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PD Review 10-20-2021

Total questions: 25

Worksheet time: 8mins

Name
Class
Date
1.

A 25yo male with no PMHx presents with dehydration + dizziness. Expected BP upon sitting up from a supine position?

a)

HR suddenly increases to 70bpm upon standing

b)

Systolic BP drops to 85mmHg upon standing

c)

Diastolic BP drops to 70 mmHg upon standing

2.

Which of the following is NOT true regarding S3 gallop?

a)

Occurs after S2 early in diastole

b)

It is a physiologic heart sound heard in all adults

c)

It is a pathologic heart sound that can be heard in patients with CHF

3.

Is the following scenario objective or subjective: LM is a male who presents with labored breathing. Height 6'0", weight 230 lbs, BMI 29, BP 160/82, HR 96 and RR 20:

a)

Objective

b)

Subjective

c)

Both objective and subjective

4.

You hear a murmur in the right 2nd ICS. The murmur is crescendo-decrescendo that lasts throughout systole. What type of murmur is this?

a)

Innocent Murmur

b)

Aortic Stenosis

c)

Mitral Valve Prolapse

5.

Which of the following is considered an appropriate step in promoting optimal weight and nutrition to a patient?

a)

Assess the patient's motivation to change

b)

Ask the patient their clothing size

c)

Address the patient’s dietary intake with a close friend or relative

6.

During a physical exam you ask your patient who was in the supine position to sit up. In regards to the height of the carotid pulsations, it will...

a)

Decrease

b)

Increase

c)

Remain Constant

7.

Which of the following is subjective data?

a)

patient appears lethargic and is struggling to breath

b)

patient states they have been waking up in the middle of the night due to inability to breath

c)

the patient's chest in the lower left part is tender upon palpation of the area. answer

8.

While listening to a patient's heart, you hear a high pitched decrescendo murmur starting immediately after S2 and continuing throughout the first half of diastole. What is this an indication of?

a)

Mitral Regurgitation

b)

Aortic Regurgitation

c)

Aortic Stenosis

9.

Which of the following is true in regards to physiological heart murmurs?

a)

They are caused by increased blood flow across normal valve anatomy.

b)

They are caused by alterations in valve anatomy

c)

They are due to leaking or narrowing of blood flow.

10.

You are performing anterior thoracic percussion on a supine patient. The finger that is placed on the area of percussion is?

a)

Pleximeter

b)

Plexor

c)

Pixar

11.

A 50 year old man comes in with a cough that has lasted for 9 weeks. How would you characterize the duration of his coughing?

a)

Acute

b)

Subacute

c)

Chronic

12.

What do S1 and S2 heart sounds represent?

a)

S1- AV valve opening, S2- Semilunar valve closure

b)

S1- Semilunar valve closure, S2- AV valve opening

c)

S1- AV valve closure, S2- Semilunar valve closure

13.

When evaluating the Jugular Venous Pressure of a hypovolemic patient, the head of the bed should be _____

a)

Greater than 30 Degrees

b)

30 Degrees

c)

Less than 30 Degrees

14.

What is a physician's most useful tool to help diagnose a patient's illness?

a)

Vital Signs

b)

History

c)

Physical Exam

15.

What is considered normal respiration rate for an adult at rest in bpm?

a)

2-10

b)

26-32

c)

12-20

16.

What is idiopathic pain?

a)

Pain without an identifiable etiology

b)

Pain that persists after healing

c)

Pain recurring at intervals of months to years

17.

Normal transmitted voice sounds are described as

a)

Clear & Distinct

b)

Absent

c)

Muffled & Indistinct

18.

Which adventitious breath sound is characterized as a low pitch snoring sound heard in the larger airways?

a)

Wheezes

b)

Rales

c)

Ronchi

19.

What happens when the BP cuff is too small?

a)

No effect on BP

b)

BP will read too high

c)

BP will read too low

20.

What is the systolic blood pressure range for high blood pressure Stage 1?

a)

120-129 mmHg

b)

130-139 mmHg

c)

140-149 mmHg

21.

What disease condition is characterized by an increase in tactile fremitus?

a)

Pneumothorax

b)

Pleural Effusion

c)

Pnemonia

22.

When assessing peripheral pulses, what numeric value would indicate brisk/normal pulses?

a)

3+

b)

2+

c)

1+

23.

Which of the following BMIs is classified as obesity?

a)

23-25

b)

30-32

c)

26-28

24.

The best position to place the patient in to feel the apical impulse?

a)

Left lateral

b)

Right lateral

c)

Supine at 30 degrees

d)

Supine and flat

25.

With standing, the murmur of Hypertropic Cardiomyopathy:

a)

Increases

b)

Decreases

c)

Is unchanged