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Exam (elaborations)

AAPA Challenge Bowl | 2000 Questions | With Complete Solutions

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What is the term for chest pain due to coronary artery vasospasm? correct answer: Prinzmetal's angina (Variant angina) Name the condition associated with the following EKG changes: slurred upstroke to the QRS (delta wave) and a broad QRS correct answer: Wolf-Parkinson-White Syndrome A heart rate of greater than how many beats per minute indicates tachycardia? correct answer: >100 What condition is associated with Osborne waves and a prolonged QRS on EKG? correct answer: Hypothermia Name the diagnosis associated with the following EKG changes—Wide QRS complexes with rabbit ears in V5 and V6, diffuse ST segment elevation correct answer: Left bundle branch block What is the likely diagnosis in a patient with tearing/ripping, stabbing chest or interscapular back pain often associated with ischemic or neurologic deficits and BP differences between arms correct answer: Aortic Dissection What are the 2 cardiovascular abnormalities associated with Marfan's syndrome? correct answer: Mitral valve prolapse, Aortic dissection/aortic regurg What is the most common type of primary heart tumor? correct answer: Myxoma (most common location-Left atrium) Name 2 causes of resistant hypertension. correct answer: Drug-induced, obstructive sleep apnea, primary aldosteronism, CKD, Renal artery stenosis What is the term for the sign involving clenched fist over mid-sternum? correct answer: Levine sign What is the name for orange/yellow cholesterol emboli on fundoscopic exam? correct answer: Plaques of Hollenhorst What is the term for the ring around iris associated with ↑cholesterol in patients < 50 yoa. correct answer: Arcus Senilis Where is the normal location for PMI? correct answer: 5-6th intercostals space, mid-clavicular line What measurement is consistent with a normal PMI? correct answer: 6 to 8 cm What is the name of sign that shows ↑ JVP with inspiration? correct answer: Kussmaul sign Name 2 abnormalities seen on exam with ophthalmoscope due to longstanding hypertension. correct answer: AV nicking, copper wiring Xanthelasma is an indication of what condition? correct answer: ↑ lipids What cardiovascular abnormality most likely associated with a holosystolic radiates to the apex correct answer: Mitral Regurgitation What is the most common location of Aortic Dissection? correct answer: proximal ascending aorta Name the condition may cause a widened mediastinum on chest x-ray and it is more common in men. correct answer: Aortic aneurysm At what measurement is surgery considered for thoracic aneurysms? correct answer: > 7 cm At what measurement is surgery considered for abdominal aneurysms? correct answer: > 4 cm The classification of Aortic aneurysm (Stanford) Type A-involves indicates involvement in what location? correct answer: ascending aorta What is the measurement of normal aorta? correct answer: Ascending 3 cm, descending < 2 cm What is the measurement for normal Cardiac Output (CO)?

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AAPA Challenge Bowl | 2000 Questions |
With Complete Solutions
What is the term for chest pain due to coronary artery vasospasm? correct answer: Prinzmetal's angina (Variant angina)
Name the condition associated with the following EKG changes:
slurred upstroke to the QRS (delta wave) and a broad QRS correct answer: Wolf-Parkinson-White Syndrome
A heart rate of greater than how many beats per minute indicates
tachycardia? correct answer: >100
What condition is associated with Osborne waves and a prolonged QRS on EKG? correct answer: Hypothermia
Name the diagnosis associated with the following EKG changes
—Wide QRS complexes with rabbit ears in V5 and V6, diffuse ST segment elevation correct answer: Left bundle branch block
What is the likely diagnosis in a patient with tearing/ripping, stabbing chest or interscapular back pain often associated with ischemic or neurologic deficits and BP differences between arms
correct answer: Aortic Dissection
What are the 2 cardiovascular abnormalities associated with Marfan's syndrome? correct answer: Mitral valve prolapse, Aortic dissection/aortic regurg What is the most common type of primary heart tumor? correct answer: Myxoma (most common location-Left atrium)
Name 2 causes of resistant hypertension. correct answer: Drug-
induced, obstructive sleep apnea, primary aldosteronism, CKD, Renal artery stenosis
What is the term for the sign involving clenched fist over mid-
sternum? correct answer: Levine sign
What is the name for orange/yellow cholesterol emboli on fundoscopic exam? correct answer: Plaques of Hollenhorst
What is the term for the ring around iris associated with ↑cholesterol in patients < 50 yoa. correct answer: Arcus Senilis
Where is the normal location for PMI? correct answer: 5-6th intercostals space, mid-clavicular line
What measurement is consistent with a normal PMI? correct answer: 6 to 8 cm
What is the name of sign that shows ↑ JVP with inspiration? correct answer: Kussmaul sign
Name 2 abnormalities seen on exam with ophthalmoscope due to longstanding hypertension. correct answer: AV nicking, copper wiring Xanthelasma is an indication of what condition? correct answer: ↑ lipids
What cardiovascular abnormality most likely associated with a holosystolic radiates to the apex correct answer: Mitral Regurgitation
What is the most common location of Aortic Dissection? correct
answer: proximal ascending aorta
Name the condition may cause a widened mediastinum on chest x-ray and it is more common in men. correct answer: Aortic aneurysm
At what measurement is surgery considered for thoracic aneurysms? correct answer: > 7 cm
At what measurement is surgery considered for abdominal aneurysms? correct answer: > 4 cm
The classification of Aortic aneurysm (Stanford) Type A-
involves indicates involvement in what location? correct answer:
ascending aorta
What is the measurement of normal aorta? correct answer: Ascending 3 cm, descending < 2 cm
What is the measurement for normal Cardiac Output (CO)? correct answer: 5 L/min What cardiovascular abnormality most likely associated with a mid-late systolic click? correct answer: Mitral Valve Prolapse (MVP)
Which class of antihypertensive is indicated for treatment of hypertension in a patient with diabetes mellitus? correct answer: ACE Inhibitor
At what area of auscultation is an S4 most likely to be heard? correct answer: Left Sternal Border
What cardiovascular abnormality is most likely to cause a diastolic murmur with an opening snap? correct answer: Mitral Stenosis
A heart rate of less than how many beats per minute indicates bradycardia? correct answer: <60 beats/min
What cardiovascular abnormality most commonly causes a systolic murmur that radiates to the carotids? correct answer: Aortic Stenosis
What is the term used to describe the difference between systolic
and diastolic pressure? correct answer: Pulse Pressure
What is the most likely pathologic cause of a loud P2 sound? correct answer: Pulmonary Hypertension
P waves on EKG signify what physiologic event? correct answer: Atrial depolarization

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