EXAM 2 HPI EXAMPLES QUESTIONS WITH CORRECT ANSWERS 2025

EXAM 2 HPI EXAMPLES QUESTIONS
WITH CORRECT ANSWERS 2025-
2026
Left-sidedAHFA-AcorrectAanswersAMrs.APatel,AaA70-year-
oldAwomanAwithAaAhistoryAofAhypertension,ApresentsAwithAaAthree-
weekAhistoryAofAworseningAshortnessAofAbreath,AespeciallyAonAexertion,AandAaApersistentAdryAc
oughAthatAworsensAatAnight.ASheAreportsAswellingAinAherAanklesAandAlegs,AwhichAhasAbeenAprog
ressivelyAincreasing,AandAhasAhadAtoAstartAsleepingAonAthreeApillowsAdueAtoAorthopnea.AMrs.AP
atelAnotesAdecreasedAexerciseAtolerance,AoftenAfeelingAfatiguedAafterAminimalAactivity.ADespite
AtakingAherAprescribedAmedications,AincludingAanAACEAinhibitor,AsheAhasAnoticedAaAdeclineAinAh


erAoverallAenergyAlevelsAandAanAincreaseAinAherAabdominalAgirth.

Right-sidedAHFA-AcorrectAanswersAMr.ADavis,AaA60-year-
oldAmaleAwithAaAhistoryAofAchronicAobstructiveApulmonaryAdiseaseA(COPD)AandAhypertension,A
presentsAwithAworseningAlowerAextremityAswellingAandAabdominalAdistentionAoverAtheAlastAtw
oAmonths.AHeAreportsAaAsignificantAincreaseAinAhisAwaistAcircumferenceAandAaAfeelingAofAfullne
ssAinAhisAabdomen,AespeciallyAafterAmeals.AHeAexperiencesAdiscomfortAinAhisArightAupperAquad
rantAandAhasAnotedAaAsignificantAdecreaseAinAappetite.AMr.ADavisAalsoAreportsAnocturia,Aawake
ningAmultipleAtimesAatAnightAtoAurinate,AandAacknowledgesAaAweightAgainAofA8ApoundsAoverAth
eApastAmonthAdespiteAdietaryAmodifications.AHisAbreathingAhasAbecomeAmoreAlabored,AandAhe
AnowAexperiencesAshortnessAofAbreath,AevenAatArest.



DILATEDAcardiomyopathyA-AcorrectAanswersAMrs.AGarcia,AaA55-year-
oldAwoman,ApresentsAwithAprogressiveAfatigue,AshortnessAofAbreath,AandAswellingAinAherAlegsAf
orAtheApastAthreeAmonths.ASheAdescribesAaAhistoryAofArecurrentArespiratoryAinfections,AwhichAs
heAnoticedAbecameAmoreAdebilitating.ASheAreportsAdecreasedAexerciseAtolerance,AfindingAitAin
creasinglyAdifficultAtoAperformAhouseholdAchoresAwithoutAgettingAwinded.AMrs.AGarciaAdeniesA
chestApainAbutAhasAexperiencedAepisodesAofApalpitationsAandAdizziness.ASheAhasAaAsignificantA
pastAmedicalAhistory,AincludingAuncontrolledAhypertension,AandAhasAaAfamilyAhistoryAofAheartA
disease.ADespiteAcomplianceAwithAherAmedications,AherAsymptomsAhaveAworsened,Apromptin
gAherAtoAseekAmedicalAattention.

PeripartumAcardiomyopathyA-AcorrectAanswersAMrs.AJohnson,AaA35-year-
oldAwoman,ApresentsAwithAshortnessAofAbreath,AswellingAinAherAankles,AandAfatigue,AwhichAsta
rtedAaAmonthAafterAgivingAbirthAtoAherAthirdAchild.ASheAdescribesAaArapidAonsetAofAsymptoms,Ai
nitiallyAattributingAthemAtoAtheAdemandsAofAcaringAforAherAnewborn.AHowever,AherAbreathingA
difficultiesAworsened,AespeciallyAatAnight,AandAsheAnoticedAaApersistentAcough.AMrs.AJohnsonAd
eniesAanyAhistoryAofAheartAdiseaseAorAhypertensionAbeforeApregnancy.ASheAhasAnoAsignificantA
medicalAhistoryAandAisAnotAonAanyAmedications.AHerAsymptomsAhaveApromptedAherAtoAseekAur

, gentAmedicalAcare,AconcernedAaboutAherAdecliningAhealthAdespiteAtheArecentAbirthAofAherAchil
d.

HYPERTROPHICAcardiomyopathyA(HCM)A-AcorrectAanswersAMr.AAnderson,AaA42-year-
oldAman,ApresentsAwithArecurrentAepisodesAofAchestApainAandApalpitationsAduringAphysicalAacti
vityAforAtheApastAsixAmonths.AHeAreportsAaAfamilyAhistoryAofAsuddenAcardiacAdeathAinAhisAyoung
erAbrother.AHeAexperiencesAfatigueAandAshortnessAofAbreathAwithAexertionAandAoccasionalAdizz
iness.AHeAdeniesAanyAsignificantAmedicalAhistory,AdrugAuse,AorArecentAinfections.AMr.AAnderson
AisAconcernedAaboutAhisAsymptomsAandAtheirAimpactAonAhisAdailyAlife,AespeciallyAasAheAhasAbee


nAunableAtoAcontinueAhisAregularAexerciseAroutineAdueAtoAtheseAissues.

RESTRICTIVEAcardiomyopathyA-AcorrectAanswersAMrs.ALewis,AaA60-year-
oldAwoman,ApresentsAwithAgraduallyAworseningAshortnessAofAbreathAandAfatigueAoverAtheApast
Ayear.ASheAreportsAswellingAinAherAanklesAandAabdomenAandAhasAnoticedAaAsignificantAdecrease


AinAherAexerciseAtolerance.ASheAdeniesAchestApainAbutAdescribesAaApersistentAdryAcough,Aespeci


allyAatAnight,AandAhasAexperiencedAoccasionalApalpitations.AMrs.ALewisAhasAaAhistoryAofAamyloi
dosis,AwhichAwasAdiagnosedAtwoAyearsAago,AandAherAsymptomsAhaveAintensifiedArecently,Alead
ingAherAtoAseekAmedicalAattention.

ARRHYTHMOGENICAcardiomyopathyA(ACM)A-AcorrectAanswersAMr.ADavis,AaA35-year-
oldAman,ApresentsAwithArecurrentApalpitationsAandAepisodesAofAlightheadednessAforAtheApastAs
everalAmonths.AHeAreportsAaAfamilyAhistoryAofAsuddenAcardiacAdeathAinAhisAfatherAatAtheAageAof
A40.AHeAdescribesAoccasionalAchestAdiscomfortAduringAexerciseAandAhasAnoticedAhisAheartA"skip


pingAbeats."AMr.ADavisAdeniesAshortnessAofAbreathAorAswellingAbutAexpressesAsignificantAconce
rnAaboutAhisAsymptoms,AespeciallyAafterAlearningAaboutAhisAfamilyAhistory,AwhichApromptedAhi
mAtoAseekAmedicalAevaluation.

TAKOTSUBOAcardiomyopathyA-AcorrectAanswersAMrs.AWalker,AaA62-year-
oldAwoman,ApresentsAwithAchestApainAandAacuteAshortnessAofAbreathAfollowingAaArecentAemoti
onalAstressor.ASheAdescribesAaAsuddenAonsetAofAsevereAchestAdiscomfortAradiatingAtoAherAleftAa
rm,AassociatedAwithAnauseaAandAdiaphoresis.AUponAfurtherAquestioning,AsheArevealsAthatAsheA
recentlyAlostAherAspouseAunexpectedly.AMrs.AWalkerAdeniesAanyAhistoryAofAheartAdiseaseAorAhy
pertensionAbutAreportsAaAhistoryAofAemotionalAstressorsAinAherAlife.AHerAsymptoms,AcoupledAw
ithAherArecentAemotionalAdistressAareApromptingAherAurgentAhospitalAadmissionAforAfurtherAev
aluationAandAmanagement.

ATHEROSCLEROTICACARDIOVASCULARADISEASEA(ASCVD)A-AcorrectAanswersAMr.AJohnson,AaA58-
year-
oldAmanAwithAaAhistoryAofAhypertension,Adiabetes,AandAhyperlipidemia,ApresentsAwithAaApressi
ng,AsqueezingAchestApainAradiatingAtoAhisAjawAandAleftAarmAthatAstartedA30AminutesAago.AHeAde
scribesAassociatedAshortnessAofAbreathAandAdiaphoresis.ATheApainAwasAexacerbatedAbyAphysic
alAactivityAandArelievedAbyArest.AMr.AJohnsonAreportsAaAsedentaryAlifestyle,AaAhigh-