Barkley 3P Exam Questions and
Correct Answers| Updated
A soft, high pitched, blowing diastolic decrescendo murmur best heard at the 3rd left
interspace at base, initiated with S2 and heard when the patient sits up and leans forward.
Aortic regurgitation
A low pitched diastolic rumble that does not radiate, best heard at the apex when in the left
lateral position.
Mitral stenosis
A loud, harsh murmur occurring midsystole, radiating down the side of the neck and down to
the apex.
Aortic stenosis
A loud blowing murmur heard at the apex that is pansystolic.
Mitral regurgitation
The most common metabolic bone disease characterized by chronic, progressive, systemic
low bone mass and deterioration of bone tissue, leading to increased skeletal fragility and
deformity.
Osteoporosis
,The most common clinical manifestation of osteoporosis.
Bone deformity
A class of medications used to treat erectile dysfunction.
Phosphodiesterase inhibitor
May be used at a dose of 2.5 mg daily if sexual activity will take place two or more times per
week.
Tadalafil (Cialis)
5 mg may be taken with a high-fat meal four hours before sexual activity.
Vardenafil (Levitra)
50 mg may be taken one hour before sexual activity as long as the patient has a resting blood
pressure below 170/110 mm Hg.
Sildenafil (Viagra)
Recommended at 50 mg for all patients, and may be taken 30 minutes before sexual activity.
Avanafil (Stendra)
A method of describing the three main factors that lead to thrombosis: hypercoagulability,
damage to endothelial cells, and turbulent blood flow.
Virchow's Triad
A condition that leads to clotting, including malignancy, trauma, sepsis, and thrombophilia.
,Hypercoagulability
Part of Virchow's triad that causes blood to clot by promoting platelet adherence to the wall
of the vessels.
Endothelial cell damage
A component of circulatory stasis in Virchow's triad, which can be caused by atrial fibrillation,
venous obstruction, and ventricular dysfunction.
Turbulent blood flow
A condition that may present with hypercalcemia and mental confusion.
Kidney stones
A condition that may be evaluated in patients with kidney stones, hypercalcemia, and mental
confusion.
Cushing Syndrome
A fracture that occurs due to weakened bone structure, commonly associated with
osteoporosis.
Pathologic fracture
A condition that is not common in osteoporosis, resulting from fat obstruction due to injury
or trauma.
Fat embolism
A potential symptom of osteoporosis, but not the most common clinical manifestation.
Bone pain
, Not part of Virchow's triad and does not affect blood clotting.
Sympathetic tone
The second aspect of Virchow's triad, which promotes blood clotting.
Vascular wall injury
The third component of Virchow's triad, which can lead to thrombosis.
Circulatory stasis
A symptom that may accompany hypercalcemia in patients with kidney stones.
Mental confusion
An elevated level of calcium in the blood, often associated with kidney stones.
Hypercalcemia
A condition characterized by excessive production of aldosterone, leading to hypertension
and electrolyte imbalances.
Conn's Syndrome
A condition where the parathyroid glands produce too much parathyroid hormone, resulting
in elevated calcium levels in the blood.
Hyperparathyroidism
A disorder in which the adrenal glands do not produce sufficient steroid hormones.
Addison's disease
Correct Answers| Updated
A soft, high pitched, blowing diastolic decrescendo murmur best heard at the 3rd left
interspace at base, initiated with S2 and heard when the patient sits up and leans forward.
Aortic regurgitation
A low pitched diastolic rumble that does not radiate, best heard at the apex when in the left
lateral position.
Mitral stenosis
A loud, harsh murmur occurring midsystole, radiating down the side of the neck and down to
the apex.
Aortic stenosis
A loud blowing murmur heard at the apex that is pansystolic.
Mitral regurgitation
The most common metabolic bone disease characterized by chronic, progressive, systemic
low bone mass and deterioration of bone tissue, leading to increased skeletal fragility and
deformity.
Osteoporosis
,The most common clinical manifestation of osteoporosis.
Bone deformity
A class of medications used to treat erectile dysfunction.
Phosphodiesterase inhibitor
May be used at a dose of 2.5 mg daily if sexual activity will take place two or more times per
week.
Tadalafil (Cialis)
5 mg may be taken with a high-fat meal four hours before sexual activity.
Vardenafil (Levitra)
50 mg may be taken one hour before sexual activity as long as the patient has a resting blood
pressure below 170/110 mm Hg.
Sildenafil (Viagra)
Recommended at 50 mg for all patients, and may be taken 30 minutes before sexual activity.
Avanafil (Stendra)
A method of describing the three main factors that lead to thrombosis: hypercoagulability,
damage to endothelial cells, and turbulent blood flow.
Virchow's Triad
A condition that leads to clotting, including malignancy, trauma, sepsis, and thrombophilia.
,Hypercoagulability
Part of Virchow's triad that causes blood to clot by promoting platelet adherence to the wall
of the vessels.
Endothelial cell damage
A component of circulatory stasis in Virchow's triad, which can be caused by atrial fibrillation,
venous obstruction, and ventricular dysfunction.
Turbulent blood flow
A condition that may present with hypercalcemia and mental confusion.
Kidney stones
A condition that may be evaluated in patients with kidney stones, hypercalcemia, and mental
confusion.
Cushing Syndrome
A fracture that occurs due to weakened bone structure, commonly associated with
osteoporosis.
Pathologic fracture
A condition that is not common in osteoporosis, resulting from fat obstruction due to injury
or trauma.
Fat embolism
A potential symptom of osteoporosis, but not the most common clinical manifestation.
Bone pain
, Not part of Virchow's triad and does not affect blood clotting.
Sympathetic tone
The second aspect of Virchow's triad, which promotes blood clotting.
Vascular wall injury
The third component of Virchow's triad, which can lead to thrombosis.
Circulatory stasis
A symptom that may accompany hypercalcemia in patients with kidney stones.
Mental confusion
An elevated level of calcium in the blood, often associated with kidney stones.
Hypercalcemia
A condition characterized by excessive production of aldosterone, leading to hypertension
and electrolyte imbalances.
Conn's Syndrome
A condition where the parathyroid glands produce too much parathyroid hormone, resulting
in elevated calcium levels in the blood.
Hyperparathyroidism
A disorder in which the adrenal glands do not produce sufficient steroid hormones.
Addison's disease
