NRl 601/l NR601l Midterml Exam:l Primaryl
Carel ofl thel Maturingl &l Agedl Familyl
Practicuml Guidel (Latestl 2026/l 2027l
Update)l |l Qsl &l As|l Gradel A|l 100%l
Correctl (Verifiedl Answers)-l Chamberlain
QUESTION
aorticl stenosisl sx
Answer:
exertionall dypnea,l syncope,l palpiations,l pulsesl parvusl etl tardusl tol carotids,l Calll Cynoticl
extremitiesl splitl S2l onl inspirationl leftl ventricularl hypertrophyl carotidl thrilll andl narrowl
pulsel pressurel inl latel stages
QUESTION
ASl murmur
Answer:
Systolicl crescendol decrescendol bestl heardl atl thel rightl upperl sternall borderl radiatingl tol
thel carotids
QUESTION
Whatl doesl LVl strainl lookl likel onl ECG
Answer:
STl depressionl orl Tl wavel inversion
QUESTION
Xrayl withl AS
,Answer:
LVH,l dilatedl aortal postl stenosis
QUESTION
Causesl ofl AS
Answer:
agel relatedl calcifications,l congenitall bicuspidl valve,l rheumaticl disease,l HTN,l HLD,l
Smoking,l radiation
QUESTION
Managementl ofl AS
Answer:
diureticsl canl preventl congestionl butl alsol furtherl reducel CO,l usel cautiously
Betablockerl ifl arrythmia
avoidl strenuousl exercise,l dehydration,l hypovolemia
waitl onl surgicall qualification
QUESTION
MSl presentation
Answer:
exertionall dyspnea,l sxl atl night,l coughl withl possiblel hemoptysis,l palpiations,l pumll htn,l
pulml infiltrates,l pulml emboli,l orthopnea,l fibrousl thickeningl ofl alveolil andl pulml
capillaries,l possl thombil inl LA
LAl canl enlargel andl compressl esophagusl (dysphagia)l andl laryngeall nervel (hoarsness)
QUESTION
MSl Murmur
Answer:
,openingl snapl withl lowl pitchl diastolicl rumblel bestl heardl atl thel apexl ofl thel heartl inl thel
Ll decubitusl position.
QUESTION
Causesl ofl MS
Answer:
veryl specificl forl rhematicl fever
also:l priorl endocarditis,l congenitall dz,
QUESTION
Complicationsl ofl MS
Answer:
Afib,l Pulml HTN
QUESTION
ECGl inl MS
Answer:
Talll biphasicl Pl inl Ll atriall enlargementl inl V1
Broadl notchedl Pl inl Ll atriall enlargementl inl II
peakedl Pl inl Pulml HTNl inl II
QUESTION
Managementl ofl MS
Answer:
Betal BLockerl orl CCBl ifl arrythmia,l Anticoagl ifl Thrombil orl Afib,l Diureticl forl fluidl
retentionl
elevatel HOBl tol reducel orthopnea,l 2-3gl Nal restrictl
Waitl onl surgicall qualificationl (percutaneousl balloonl valvuloplasty)
, QUESTION
Whatl bacteriall illnessl leadsl tol rheumaticl heartl disease
Answer:
Groupl Al Streptococcus
QUESTION
Echol ofl Afib
Answer:
atriall enlargement,l Mitrall disease,l EF,l Thrmobi
QUESTION
Ratel controll inl Afib
Answer:
Betal Blockerl (Metoprolol)
Cal Channell Blockerl (Diltiazem)
Digoxinl (Lastl Case)
QUESTION
Rhythml Controll inl Afib
Answer:
Antiarrhythmicsl (flecainaide,l amiodarone,l sotalol)
Ablation
cardioversion
QUESTION
Anticoagulationl inl Afib
Answer:
Carel ofl thel Maturingl &l Agedl Familyl
Practicuml Guidel (Latestl 2026/l 2027l
Update)l |l Qsl &l As|l Gradel A|l 100%l
Correctl (Verifiedl Answers)-l Chamberlain
QUESTION
aorticl stenosisl sx
Answer:
exertionall dypnea,l syncope,l palpiations,l pulsesl parvusl etl tardusl tol carotids,l Calll Cynoticl
extremitiesl splitl S2l onl inspirationl leftl ventricularl hypertrophyl carotidl thrilll andl narrowl
pulsel pressurel inl latel stages
QUESTION
ASl murmur
Answer:
Systolicl crescendol decrescendol bestl heardl atl thel rightl upperl sternall borderl radiatingl tol
thel carotids
QUESTION
Whatl doesl LVl strainl lookl likel onl ECG
Answer:
STl depressionl orl Tl wavel inversion
QUESTION
Xrayl withl AS
,Answer:
LVH,l dilatedl aortal postl stenosis
QUESTION
Causesl ofl AS
Answer:
agel relatedl calcifications,l congenitall bicuspidl valve,l rheumaticl disease,l HTN,l HLD,l
Smoking,l radiation
QUESTION
Managementl ofl AS
Answer:
diureticsl canl preventl congestionl butl alsol furtherl reducel CO,l usel cautiously
Betablockerl ifl arrythmia
avoidl strenuousl exercise,l dehydration,l hypovolemia
waitl onl surgicall qualification
QUESTION
MSl presentation
Answer:
exertionall dyspnea,l sxl atl night,l coughl withl possiblel hemoptysis,l palpiations,l pumll htn,l
pulml infiltrates,l pulml emboli,l orthopnea,l fibrousl thickeningl ofl alveolil andl pulml
capillaries,l possl thombil inl LA
LAl canl enlargel andl compressl esophagusl (dysphagia)l andl laryngeall nervel (hoarsness)
QUESTION
MSl Murmur
Answer:
,openingl snapl withl lowl pitchl diastolicl rumblel bestl heardl atl thel apexl ofl thel heartl inl thel
Ll decubitusl position.
QUESTION
Causesl ofl MS
Answer:
veryl specificl forl rhematicl fever
also:l priorl endocarditis,l congenitall dz,
QUESTION
Complicationsl ofl MS
Answer:
Afib,l Pulml HTN
QUESTION
ECGl inl MS
Answer:
Talll biphasicl Pl inl Ll atriall enlargementl inl V1
Broadl notchedl Pl inl Ll atriall enlargementl inl II
peakedl Pl inl Pulml HTNl inl II
QUESTION
Managementl ofl MS
Answer:
Betal BLockerl orl CCBl ifl arrythmia,l Anticoagl ifl Thrombil orl Afib,l Diureticl forl fluidl
retentionl
elevatel HOBl tol reducel orthopnea,l 2-3gl Nal restrictl
Waitl onl surgicall qualificationl (percutaneousl balloonl valvuloplasty)
, QUESTION
Whatl bacteriall illnessl leadsl tol rheumaticl heartl disease
Answer:
Groupl Al Streptococcus
QUESTION
Echol ofl Afib
Answer:
atriall enlargement,l Mitrall disease,l EF,l Thrmobi
QUESTION
Ratel controll inl Afib
Answer:
Betal Blockerl (Metoprolol)
Cal Channell Blockerl (Diltiazem)
Digoxinl (Lastl Case)
QUESTION
Rhythml Controll inl Afib
Answer:
Antiarrhythmicsl (flecainaide,l amiodarone,l sotalol)
Ablation
cardioversion
QUESTION
Anticoagulationl inl Afib
Answer:
