Cardiovascular 6020 Exam Practice Questions and Answers

Cardiovascular 6020 Exam Practice Questions and Answers A 78-year-old retired seamstress comes to the office for a routine check-up. You obtain an electrocardiogram (ECG) because of her history of hypertension. You diagnose a previous myocardial infarction and ask her if she had any symptoms related to this. Which of the following symptoms would be more common in this patient's age group for an AMI? Chest pain Syncope Pain radiating into the left arm Pain radiating into the jaw - Answer️️ -Syncope How should you determine whether a murmur is systolic or diastolic? A. Palpate the carotid pulse. ©SOPHIABENNETT@ Monday, August 19, 2024 12:35 AM Page 2 of 11 B. Palpate the radial pulse. C. Judge the relative length of systole and diastole by auscultation. D. Correlate the murmur with a bedside heart monitor. - Answer️️ - Palpate the carotid pulse. During a routine physical exam of a 90-year-old woman, a low-pitched diastolic murmur Grade II/VI is auscultated. It is located on the fifth intercostal space on the left side of the midclavicular line. Which of the following is the correct diagnosis? A. Aortic regurgitation B. Mitral stenosis C. Mitral regurgitation D. Tricuspid regurgitation - Answer️️ -Mitral stenosis Mrs. Adams would like to begin an exercise program and was told to exercise as intensely as necessary to obtain a heart rate of 60% or greater of ©SOPHIABENNETT@ Monday, August 19, 2024 12:35 AM Page 3 of 11 her maximum heart rate. She is fifty-two years old. What heart rate should she achieve? A. 80 B. 100 C. 120 D. 140 - Answer️️ -100 You examine a 24-year-old woman with mitral valve prolapse (MVP). Her physical examination findings may also include: A. pectus excavatum. B. obesity. C. petite stature. D. hyperextensible joints. - Answer️️ -pectus excavatum ©SOPHIABENNETT@ Monday, August 19, 2024 12:35 AM Page 4 of 11 In performing a cardiac examination in a person with MVP, you expect to find: . A. an early to mid systolic, crescendo-decrescendo murmur. B. a pansystolic murmur. C. a low-pitched, diastolic rumble. D. a mid to late systolic murmur. - Answer️️ -a mid to late systolic murmur. Additional findings in MVP include: a. Opening snap B. mid-systolic click C. a paradoxical splitting of the second heart sound (S2). ©SOPHIABENNETT@ Monday, August 19, 2024 12:35 AM Page 5 of 11 D. a fourth heart sound (S4). - Answer️️ -mid-systolic click what is S1? - Answer️️ -mitral and tricuspid valve closure What is S2? - Answer️️ -Aortic and pulmonic valve closure In evaluating the person with aortic stenosis, the NP anticipates finding 12- lead ECG changes consistent with: A. right bundle branch block. B. extreme axis deviation. C. right atrial enlargement. D. left ventricular hypertrophy. - Answer️️ -left ventricular hypertrophy. Of the following patients, who is in greatest need of end