Question 1

A palpable rushing vibration over the base of the heart at the second intercostal space is called a:

Accepted Answer

A)  heave. 
B)  lift. 
C)  thrill. 
D)  thrust. 
A)  heave. 
B)  lift. 
C)  thrill. 
D)  thrust. C

Question 2

To estimate heart size by percussion, you should begin tapping at the:

Accepted Answer

A)  anterior axillary line. 
B)  left sternal border. 
C)  midclavicular line. 
D)  midsternal line. 
A)  anterior axillary line. 
B)  left sternal border. 
C)  midclavicular line. 
D)  midsternal line. A

Question 3

The most helpful finding in determining left-sided heart failure is:

Accepted Answer

A)  dyspnea. 
B)  orthopnea. 
C)  jugular vein distention. 
D)  an S3 heart sound. 
A)  dyspnea. 
B)  orthopnea. 
C)  jugular vein distention. 
D)  an S3 heart sound. C

Question 4

You are listening to a patient's heart sounds in the aortic and pulmonic areas. The sound becomes asynchronous during inspiration. The prevalent heart sound in this area is most likely:

Accepted Answer

A)  S1. 
B)  S2. 
C)  S3. 
D)  S4. 
A)  S1. 
B)  S2. 
C)  S3. 
D)  S4.

Question 5

A lift along the left sternal border is most likely the result of:

Accepted Answer

A)  aortic stenosis. 
B)  atrial septal defect. 
C)  pulmonary hypertension. 
D)  right ventricular hypertrophy. 
A)  aortic stenosis. 
B)  atrial septal defect. 
C)  pulmonary hypertension. 
D)  right ventricular hypertrophy.

Question 6

A condition that is likely to present with dizziness and syncope is:

Accepted Answer

A)  bacterial endocarditis. 
B)  hypertension. 
C)  sick sinus syndrome. 
D)  pericarditis. 
A)  bacterial endocarditis. 
B)  hypertension. 
C)  sick sinus syndrome. 
D)  pericarditis.

Question 7

If the apical impulse is more vigorous than expected, it is called a:

Accepted Answer

A)  lift. 
B)  thrill. 
C)  bruit. 
D)  murmur. 
A)  lift. 
B)  thrill. 
C)  bruit. 
D)  murmur.

Question 8

To hear diastolic heart sounds, you should ask patients to:

Accepted Answer

A)  lie on their back. 
B)  lie on their left side. 
C)  lie on their right side. 
D)  sit up and lean forward. 
A)  lie on their back. 
B)  lie on their left side. 
C)  lie on their right side. 
D)  sit up and lean forward.

Question 9

Your patient has been diagnosed with pericarditis. Which are signs and symptoms, or a precipitating factor? (Select all that apply.)

Accepted Answer

A)  Sharp pain 
B)  Pain relieved by sitting up 
C)  Pain relieved by resting 
D)  Friction rub heard to right of sternum 
E)  History of kidney failure
F) Result of viral infection
G) Result of medications such as procainamide 
A)  Sharp pain 
B)  Pain relieved by sitting up 
C)  Pain relieved by resting 
D)  Friction rub heard to right of sternum 
E)  History of kidney failure
F) Result of viral infection
G) Result of medications such as procainamide

Question 10

An apical PMI palpated beyond the fifth intercostal space may indicate:

Accepted Answer

A)  decreased cardiac output. 
B)  obesity. 
C)  left ventricular hypertrophy. 
D)  hyperventilation. 
A)  decreased cardiac output. 
B)  obesity. 
C)  left ventricular hypertrophy. 
D)  hyperventilation.

Question 11

Which of the following information belongs in the past medical history section related to heart and blood vessel assessment?

Accepted Answer

A)  Adolescent inguinal hernia 
B)  Childhood mumps 
C)  History of bee stings 
D)  Previous unexplained fever 
A)  Adolescent inguinal hernia 
B)  Childhood mumps 
C)  History of bee stings 
D)  Previous unexplained fever

Question 12

In the adult, the apical impulse should be most visible when the patient is in what position?

Accepted Answer

A)  Supine 
B)  Upright 
C)  Lithotomy 
D)  Right lateral recumbent 
A)  Supine 
B)  Upright 
C)  Lithotomy 
D)  Right lateral recumbent

Question 13

A patient you are seeing in the emergency department for chest pain is believed to be having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of "heart trouble." The most important follow-up question you should pose is which of the following?

Accepted Answer

A)  "Did your father have coronary bypass surgery?" 
B)  "Did your father's father have heart trouble also?" 
C)  "What were your father's usual dietary habits?" 
D)  "What age was your father at the time of his death?" 
A)  "Did your father have coronary bypass surgery?" 
B)  "Did your father's father have heart trouble also?" 
C)  "What were your father's usual dietary habits?" 
D)  "What age was your father at the time of his death?"

Question 14

Which one of the following is a common symptom of cardiovascular disorders in the older adult?

Accepted Answer

A)  Fatigue 
B)  Joint pain 
C)  Poor night vision 
D)  Weight gain 
A)  Fatigue 
B)  Joint pain 
C)  Poor night vision 
D)  Weight gain

Question 15

Chest pain with an organic cause in a child is most likely the result of:

Accepted Answer

A)  cardiac disease. 
B)  asthma. 
C)  esophageal reflux. 
D)  arthritis. 
A)  cardiac disease. 
B)  asthma. 
C)  esophageal reflux. 
D)  arthritis.

Question 16

Mr. O, age 50 years, comes for his annual health assessment, which is provided by his employer. During your initial history-taking interview, Mr. O mentions that he routinely engages in light exercise. At this time, you should:

Accepted Answer

A)  ask if he makes his own bed daily. 
B)  have the patient describe his exercise. 
C)  make a note that he walks each day. 
D)  record "light exercise" in the history. 
A)  ask if he makes his own bed daily. 
B)  have the patient describe his exercise. 
C)  make a note that he walks each day. 
D)  record "light exercise" in the history.

Question 17

Your patient, who abuses intravenous (IV) drugs, has a sudden onset of fever and symptoms of congestive heart failure. Inspection of the skin reveals nontender erythematic lesions to the palms. These findings are consistent with the development of:

Accepted Answer

A)  rheumatic fever. 
B)  cor pulmonale. 
C)  pericarditis. 
D)  endocarditis. 
A)  rheumatic fever. 
B)  cor pulmonale. 
C)  pericarditis. 
D)  endocarditis.

Exam 15: Heart

A palpable rushing vibration over the base of the heart at the second intercostal space is called a:

To estimate heart size by percussion, you should begin tapping at the:

The most helpful finding in determining left-sided heart failure is:

You are listening to a patient's heart sounds in the aortic and pulmonic areas. The sound becomes asynchronous during inspiration. The prevalent heart sound in this area is most likely:

A lift along the left sternal border is most likely the result of:

A condition that is likely to present with dizziness and syncope is:

If the apical impulse is more vigorous than expected, it is called a:

To hear diastolic heart sounds, you should ask patients to:

Your patient has been diagnosed with pericarditis. Which are signs and symptoms, or a precipitating factor? (Select all that apply.)

An apical PMI palpated beyond the fifth intercostal space may indicate:

Which of the following information belongs in the past medical history section related to heart and blood vessel assessment?

In the adult, the apical impulse should be most visible when the patient is in what position?

Which one of the following is a common symptom of cardiovascular disorders in the older adult?

Chest pain with an organic cause in a child is most likely the result of:

Mr. O, age 50 years, comes for his annual health assessment, which is provided by his employer. During your initial history-taking interview, Mr. O mentions that he routinely engages in light exercise. At this time, you should:

Your patient, who abuses intravenous (IV) drugs, has a sudden onset of fever and symptoms of congestive heart failure. Inspection of the skin reveals nontender erythematic lesions to the palms. These findings are consistent with the development of:

The History and Interviewing Process

Cultural Competency

Examination Techniques and Equipment

Clinical Reasoning

Documentation

Vital Signs and Pain Assessment

Mental Status

Growth, Measurement, and Nutrition

Skin, Hair, and Nails

Lymphatic System

Head and Neck

Eyes

Ears, Nose, and Throat

Chest and Lungs

Blood Vessels

Breasts and Axillae

Abdomen

Female Genitalia

Male Genitalia

Anus, Rectum, and Prostate

Musculoskeletal System

Neurologic System

Sports Participation Evaluation

Putting it All Together

Emergency or Life-Threatening Situations

Filters