A 40 year old woman comes to the medical office
complaining of palpitations and some light-
headedness for the past 6 months. These are
random episodes. The nurse practitioner notices a
mid-systolic click with a late systolic murmur that
is best heard in the apical area during auscultation
of the chest. You would suspect:
Atrial fibrillation
Sinus arrhythmia
Mitral stenosis
Mitral valve prolapse Correct Answers Mitral valve
prolapse
A 55 year old female with a history of migraine
headaches has recently been diagnosed with Stage
II hypertension. Her EKG strips reveal second-
degree heart block. The chest x-ray is normal.
Which of the following drugs should this patient
avoid?
ACE inhibitors
Angiotensin receptor blockers
Diuretics
,Calcium channel blockers Correct Answers
Calcium channel blockers
A 62 year old man with a body mass index (BMI) of
30 and a history of asthma has hypertension that
has been well controlled with hydrochlorothiazide
12.5 mg PO daily. His total cholesterol is 230 g/dL.
How many risk factors for coronary artery disease
(CAD) does he have?
One risk factor
Two risk factors
Three risk factors
Four risk factors Correct Answers Four risk factors
A delta wave on the electrocardiogram (ECG) may
be present in which condition?
Prinzmetal's angina
Bundle branch block
Wolff-Parkinson-White syndrome
Aortic stenosis Correct Answers Wolff-Parkinson-
White syndrome
, A harsh systolic murmur is best heard at the right
second intercostal space of the chest. It radiates
into the neck. Which of the following is the correct
diagnosis?
Aortic stenosis
Pulmonic stenosis
Aortic regurgitation
Mitral stenosis Correct Answers Aortic stenosis
A patient present complaining of chest discomfort,
with a heaviness in the center of the chest that is
precipitated by exercise and relieved by rest. The
patient's symptoms are highly suggestive of what
condition?
Angina pectoris
Acute myocardial infarction
Gastroesophageal reflux disease
Acute costochondritis Correct Answers Angina
pectoris