APEA- Cardiovascular Assessment
Questions and Correct Answers/ Latest
Update / Already Graded
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.
Ans: between the 3rd, 4th, 5th, and 6th intercostal spaces at the left
lower sternal border.
,2 | Page
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.
Ans: 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
,3 | Page
A flat blowing pitch
A fourth heart sound (S4)
Ans: 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.
Ans: 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.
, 4 | Page
inflammatory bowel disease.
angina.
aortic stenosis.
Ans: 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.
Ans: Raynaud's disease.
Pain or cramping of the legs that occurs during exertion and is
relieved by rest is termed: