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FHEA FNP Review – Questions & Accurate Solutions
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FHEA FNP Review – Questions & Accurate Solutions
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FHEA FNP Review – Questions & Accurate SolutionsPresentation of acute coronary syndrome in women Right Ans - Shortness
of breath, weakness, unusual fatigue
Presentation of acute coronary syndrome in elderly Right Ans - Dyspnea,
neurological symptoms, such as syncope, weakness, and confusion, chest pain,
or pressure in less than 50%
Best position for PMI Right Ans - Left lateral decubitus position
* may be harder to feel in people with thick chest wall, obesity, COPD
Physiologic split of S2 Right Ans - Inspiration separates S2 into A2 followed
by P2, heard best in pulmonic region, split increases with patient inspiration.
Benign.
Pathologic Fixed split S2 Right Ans - No change with inspiration or narrows
or closes with inspiration. Also heard best in pulmonic region. Often found an
uncorrected septal defect.
Pathologic S3 heart sound Right Ans - Sign of ventricular overload and or
systolic dysfunction. Heard early in diastole, low pitch and heard best with
Bell. May be seen in heart failure
S4 heart sound Right Ans - Means poor diastolic function, and most often
heard in poorly controlled hypertension or recurrent MI. Heard in late
diastole also called presystolic sound. Soft Low pitch best heard with Bell. If
you can find the cause and treat it, it will resolve.
MR.PASS Right Ans - Mitral Regurgitation
Physiologic(innocent)
Aortic Stenosis
Systolic
Mitral regurgitation description Right Ans - --Heard at apex
—holosystolic
--Radiates Axilla
, --Grade 2-3/6, harsh, blowing holosystolic murmur heard best at the apex and
radiating to the left axilla/back with the diaphragm when the patient is in the
left lateral decubitus position.
o No rubs, clicks, or gallops appreciated.
Aortic stenosis description Right Ans - Crescendo/decrescendo systolic
murmur
MVP (mitral valve prolapse) description Right Ans - Mid systolic click, late
systolic murmur
MSARD Right Ans - Mitral stenosis
Aortic regurgitation
Diastolic ( always pathological)
Mitral stenosis description Right Ans - Late diastolic murmur
Aortic regurgitation description Right Ans - Early diastolic murmur
Benign murmur criteria Right Ans - Negative history.
Lower grade.
No radiation beyond precordium.
S1 and S2 intact.
No heave or thrill.
PMI WNL.
Softens or disappears with supine to stand position.
Hypertrophic cardiomyopathy murmur description Right Ans - Agreed two
out of six mid systolic murmur that increases an intensity with position
change from supine to standing, accompanied by a loud S4
Common presentation sites of gout Right Ans - First Metatarsophalangeal
and wrist
Acute Gout medications Right Ans - Colchicine, steroids, or high dose
NSAIDs
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