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 - ACCURATE ANSWERS d. Aortic reg...
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 - ACCURATE ANSWERS✔✔ 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.
Which of the following is the most common clinical manifestation of
osteoporosis?
a. Bone deformity
b. Bone pain
,c. Pathologic fracture
d. Fat embolism - ACCURATE ANSWERS✔✔ 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.
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. - ACCURATE
ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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.
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 - ACCURATE ANSWERS✔✔ c.
Hyperparathyroidism
Which of the following statements is true regarding contraceptives?
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