(RATIONALES) QUESTION AND ANSWERS 100%
CORRECT 2025-2026
You are auscultating Jon's chest. When he sits up and leans forward, you
can hear a high pitched, blowing murmur at S2. What does this type of
murmur most likely indicate?
a. Mitral stenosis
b. Aortic Stenosis
c. Mitral regurgitation
d. Aortic regurgitation
Aortic regurgitation
Aortic regurg is soft, high pitched, blowing diastolic decrescendo that
best heard at the 3rd left interspace at base. Murmur initiated w/ S2 and
heard when Pt sits up and leans forward. Mitral Stenosis= low pitched
diastolic rumble & doesn't radiate. Best heard in apex when in left lateral
position. Aortic stenosis= loud, harsh murmur midsystole, radiated down
the side of neck and down apex. Mitral regurg= loud blowing murmur
heard at apex and is pansystolic.
, Which of the following is the most common clinical manifestation of
osteoporosis?
a. Bone deformity
b. Bone pain
c. Pathologic fracture
d. Fat embolism
a. Bone deformity
most common metabolic bone disease, is chronic, progressive, &
systemic; Low bone mass and deterioration of bone tissue, = leads to
increased skeletal fragility & deformity. Osteoporosis usually not apparent
until AFTER a fracture; 2/3 of vertebral fractures are painless. Fat
embolism from fat obstruction d/t injury or trauma & not common in
osteoporosis.