Stenosis
Most common cause of aortic stenosis and the population it affects. correct answers 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 answers Dyspnea
Three main symptoms of Aortic stenosis correct answers 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 answers Aortic stenosis
Narrowed pulse pressure and pulsus parvus et tardus are two sign associated with which valvular
disease? correct answers Aortic stenosis
What is pulsus parvus et tardus? correct answers small, delayed carotid pulse
Management of aortic stenosis correct answers Aortic valve replacement
ECG changes associated with aortic stenosis correct answers Left ventricular hypertrophy
Medical therapy for severe aortic stenosis correct answers avoid physical exertion
vasodilators
Causes of aortic regurgitation/insufficiency correct answers Rheumatic heart disease
Endocarditis
Acute clinical manifestations of aortic regurgitation correct answers Pulmonary edema
Hypotension
Clinical manifestations of chronic aortic regurgitation correct answers Congestive Heart Failure
,Diastolic, decrescendo, blowing murmur maximal at the left upper sternal border. May be
described as "high-pitched" correct answers Aortic regurgitation
Mid-late diastolic rumble correct answers Austin-Flint murmur
Austin-Flint murmur is associated with which valvular disease? correct answers Aortic
regurgitation
Physical examination findings associated with aortic regurgitation correct answers Bounding
pulse
Wide pulse pressure
Management of aortic regurgitation correct answers Vasodilators to decrease afterload
Surgical replacement for definitive treatment
Most common cause of mitral stenosis correct answers Rheumatic heart disease
Clinical manifestations of mitral stenosis correct answers 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 answers
Mitral stenosis
EKG changes that may be present in mitral stenosis correct answers A-fib
Left atrial enlargement
Management of mitral stenosis correct answers 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 answers Mitral valve prolapse - most common
Endocarditis
Rheumatic heart disease
Clinical manifestations of acute mitral regurgitation correct answers Dyspnea
Hypotension
Fatigue
Pulmonary edema
Clinical manifestations of chronic mitral regurgitation correct answers 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 answers Mitral regurgitation
Management of mitral regurgitation correct answers 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 answers Mitral valve prolapse
Most common presentation of mitral valve prolapse correct answers Asymptomatic
Harsh midsystolic ejection crescendo-decrescendo murmur maximal at the left upper sternal
border with radiation to the neck correct answers Pulmonic stenosis
Treatment of pulmonic stenosis correct answers balloon valvuloplasty
Brief decrescendo earyl diastolic murmur at LUSB with full inspiration correct answers Graham
Steell murmur indicative of pulmonic regurgitation
Mid-diastolic murmur at LLSB correct answers Tricuspid stenosis
Treatment of pulmonic regurgitation/Graham Steell murmur correct answers No treatment
needed
Holosystolic blowing high-pitched murmur at the subxyphoid area correct answers 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 answers Paroxysmal A-fib
A-fib that lasts >7 days and require termination correct answers Persistent A-fib
A-fib that is resistant to conversion and persists for >1 year correct answers Permanent A-fib
Treatment of unstable A-fib correct answers Direct current cardioversion
Three drugs of choice for rate control of A-fib correct answers Metoprolol
Diltiazem
Verapamil
Four drugs for rhythm control of A-fib correct answers Flecainide
Ibutilide
Sotalol
