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PANCE - PREP PEARLS EXAM QUIESTION & ANSWERS 2025.docx

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PANCE - PREP PEARLS EXAM QUIESTION & ANSWERS

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  • January 8, 2025
  • 462
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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elayna74
PANCE - PREP PEARLS EXAM QUIESTION &
ANSWERS 2025
systolic "ejection" crescendo-decrescendo harsh murmur at RUSB that
radiates to carotids - Correct Answers ✅✅aortic stenosis


harsh diastolic rumble murmur at apex (low) in LLD that may be
preceded by OPENING SNAP and is MCC by ________ - Correct
Answers ✅✅mitral Stenosis


rheumatic heart disease


what is a diastolic decrescendo blowing murmur @ LUSB and is
associated with hammer rumble - Correct Answers ✅✅aortic
regurgitation


note:
wide pulse pressure
increases with handgrip
decreases with amyl nitrate
+/- austin flint murmur = mid-late diastolic rumble at apex


aortic regurgitation + head bobbing - Correct Answers
✅✅DeMussets

,PANCE - PREP PEARLS EXAM QUIESTION &
ANSWERS 2025
aortic regurgitation + nailbed pulsations - Correct Answers
✅✅Quincke pulses


blowing holosystolic murmur @ apex that radiates to axilla - Correct
Answers ✅✅mitral regurgitation


note:
increases with handgrip
decreases with amyl nitrate


midsystolic ejection click at apex is caused by what - Correct Answers
✅✅mitral valve prolapse


note: reassurance and good prognosis in asymptomatic pts or with mild
sx


systolic ejection crescendo-decrescendo flow murmur at PULMONIC
AREA - Correct Answers ✅✅atrial septal defect


note:
ostium secundum most common
left to right shunt (noncyanotic)

,PANCE - PREP PEARLS EXAM QUIESTION &
ANSWERS 2025

continuous machinery murmur that is loudest at pulmonic area -
Correct Answers ✅✅patent ductus arteriosus


note: left to right shunt (noncyanotic), continued PGE2 production
promotes patency, IV indomethacin if preterm to close PDA


systolic murmur that radiates to the back/scapula/chest
increase BP upper > lower extermities
delayed/weak femoral pulses - Correct Answers ✅✅coarctation of
aorta


along with coarctation of aorta, 70% also have ____ - Correct Answers
✅✅bicuspid aortic valves


coarctation of aorta
CXR - Correct Answers ✅✅rib notching




note:
"3 sign" on barium swallow
angiogram gold standard

, PANCE - PREP PEARLS EXAM QUIESTION &
ANSWERS 2025
Tx balloon angioplasty, PGE1


tetralogy of fallot is what type of shunt?


What are the defects
1.
2.
3.
4. - Correct Answers ✅✅right to left


1. VSD
2. R ventricular hypertrophy
3. overriding aorta
4. pulmonic stenosis (RV outflow obstruction)


(photo: boot-shaped heart)


anti-arrhythmic classes
I
II
III

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