APEA- Cardiovascular Assessment Questions and Answers 2025

APEA- Cardiovascular Assessment
Questions and Answers 2025
ToAauscultateAtheAtricuspidAvalveAheartAsoundsAinAanAadultApatient,placeAtheAstethoscope:
betweenAtheA2ndAandA3rdAintercostalAspacesAatAtheArightAupperAsternalAborder.
nearAtheAapexAofAtheAheartAbetweenAtheA5thAandA6thAintercostalAspacesAinAtheAmid-
clavicularAline.
locatedAbetweenAtheA2ndAandA3rdAintercostalAspacesAatAtheAleftAsternalAborder.
betweenAtheA3rd,A4th,A5th,AandA6thAintercostalAspacesAatAtheAleftAlowerAsternalAborder.A-
ACORRECTAANSWERS-

betweenAtheA3rd,A4th,A5th,AandA6thAintercostalAspacesAatAtheAleftAlowerAsternalAborder.
ToAauscultateAtheAheartAsoundsAarisingAfromAtheApulmonicAvalveAinAanAadultApatient,Aplace
AtheAstethoscope:

nearAtheAapexAofAtheAheartAbetweenAtheA5thAandA6thAintercostalAspacesAinAtheAmid-
clavicularAline.
betweenAtheA2ndAandA3rdAintercostalAspacesAatAtheArightAupperAsternalAborder.
betweenAtheA2ndAandA3rdAintercostalAspacesAatAtheAleftAsternalAborder.
betweenAtheA3rd,A4th,A5th,AandA6thAintercostalAspacesAatAtheAleftAlowerAsternalAborder.A-
ACORRECTAANSWERS-

betweenAtheA2ndAandA3rdAintercostalAspacesAatAtheAleftAsternalAborder.
WhatAheartAsoundsAareAheardAduringAauscultationAofAaAmanAwithAMarfanAsyndromeAwhoAh
asAaAknownAmitralAvalveAprolapse?
AnAopeningAsnap
AAmid-systolicAclick
AAflatAblowingApitch
AAfourthAheartAsoundA(S4)A-ACORRECTAANSWERS-AAmid-systolicAclick
PulseApressureAisAdeterminedAbyAsubtractingAdiastolicAbloodApressureA(DSP)AfromAsystoli
cAbloodApressureA(SBP).AAAwidenedApulseApressureAmeansAthat:
theASBPAdropsA20AmmAHgAwithinA3AminutesAofAstanding.
theAdifferenceAisA>100AmmAHg.
theADBPAisAgreaterAthanAtheASBP.
theAdifferenceAisA40AmmAHg.A-ACORRECTAANSWERS-theAdifferenceAisA>100AmmAHg.
AAdiseaseAthatAmayApresentAasAindigestion,AbutAisAprecipitatedAbyAexertionAandArelievedAb
yArestAisAmostAlikely:
gastroesophagealAreflux.
inflammatoryAbowelAdisease.
angina.
aorticAstenosis.A-ACORRECTAANSWERS-angina.
AApatientAcomplainsAofAsomeApainAinAtheAdistalAportionsAofAherAfingersAonAbothAhands.AShe
AstatesAthatAitAtendsAtoAoccurAmoreAfrequentlyAwithAexposureAtoAcold.ATheseAsymptomsAma

yAbeAconsistentAwith:
intermittentAclaudication.
Raynaud'sAdisease.

, deepAvenousAthrombosis.
superficialAthrombophlebitis.A-ACORRECTAANSWERS-Raynaud'sAdisease.
PainAorAcrampingAofAtheAlegsAthatAoccursAduringAexertionAandAisArelievedAbyArestAisAtermed
:
neurogenicAclaudication.
intermittentAclaudication.
atheroscleroticAperipheralAvascularAdisease.
Raynaud'sAdisease.A-ACORRECTAANSWERS-intermittentAclaudication.
AAsudden,Atearing,AsharpApainAthatAbeginsAinAtheAchestAandAradiatesAtoAtheAbackAorAintoAth
eAneckAisAusuallyAassociatedAwith:
anginaApectoris.
aAmyocardialAinfarction.
anAaorticAdissection.
pericarditis.A-ACORRECTAANSWERS-anAaorticAdissection.
AAtwelve-month-
oldAhasAaAhistoryAofAheartAfailureArelatedAtoAhisAcongenitalAheartAdefect.AHeAisAreceivingAal
dactoneA(Spironolactone),AenalaprilA(Vasotec),AfurosemideA(Lasix),AandAacetaminophenA(
Tylenol).ATheAinfant'sApotassiumAlevelAisA3.1AmEq/l.AWhichAmedicationAisAmostAlikelyAdecr
easingAhisApotassiumAlevel?
AldactoneA(Spironolactone)
FurosemideA(Lasix)
EnalaprilA(Vasotec)
AcetaminophenA(Tylenol)A-ACORRECTAANSWERS-FurosemideA(Lasix)
AApatientAcomplainsAofAaAtight,AburstingApainAinAtheAcalfAthatAincreasesAwithAwalking.AEleva
tionAofAtheAlegAsometimesArelievesAtheApain.ATheseAsymptomsAmayAbeAconsistentAwith:
intermittentAclaudication.
Raynaud'sAdisease.
deepAvenousAthrombosis.
superficialAthrombophlebitis.A-ACORRECTAANSWERS-deepAvenousAthrombosis.
SymptomsAofAorthostaticAhypotensionAincludeAallAofAtheAfollowingAexcept:
syncope.
unsteadiness.
visualAblurring.
respiratoryArateAgreaterAthanA30.A-ACORRECTAANSWERS-
respiratoryArateAgreaterAthanA30.
WhenAauscultatingAtheAheartAforAaorticAinsufficiency,AaskAtheApatientAto:
lieAsupineAandAinhale.
exhaleAwhileAstanding.
turnAtoAtheAleftAsideAandAbreathAdeeply.
sitAup,AleanAforward,AandAexhale.A-ACORRECTAANSWERS-
sitAup,AleanAforward,AandAexhale.
WhenApalpatingAtheAcarotidApulse,AitAisAimportantAto:
placeAtheAfingersAonAtheAupperAthirdAofAtheAneck.
palpateAbothAcarotidsAsimultaneously.
positionAtheApatientAinAtheAlyingAorAsittingApositions.