Exam 2

Question 1

What age do blood pressure checks start?

Answer 1

3 years old

Question 2

How do you assess for a Still’s murmur?

Answer 2

carotid artery compression: causes the murmur to disappear

Question 3

How do you assess tolerance of physical activity in an adult patient who had angioplasty with stent placement?

Answer 3

Treadmill Stress Test

Question 4

What is heard/auscultated in a patient with a Diastolic Murmur?

Answer 4

Aortic Regurgitation

Question 5

Valve that does not close

Answer 5

Incompetent Valve

Question 6

If you are unable to capture an arrhythmia by EKG in office, what needs to be ordered?

Answer 6

24 hr. Holter Monitor

Question 7

What creates the S1 sound?

Answer 7

closure of the Mitral Valve

Question 8

What creates the S2 sound?

Answer 8

closure of the Aortic and Pulmonic Valves.

Question 9

Where is S2 best auscultated?

Answer 9

base of the heart

Question 10

Grade 4 Murmur

Answer 10

loud with a Palpable Thrill

Question 11

What diagnostic is used for a patient with suspected Pulmonary Embolism?

Answer 11

CT of the Chest

Question 12

Who is at high risk of Pulmonary Embolism?

Answer 12

Postpartum patients.

May have normal VS with tachypnea

Question 13

How do you position a patient to evaluate for Aortic Stenosis?

Answer 13

Upright and leaning forward

Question 14

What are the JNC guidelines for a hypertensive and diabetic patient ?

Answer 14

they are at risk for CAD; Should maintain LDL less than 70

Question 15

Where is a Venous Hum best heard?

Answer 15

medial third costal of the right clavicle

Question 16

what is a S3 heart sound

Answer 16

Ventricular Gallop Rhythm

Question 17

What does an S3 indicate?

Answer 17

HF or CHF

Question 18

What are expected assessment findings in patients with peripheral arterial disease (PAD)?

Answer 18

Decreased hair on the lower extremities & thick toenails

Question 19

What history is common in a patient with a Venous Stasis Ulcer?

Answer 19

Prior DVT & decreased circulation

Question 20

Assessment finding in patient with Superficial Thrombophlebitis

Answer 20

Tenderness along the dilated vessels

Question 21

Assessment finding in DVT

Answer 21

Unilateral leg edema; measure the leg circumference bilaterally.

Question 22

Confirmation diagnostic of suspected DVT

Answer 22

Duplex Ultrasonography

Question 23

Education for patients with Heart Failure

Answer 23

Stop Smoking
Pneumonia Vaccine
Regular Exercise as tolerated

Question 24

Class II Heart Failure

Answer 24

mild symptoms & fatigue with ordinary activity

Question 25

Systolic Heart Failure

Answer 25

HF w/decreased EF. (EF<40%)

Question 26

Diastolic Heart Failure

Answer 26

HF w/preserved EF. (EF>40%)

Question 27

Men 65 and older

Answer 27

should be assessed for Aortic Abdominal Aneurysm (AAA)

Question 28

Confirmatory diagnostic of Heart Failure

Answer 28

2D Echocardiogram

Question 29

Normal Systolic BP of patients younger than 60 years old.

Answer 29

less than 140

Question 30

Intermittent Claudication

Answer 30

use Ankle Brachial Index to assess for Intermittent Claudication. Beta Blockers worsen claudication

Question 31

Peripheral Arterial Disease (PAD) diagnosis

Answer 31

Ankle Brachial Index < 9

Question 32

Arterial Ulcers

Answer 32

lead to gangrene

Question 33

Nephritic Syndrome frequent sign/symptom

Answer 33

edema

Question 34

Renal Artery Stenosis

Answer 34

most common cause of secondary hypertension in pediatrics. | routine BP checks at every visit are important.

Question 35

What is NOT indicative of renal artery disease?

Answer 35

Frequent UTIs

Question 36

Risk factor for Coronary Artery Disease (CAD)

Answer 36

LDL > 150

Question 37

CRP

Answer 37

order to assess cardiovascular risk

Question 38

Characteristics of Chest Pain/Angina patient complaints

Answer 38

dull, heavy, squeezing sensation

Question 39

Near-syncopal episode

Answer 39

order 24 hour Holter Monitor

Question 40

RSV

Answer 40

most common respiratory virus in children

Question 41

RSV treatment

Answer 41

supportive: upper airway suctioning, prevention of significant/prolonged hypoxia & dehydration.

Question 42

Pulmonary Function Test

Answer 42

confirms diagnosis of Asthma, COPD & Chronic Bronchitis

Question 43

Epiglottis

Answer 43

medical emergency; abrupt in onset

Question 44

COPD & Asthma

Answer 44

progressive; symptoms worsen with time

Question 45

Moderate Persistent Asthma

Answer 45

symptoms everyday

Question 46

COPD patient assessment

Answer 46

barrel chest: anterior/posterior diameter

Question 47

Pneumonia assessment

Answer 47

consolidation and dullness in the lungs, low-grade fever & dry cough

Question 48

Viral pneumonia

Answer 48

ground-glass opacities

Question 49

Pleuritic chest pain

Answer 49

should suspect M. Pneumoniae

Question 50

Prevnar 13 vaccine

Answer 50

all adults should receive it at least once.

Question 51

Costochondritis sign/symptom

Answer 51

pain over the sternum

Question 52

Pneumothorax assessment

Answer 52

absence of adventitious lung sounds over air space

Question 53

Differential diagnosis for a child with Croup

Answer 53

Diphtheria, RSV, Epiglottis,

Question 54

Croup sign/symptom

Answer 54

barking cough

Question 55

Chronic cough

Answer 55

chest x-ray to rule out pathology

Question 56

Obstructive Sleep Apnea (OSA)

Answer 56

predominant in middle-aged men.

Question 57

Education for obese patients at risk of OSA

Answer 57

preventative measures: weight control, avoidance of alcohol, and sedatives at night.

Question 58

Obese patient with hypertension:

Answer 58

rule out OSA as a cause of hypertension.