1. The Valsalva maneuver and the squat-to-stand maneuver are likely to increase the sound of a cardiac murmur associated with which of these conditions?
2. Which of the following conditions may result in lower extremity
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1. The Valsalva maneuver and the squat-to-stand maneuver are likely to increase the sound of a cardiac murmur associated with which of these conditions?
2. Which of the following conditions may result in lower extremity edema?
Not selected symbolNephrotic syndrome
Not selected symbolDecompensated congestive heart failure
Not selected symbolCirrhosis
Not selected symbolRenal failure
Not selected symbolDeep venous thrombosis
Not selected symbolLate-stage pregnancy
3. Art Bakke is a 46-year-old male who is being treated for an acute myocardial infarction. He has now developed significant dyspnea at rest and, per physical exam, has coarse rales involving the lower 2/3 of the lung fields bilaterally. You suspect acute pulmonary edema due to papillary-muscle rupture and acute mitral-valve regurgitation.
Question: Which of the following physical findings would support this diagnostic hypothesis?
A palpable diastolic murmur maximal in the second intercostal space (ICS) at the left sternal border
A harsh, rumbling, diastolic murmur heard maximally in the fourth ICS at the left sternal border
A holosystolic systolic murmur heard maximally in the fifth ICS at the midclavicular line
4. emodynamics and the Frank-Starling law
4. The most common ECG finding in a patient with a cardiomyopathy is an ST-elevation MI.
5. Nina Martinez is a 70-year-old female who experienced an episode of acute pulmonary edema following an endovascular aneurysm repair. She was discharged on furosemide 60 mg daily and instructed to follow up with cardiology. She is now seen in the office at 2 weeks post discharge. Her metabolic panel includes the following lab values:
• Na 126 mEq/L
• K 4.0 mEq/L
• Cl 93 mEq/L
• CO2 28 mEq/L
• BUN 40 mg/dL
• Cr 1.3 mg/dL
Question: This patient has which of the following abnormalities as a likely consequence of diuretic overuse?
Hyponatremia
Hypokalemia
Metabolic acidosis
6. Which of the following are primary cardiomyopathy categories, as described by the World Health Organization (WHO) in 1995?
Dilated cardiomyopathy
Not selected symbolHypertrophic cardiomyopathy (HCM)
Not selected symbolRestrictive cardiomyopathy
Not selected symbolArrhythmogenic right ventricular dysplasia
Not selected symbolUnclassified
7. What is the most common cause of sudden cardiac death in young people?
What is the most common cause of sudden cardiac death in young people?
Incorrect symbolMyocardial infarction
Not selected symbolSupraventricular tachycardia
Not selected symbolArrhythmogenic right ventricular dysplasia; aka arrhythmogenic right ventricular cardiomyopathy (ARVC)
8. Which of the following are treatment options for a patient who presents with peripartum cardiomyopathy while still carrying the fetus? (Select all that apply.)
Not selected symbolACE inhibitors
9. What are the 3 major clinical complications related to cardiomyopathies?
10. Some patients with primary cardiomyopathies remain asymptomatic throughout their lifetime.
11. Evaluation of all 12 leads is required for which of the following when reading a 12-lead electrocardiogram?
Joseph Martinez VE - Walden (Basic)- Student Testing Mode
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Problem List
Evaluated
Related: pounding Tachycardia
Related: fatigue past 3 days, worse with activity
Related: fatigue worsen with activity
Related: shortness of breath with physical effort
MSAP: Irregular heart beat
Resolved/PMH: Tonsillectomy at age 5
Related: Hypertension
Related: High Cholesterol
History Physical Exam Assessment Tests Diagnosis Plan Summary
Select test to show results and interpretations.
chest x-ray PA and lateral
echocardiogram, transthoracic (TTE)
12 lead electrocardiogram (ECG)
troponin T (cTnT)
echocardiogram, transesophageal (TEE)
comprehensive metabolic panel (CMP)
chest x-ray AP
cardiac stress test
complete blood count (CBC)
urinalysis (UA)
Next Step: Make Diagnosis
Basic Science & Clinical Questions - Student Testing Mode
3 of 3
Supplemental exercise #3
Which of the following is the appropriate term for atrial fibrillation that recurs after several cardioversions and the decision is made to not attempt to reestablish normal sinus rhythm?
Persistent atrial fibrillation
Recurrent paroxysmal atrial fibrillation
Newly discovered atrial fibrillation
Permanent atrial fibrillation
13. A person in atrial fibrillation can have an S4 on physical exam.
14. A patient in atrial fibrillation can have an S3 on physical exam.
16. Which of the following agents would not be effective in reducing the ventricular rate in a patient with atrial fibrillation?
17. Fred Colby is a 49-year-old male on warfarin (Coumadin) for ongoing prophylaxis of thromboembolic complications associated with atrial fibrillation who comes to the clinic for his regularly scheduled INR:
18. When counseling patients regarding general cardiovascular health and the prevention of coronary artery disease, you should advise them that dyslipidemia, cigarette smoking, and hypertension may contribute to which of the following conditions in addition to coronary artery disease?
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