3P HIGH STAKES CORRECT EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔Aortic Stenosis - ✔✔A loud murmur with a thrill audible in right 2nd intercostal
space, radiates to carotid arteries. Crescendo-decrescendo pitch audible at the apex.
Murmur heard best when sitting & leaning forward.
✔✔Lateral to the head of the humerus - ✔✔The greater tubercle of the humerus is
located
✔✔A ruptured Achilles tendon - ✔✔A defect in the gastrocnemus & soleus muscle with
tenderness & swelling could be suggestive of:
✔✔Athetoid movements - ✔✔Involentary movements of the body that are slower &
more twisting & writhing with larger amplitude than choreiform movements. Involve face
& distal extremities.
✔✔Intestinal obstruction - ✔✔During auscultation of abdomen, rushes of high-pitched
sounds audible & coincide with abdominal cramps are consistent with:
✔✔Peripheral artery disease - ✔✔The ankle-brachial index is a screening test used to
assess risk for:
✔✔Superficial to the mastoid process - ✔✔Posterior auricular lymph nodes are located:
✔✔At the angle of the mandible - ✔✔Tonsillar lymph nodes are located:
✔✔Symptoms of internal pacemaker failure - ✔✔Dizziness, lightheadedness,
hiccoughs, sudden changes in heart rate, electric shock feeling in chest
✔✔Symptoms of peripheral artery disease (PAD) - ✔✔intermittent claudication,
ischemia muscle pain precipitated by predictable amount of exercise & relieved by rest,
,pale cool skin, cyanosis, audible bruits, diminished or absent pulses & thickened &
opaque nails.
✔✔Near the apex of the heart between the 5th & 6th intercostal spaces in the mid-
clavicular line - ✔✔Area to auscultate the mitral valve
✔✔eyelids, conjunctiva, & skin & mucous membrane of the nose & cheek - ✔✔The
infraorbital or maxillary, buccinator & supramandibular lymph nodes drain lymphatic fluid
from the:
✔✔Ventricular septal defect, overriding aorta, pulmonary stenosis & right ventricular
hypertrophy - ✔✔The four classic signs of Tetrology of Fallot:
✔✔Costochondritis - ✔✔Chest pain described as stabbing, sticking or dull and aching is
characteristic of:
✔✔Pericarditis & pleuritic pain - ✔✔Chest pain described as persistent, sharp, knife-like
is characteristic of:
✔✔Neurogenic claudication - ✔✔pain with walking or prolonged standing, radiating from
the spinal area into the buttocks, thighs, lower legs, or feet
✔✔posterior part of the temporoparietal region - ✔✔The posterior auricular lymph nodes
drain lymphatic fluid from the:
✔✔between the 2nd & 3rd intercostal spaces at the right upper sternal border -
✔✔Auscultate the aortic listening point in the:
✔✔between 2nd & 3rd intercostal spaces at the left sternal border - ✔✔Pulmonic
listening point auscultated:
✔✔between 3rd, 4th, 5th and 6th intercostal spaces at the left lower sternal border -
✔✔Tricuspid listening point is auscultated:
✔✔breast, upper part of abdominal wall, upper part of back, pectoral region & upper
limbs - ✔✔The axillary lymph nodes drain lymphatic fluid from:
✔✔chronic venous insufficiency - ✔✔Brownish discoloration or ulcers just above
malleolus suggests:
✔✔Right upper thorax - ✔✔The thoracic duct drains lymphatic fluid from the majority of
the body except the:
, ✔✔Rheumatic heart disease - ✔✔erythema marginatum, chorea, murmur, joint pain &
SOB are classic symptoms of:
✔✔Kawasaki disease - ✔✔unexplained fever for 5 days along with 4 out of 5 of the
following symptoms:
bilateral non-purulent conjunctivitis, cervical lymphadenopathy, edema of the hands &/or
feet, strawberry tongue & macular rash.
✔✔Endocarditis - ✔✔fever, lethargy, petechiae, neurological involvement, Janeway
lesions & Osler's nodes are symptoms of:
✔✔Physiologic murmur - ✔✔A murmur arising from physiologic changes in body
metabolism, temporary & resolves when condition resolves (hyperthyroidism, fever,
pregnancy)
✔✔Pathologic murmur - ✔✔abnormal heart sounds caused by a heart defect or
acquired damage
✔✔The horizontal superficial inguinal lymph nodes - ✔✔These lymph nodes drain the
superficial portions of lower abdomen & buttock, external genitalia (except testes), anal
canal & perianal area & lower vagina
✔✔coarctation of the aorta (CoA) - ✔✔a disparity of pulses between the brachial &
femoral pulses in a 4-month old could indicate:
✔✔small and large intestines - ✔✔The superior and inferior mesenteric lymph nodes
drain fluid from the:
✔✔Paronychia - ✔✔inflammation of proximal & lateral nail folds (red. swollen, tender)
✔✔squamous cell carcinoma - ✔✔A raised, crusted border with central ulceration on
the lesion is most likely:
✔✔Beu's lines - ✔✔Transverse depressions of nail plates, usually bilateral resulting
from temporary disruption of proximal nail growth from systemic illness are termed:
✔✔Terry's nails - ✔✔Nail plate turning white with ground-glass appearance, distal band
of reddish brown & obliteration of lunula is termed:
✔✔Spider angioma - ✔✔A fiery red, slightly raised lesion surrounded by erythema &
radiatic legs that blanch with pressure
✔✔Cherry angioma - ✔✔bright or ruby red, increase in size & number with age
QUESTIONS SET A+
✔✔Aortic Stenosis - ✔✔A loud murmur with a thrill audible in right 2nd intercostal
space, radiates to carotid arteries. Crescendo-decrescendo pitch audible at the apex.
Murmur heard best when sitting & leaning forward.
✔✔Lateral to the head of the humerus - ✔✔The greater tubercle of the humerus is
located
✔✔A ruptured Achilles tendon - ✔✔A defect in the gastrocnemus & soleus muscle with
tenderness & swelling could be suggestive of:
✔✔Athetoid movements - ✔✔Involentary movements of the body that are slower &
more twisting & writhing with larger amplitude than choreiform movements. Involve face
& distal extremities.
✔✔Intestinal obstruction - ✔✔During auscultation of abdomen, rushes of high-pitched
sounds audible & coincide with abdominal cramps are consistent with:
✔✔Peripheral artery disease - ✔✔The ankle-brachial index is a screening test used to
assess risk for:
✔✔Superficial to the mastoid process - ✔✔Posterior auricular lymph nodes are located:
✔✔At the angle of the mandible - ✔✔Tonsillar lymph nodes are located:
✔✔Symptoms of internal pacemaker failure - ✔✔Dizziness, lightheadedness,
hiccoughs, sudden changes in heart rate, electric shock feeling in chest
✔✔Symptoms of peripheral artery disease (PAD) - ✔✔intermittent claudication,
ischemia muscle pain precipitated by predictable amount of exercise & relieved by rest,
,pale cool skin, cyanosis, audible bruits, diminished or absent pulses & thickened &
opaque nails.
✔✔Near the apex of the heart between the 5th & 6th intercostal spaces in the mid-
clavicular line - ✔✔Area to auscultate the mitral valve
✔✔eyelids, conjunctiva, & skin & mucous membrane of the nose & cheek - ✔✔The
infraorbital or maxillary, buccinator & supramandibular lymph nodes drain lymphatic fluid
from the:
✔✔Ventricular septal defect, overriding aorta, pulmonary stenosis & right ventricular
hypertrophy - ✔✔The four classic signs of Tetrology of Fallot:
✔✔Costochondritis - ✔✔Chest pain described as stabbing, sticking or dull and aching is
characteristic of:
✔✔Pericarditis & pleuritic pain - ✔✔Chest pain described as persistent, sharp, knife-like
is characteristic of:
✔✔Neurogenic claudication - ✔✔pain with walking or prolonged standing, radiating from
the spinal area into the buttocks, thighs, lower legs, or feet
✔✔posterior part of the temporoparietal region - ✔✔The posterior auricular lymph nodes
drain lymphatic fluid from the:
✔✔between the 2nd & 3rd intercostal spaces at the right upper sternal border -
✔✔Auscultate the aortic listening point in the:
✔✔between 2nd & 3rd intercostal spaces at the left sternal border - ✔✔Pulmonic
listening point auscultated:
✔✔between 3rd, 4th, 5th and 6th intercostal spaces at the left lower sternal border -
✔✔Tricuspid listening point is auscultated:
✔✔breast, upper part of abdominal wall, upper part of back, pectoral region & upper
limbs - ✔✔The axillary lymph nodes drain lymphatic fluid from:
✔✔chronic venous insufficiency - ✔✔Brownish discoloration or ulcers just above
malleolus suggests:
✔✔Right upper thorax - ✔✔The thoracic duct drains lymphatic fluid from the majority of
the body except the:
, ✔✔Rheumatic heart disease - ✔✔erythema marginatum, chorea, murmur, joint pain &
SOB are classic symptoms of:
✔✔Kawasaki disease - ✔✔unexplained fever for 5 days along with 4 out of 5 of the
following symptoms:
bilateral non-purulent conjunctivitis, cervical lymphadenopathy, edema of the hands &/or
feet, strawberry tongue & macular rash.
✔✔Endocarditis - ✔✔fever, lethargy, petechiae, neurological involvement, Janeway
lesions & Osler's nodes are symptoms of:
✔✔Physiologic murmur - ✔✔A murmur arising from physiologic changes in body
metabolism, temporary & resolves when condition resolves (hyperthyroidism, fever,
pregnancy)
✔✔Pathologic murmur - ✔✔abnormal heart sounds caused by a heart defect or
acquired damage
✔✔The horizontal superficial inguinal lymph nodes - ✔✔These lymph nodes drain the
superficial portions of lower abdomen & buttock, external genitalia (except testes), anal
canal & perianal area & lower vagina
✔✔coarctation of the aorta (CoA) - ✔✔a disparity of pulses between the brachial &
femoral pulses in a 4-month old could indicate:
✔✔small and large intestines - ✔✔The superior and inferior mesenteric lymph nodes
drain fluid from the:
✔✔Paronychia - ✔✔inflammation of proximal & lateral nail folds (red. swollen, tender)
✔✔squamous cell carcinoma - ✔✔A raised, crusted border with central ulceration on
the lesion is most likely:
✔✔Beu's lines - ✔✔Transverse depressions of nail plates, usually bilateral resulting
from temporary disruption of proximal nail growth from systemic illness are termed:
✔✔Terry's nails - ✔✔Nail plate turning white with ground-glass appearance, distal band
of reddish brown & obliteration of lunula is termed:
✔✔Spider angioma - ✔✔A fiery red, slightly raised lesion surrounded by erythema &
radiatic legs that blanch with pressure
✔✔Cherry angioma - ✔✔bright or ruby red, increase in size & number with age
