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Exam (elaborations)

Barkley 3P Questions and Correct Answers | Latest Update

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  • AGACNP Barkley

You are auscultating Jon's chest. When he sits up and leans forward, you can hear a high pitched, blowing murmur at S2. What does this type of murmur most likely indicate? a. Mitral stenosis b. Aortic Stenosis c. Mitral regurgitation d. Aortic regurgitation → ~:- d. Aortic regurgitati...

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  • September 23, 2024
  • 60
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • AGACNP Barkley
  • AGACNP Barkley
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1 | P a g e | © copyright 2024/2025 | Grade A+




Barkley 3P Questions and Correct
Answers | Latest Update
You are auscultating Jon's chest. When he sits up and leans forward, you can

hear a high pitched, blowing murmur at S2. What does this type of murmur

most likely indicate?




a. Mitral stenosis


b. Aortic Stenosis


c. Mitral regurgitation


d. Aortic regurgitation


→ ~:- d. Aortic regurgitation




Aortic regurg is soft, high pitched, blowing diastolic decrescendo that best

heard at the 3rd left interspace at base. Murmur initiated w/ S2 and heard

when Pt sits up and leans forward. Mitral Stenosis= low pitched diastolic

rumble & doesn't radiate. Best heard in apex when in left lateral position.

Aortic stenosis= loud, harsh murmur midsystole, radiated down the side of

neck and down apex. Mitral regurg= loud blowing murmur heard at apex

and is pansystolic.




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


Which of the following is the most common clinical manifestation of

osteoporosis?




a. Bone deformity


b. Bone pain


c. Pathologic fracture


d. Fat embolism


→ ~:- a. Bone deformity




most common metabolic bone disease, is chronic, progressive, & systemic;

Low bone mass and deterioration of bone tissue, = leads to increased skeletal

fragility & deformity. Osteoporosis usually not apparent until AFTER a fracture;

2/3 of vertebral fractures are painless. Fat embolism from fat obstruction d/t

injury or trauma & not common in osteoporosis.




A male patient requests a phosphodiesterase inhibitor to treat erectile

dysfunction. Which of the following is appropriate?


a. Tadalafil (Cialis) may be used at a dose of 2.5 mg daily if sexual activity will

take place two or more times per week.




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


b. Vardenafil (Levitra), 5 mg, may be taken with a high-fat meal four hours

before sexual activity


c. Sildenafil (Viagra), 50 mg, may be taken one hour before sexual activity as

long as the patient has a resting blood pressure below 170/110 mm Hg


d. Avanafil (Stendra) is recommended at 50 mg for all patients, and may be

taken 30 minutes before sexual activity.


→ ~:- a. Tadalafil (Cialis) may be used at a dose of 2.5 mg daily if sexual

activity will take place two or more times per week.




Which of the following is NOT part of Virchow's Triad?


a. Hypercoagulability


b. Damage to endothelial cells


c. Sympathetic tone


d. Turbulent blood flow


→ ~:- c. Sympathetic tone




Virchow's triad is a method of describing the three main factors that lead to a

thrombosis -- sympathetic tone is not one of those and doesn't affect blood

clotting.




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


Hypercoagulability does lead to clotting, including malignancy, trauma,

sepsis, and thrombophilia. Endothelial cell damage is part of Virchow's triad

bc it causes blood to clot by promoting platelet adherence to the wall of the

vessels; vascular wall injury is the second aspect of Virchow's triad. Lastly,

turbulent blood flow is a constituent of circulatory stasis the third component

of the triad, which can be caused by atrial fibrillation, venous obstruction,

and ventricular dysfunction




A patient with kidney stones also presents with hypercalcemia and mental

confusion. The practitioner should evaluate the patient for which of the

following?




a. Cushing Syndrome


b. Conn's Syndrome


c. Hyperparathyroidism


d. Addison's disease


→ ~:- c. Hyperparathyroidism




Which of the following statements is true regarding contraceptives?




Master01 | September, 2024/2025 | Latest update

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