The Cardiovascular System Multiple Choice

1. A 42-year-old receptionist presents to the office for evaluation of fatigue. The fatigue has been present for several months. Upon auscultation of the heart, the S1 sound is accentuated. Which is the most likely cause of her accentuated S1 given her symptoms?

(A)

Anemia

(B)

Mitral regurgitation

(C)

Right bundle branch block

(D)

Atrial fibrillation

2. A 38-year-old file clerk presents to your office for evaluation of fatigue. She has a 20-pack-a-year history of smoking and had rheumatic heart fever in childhood. On auscultation of her heart, the S2 sound is widely split; that is, it persists throughout the respiratory cycle. What is the most likely cause of the widely split S2?

(A) Physiologic cause

(B) Pulmonic stenosis

(C) Atrial septal defect

(D) Left bundle branch block

3. A 19-year-old college student presents to your office for evaluation of episodes of chest pain and shortness of breath. She has no medical problems. She does not smoke, drink alcohol, or use illicit drugs. She is on the dean's list and is studying electrical engineering. On auscultation of her heart, you hear a mid-systolic click at the apex. What is her most likely diagnosis?

(A)

Bicuspid aortic valve

(B)

Pulmonary hypertension

(C)

Mitral valve prolapse

(D)

Mitral stenosis

4. A 5-year-old child presents with his parents for a regular checkup. He has normal growth and development and is appropriately physically active. On auscultation of his heart, you hear a grade 2 murmur at the 2nd through 4th left interspaces between the left sternal border and the apex. It has a medium pitch, and the quality of the sound is variable. It does not radiate. It disappears when the patient is sitting. What is the most likely cause of this murmur?

(A)

Innocent

(B)

Pulmonic stenosis

(C)

Physiologic

(D)

Bicuspid aortic valve

5. A 62-year-old construction worker presents to your office for evaluation of fatigue. He has an elevated blood pressure with a widened pulse pressure. Upon auscultation of his heart, you hear a mid-systolic murmur at the right second interspace that radiates to the neck. It has a medium pitch and a harsh quality. It is best heard when you sit the patient up and lean him forward. What is your most likely diagnosis?

(A)

Physiologic

(B)

Pulmonic stenosis

(C)

Aortic stenosis

(D)

Hypertrophic cardiomyopathy

6. A 52-year-old computer analyst presents to the office for a checkup. He is doing well except that he has noticed increasing shortness of breath with physical exertion, so he has cut down on his recreational activities. On auscultation of the heart, you hear a blowing, medium-pitched pansystolic murmur at the apex. It radiates to the left axilla and does not change with inspiration. This murmur is most likely:

(A) Mitral regurgitation

(B) Tricuspid regurgitation

(C) Ventricular septal defect

(D) Aortic stenosis

Was this article helpful?

0 0
Blood Pressure Health

Blood Pressure Health

Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

Get My Free Ebook


Post a comment