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ROSH Review- Cardiovascular & Pulmonology Exam Questions and Answers | 100% Pass
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ROSH Review- Cardiovascular & Pulmonology Exam Questions and Answers | 100% Pass A 65-year-old man with a medical history of atherosclerosis, hypertension, and stable angina presents to the clinic for routine follow-up. Current medications include lisinopril, atorvastatin, aspirin, and propran...

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  • September 15, 2024
  • 43
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • rosh review cardiovascular pulmonology exam que

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©SOPHIABENNETT
EXAM_SOLUTIONS GUARANTEED SUCCESS 2024/2025 ACADEMIC YEAR




©SOPHIABENNETT 9/3/24 2024/2025

, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM



ROSH Review- Cardiovascular &
Pulmonology Exam Questions and
Answers | 100% Pass

A 65-year-old man with a medical history of atherosclerosis, hypertension, and stable

angina presents to the clinic for routine follow-up. Current medications include lisinopril,

atorvastatin, aspirin, and propranolol. Vital signs are HR 76 bpm, RR 17 breaths per

minute, BP 142/88 mm Hg, T 97.6°F, and SpO2 97% on room air. During cardiac

auscultation, a harsh crescendo-decrescendo systolic ejection murmur is heard over the

right upper sternal border with radiation to the carotids bilaterally. Which of the following

maneuvers is most likely to accentuate this murmur?




A) Abrupt standing

B) Handgrip

C) Lying down

D) Squatting

E) Valsalva maneuver - Answer✔️✔️-D) Squatting

Which of the following pathophysiologic changes is characteristic of chronic obstructive

pulmonary disease?



A) Decreased elastic recoil pressure

B) Decreased number of goblet cells

Page | 1

, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM


C) Decreased static hyperinflation

D) Small airway dilation - Answer✔️✔️-A) Decreased elastic recoil pressure

A 65-year-old man presents to the clinic with chest pain for 2 days. The physical

examination reveals signs of dyspnea. Which of the following physical examination

findings are associated with dyspnea?



A) Barrel chest

B) Oxygen saturation of 88%

C) Pursed-lip breathing

D) Wheezing - Answer✔️✔️-C) Pursed-lip breathing

A 59-year-old man presents to the clinic to establish care. Past medical history includes

type 2 diabetes mellitus and prior non-ST elevation myocardial infarction. Medications

are metformin 2 g daily, canagliflozin 100 mg daily, aspirin 81 mg daily, losartan 50 mg

daily, carvedilol 25 mg twice daily, and pravastatin 40 mg daily. He has never smoked,

and his blood pressure is 127/81 mm Hg. Laboratory data is as follows:



Total cholesterol: 191 mg/dL

HDL cholesterol: 43 mg/dL

LDL cholesterol: 138 mg/dL

Sodium: 138 mEq/L

Potassium: 4.2 mEq/L

Chloride: 101 mEq/L

Bicarbonate: 27 mEq/L


Page | 2

, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM


Blood urea nitrogen: 22 mg/dL

Creatinine: 1.1 mg/dL

Hemoglobin A1C: 7.4%



Which of the following would be the most appropriate changes to make to this patient's

statin regimen?



A) Change pravastatin to atorvastatin 80 mg daily

B) Change pravastatin to rosuvastatin 10 mg daily

C) Continue pravastatin 40 mg daily

D) Increase pravastatin to 8 - Answer✔️✔️-A) Change pravastatin to atorvastatin 80 mg

daily

A 60-year-old man presents with shortness of breath. Auscultation of his chest with the

patient lying supine at 45 degrees reveals a systolic murmur at the left lower sternal

border and a jugular venous pressure at 5 cm above the sternal notch. What is the

diagnosis?



A) Mitral valve prolapse

B) Tricuspid regurgitation

C) Tricuspid stenosis

D) Ventricular septal defect - Answer✔️✔️-B) Tricuspid regurgitation

A 52-year-old man with a history of diabetes mellitus type 2 and cigarette smoking

presents to your clinic with a six-month history of worsening leg pain. The patient


Page | 3

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