APEA-CARDIOVASCULAR EXAM UPDATED 2025 WITH 150+
QUESTIONS AND 100% CORRECT ANSWERS GRADED A+
To auscultate the tricuspid valve heart sounds in an adult patient, place
the stethoscope:
between the 2nd and 3rd intercostal spaces at the right upper sternal
border.
near the apex of the heart between the 5th and 6th intercostal spaces in
the mid-clavicular line.
located between the 2nd and 3rd intercostal spaces at the left sternal
border.
between the 3rd, 4th, 5th, and 6th intercostal spaces at the left lower
sternal border. VERIFIED ANSWER between the 3rd, 4th, 5th, and 6th
intercostal spaces at the left lower sternal border.
To auscultate the heart sounds arising from the pulmonic valve in an
adult patient, place the stethoscope:
near the apex of the heart between the 5th and 6th intercostal spaces in
the mid-clavicular line.
between the 2nd and 3rd intercostal spaces at the right upper sternal
border.
between the 2nd and 3rd intercostal spaces at the left sternal border.
between the 3rd, 4th, 5th, and 6th intercostal spaces at the left lower
sternal border. VERIFIED ANSWER between the 2nd and 3rd
intercostal spaces at the left sternal border.
,What heart sounds are heard during auscultation of a man with Marfan
syndrome who has a known mitral valve prolapse?
An opening snap
A mid-systolic click
A flat blowing pitch
A fourth heart sound (S4) VERIFIED ANSWER A mid-systolic click
Pulse pressure is determined by subtracting diastolic blood pressure
(DSP) from systolic blood pressure (SBP). A widened pulse pressure
means that:
the SBP drops 20 mm Hg within 3 minutes of standing.
the difference is >100 mm Hg.
the DBP is greater than the SBP.
the difference is 40 mm Hg. VERIFIED ANSWER the difference is
>100 mm Hg.
A disease that may present as indigestion, but is precipitated by exertion
and relieved by rest is most likely:
gastroesophageal reflux.
inflammatory bowel disease.
angina.
aortic stenosis. VERIFIED ANSWER angina.
,A patient complains of some pain in the distal portions of her fingers on
both hands. She states that it tends to occur more frequently with
exposure to cold. These symptoms may be consistent with:
intermittent claudication.
Raynaud's disease.
deep venous thrombosis.
superficial thrombophlebitis. VERIFIED ANSWER Raynaud's disease.
Pain or cramping of the legs that occurs during exertion and is relieved
by rest is termed:
neurogenic claudication.
intermittent claudication.
atherosclerotic peripheral vascular disease.
Raynaud's disease. VERIFIED ANSWER intermittent claudication.
A sudden, tearing, sharp pain that begins in the chest and radiates to the
back or into the neck is usually associated with:
angina pectoris.
a myocardial infarction.
an aortic dissection.
pericarditis. VERIFIED ANSWER an aortic dissection.
A twelve-month-old has a history of heart failure related to his
congenital heart defect. He is receiving aldactone (Spironolactone),
enalapril (Vasotec), furosemide (Lasix), and acetaminophen (Tylenol).
, The infant's potassium level is 3.1 mEq/l. Which medication is most
likely decreasing his potassium level?
Aldactone (Spironolactone)
Furosemide (Lasix)
Enalapril (Vasotec)
Acetaminophen (Tylenol) VERIFIED ANSWER Furosemide (Lasix)
A patient complains of a tight, bursting pain in the calf that increases
with walking. Elevation of the leg sometimes relieves the pain. These
symptoms may be consistent with:
intermittent claudication.
Raynaud's disease.
deep venous thrombosis.
superficial thrombophlebitis. VERIFIED ANSWER deep venous
thrombosis.
Symptoms of orthostatic hypotension include all of the following except:
syncope.
unsteadiness.
visual blurring.
respiratory rate greater than 30. VERIFIED ANSWER respiratory rate
greater than 30.
When auscultating the heart for aortic insufficiency, ask the patient to:
lie supine and inhale.
QUESTIONS AND 100% CORRECT ANSWERS GRADED A+
To auscultate the tricuspid valve heart sounds in an adult patient, place
the stethoscope:
between the 2nd and 3rd intercostal spaces at the right upper sternal
border.
near the apex of the heart between the 5th and 6th intercostal spaces in
the mid-clavicular line.
located between the 2nd and 3rd intercostal spaces at the left sternal
border.
between the 3rd, 4th, 5th, and 6th intercostal spaces at the left lower
sternal border. VERIFIED ANSWER between the 3rd, 4th, 5th, and 6th
intercostal spaces at the left lower sternal border.
To auscultate the heart sounds arising from the pulmonic valve in an
adult patient, place the stethoscope:
near the apex of the heart between the 5th and 6th intercostal spaces in
the mid-clavicular line.
between the 2nd and 3rd intercostal spaces at the right upper sternal
border.
between the 2nd and 3rd intercostal spaces at the left sternal border.
between the 3rd, 4th, 5th, and 6th intercostal spaces at the left lower
sternal border. VERIFIED ANSWER between the 2nd and 3rd
intercostal spaces at the left sternal border.
,What heart sounds are heard during auscultation of a man with Marfan
syndrome who has a known mitral valve prolapse?
An opening snap
A mid-systolic click
A flat blowing pitch
A fourth heart sound (S4) VERIFIED ANSWER A mid-systolic click
Pulse pressure is determined by subtracting diastolic blood pressure
(DSP) from systolic blood pressure (SBP). A widened pulse pressure
means that:
the SBP drops 20 mm Hg within 3 minutes of standing.
the difference is >100 mm Hg.
the DBP is greater than the SBP.
the difference is 40 mm Hg. VERIFIED ANSWER the difference is
>100 mm Hg.
A disease that may present as indigestion, but is precipitated by exertion
and relieved by rest is most likely:
gastroesophageal reflux.
inflammatory bowel disease.
angina.
aortic stenosis. VERIFIED ANSWER angina.
,A patient complains of some pain in the distal portions of her fingers on
both hands. She states that it tends to occur more frequently with
exposure to cold. These symptoms may be consistent with:
intermittent claudication.
Raynaud's disease.
deep venous thrombosis.
superficial thrombophlebitis. VERIFIED ANSWER Raynaud's disease.
Pain or cramping of the legs that occurs during exertion and is relieved
by rest is termed:
neurogenic claudication.
intermittent claudication.
atherosclerotic peripheral vascular disease.
Raynaud's disease. VERIFIED ANSWER intermittent claudication.
A sudden, tearing, sharp pain that begins in the chest and radiates to the
back or into the neck is usually associated with:
angina pectoris.
a myocardial infarction.
an aortic dissection.
pericarditis. VERIFIED ANSWER an aortic dissection.
A twelve-month-old has a history of heart failure related to his
congenital heart defect. He is receiving aldactone (Spironolactone),
enalapril (Vasotec), furosemide (Lasix), and acetaminophen (Tylenol).
, The infant's potassium level is 3.1 mEq/l. Which medication is most
likely decreasing his potassium level?
Aldactone (Spironolactone)
Furosemide (Lasix)
Enalapril (Vasotec)
Acetaminophen (Tylenol) VERIFIED ANSWER Furosemide (Lasix)
A patient complains of a tight, bursting pain in the calf that increases
with walking. Elevation of the leg sometimes relieves the pain. These
symptoms may be consistent with:
intermittent claudication.
Raynaud's disease.
deep venous thrombosis.
superficial thrombophlebitis. VERIFIED ANSWER deep venous
thrombosis.
Symptoms of orthostatic hypotension include all of the following except:
syncope.
unsteadiness.
visual blurring.
respiratory rate greater than 30. VERIFIED ANSWER respiratory rate
greater than 30.
When auscultating the heart for aortic insufficiency, ask the patient to:
lie supine and inhale.
