0 of 30 Questions completed
Questions:
You have already completed the quiz before. Hence you can not start it again.
Quiz is loading…
You must sign in or sign up to start the quiz.
You must first complete the following:
0 of 30 Questions answered correctly
Your time:
Time has elapsed
You have reached 0 of 0 point(s), (0)
Earned Point(s): 0 of 0, (0)
0 Essay(s) Pending (Possible Point(s): 0)
A 77-year-old woman has an acute dissection of a thoracic aortic aneurysm. Which of the following is the most likely underlying cause of the aneurysm and dissection?
An 8-year-old boy has a bicuspid aortic valve. He is at greatest risk of developing which of the following?
A 70-year-old asymptomatic man stopped smoking 20 years earlier but has a 30-pack year history of smoking. Which of the following is the recommendation of the U.S. Preventive Services Task Force regarding abdominal ultrasonography in screening for abdominal aortic aneurysm?
A 44-year-old man has a 3 week history of low grade fever, arthralgia, and easy fatigability. Oral temperature of 101 degrees F. Examination is normal except for a 2/6 apical holosystolic murmur. Which of the following is not considered a major Duke criterion for diagnosis of infective endocarditis?
A 67-year-old male presents to the clinic with a 3 month history of a persistent cough which worsens when he lies down. He is concerned because he is barely able to walk from his bedroom to the kitchen without “getting winded” and having to rest. He denies chest pain. Past history is significant for asthma and GERD. Current medications are albuterol and pantoprazole. Vital signs are notable for a blood pressure of 172/104 mmHg, heart rate is 98 beats/min, and respirations are 24 breaths/min at rest. Pulse oximetry is 92% on room air. Exam reveals mild JVD and diminished peripheral pulses. The heart has a regular rate and rhythm. Crackles are heard in both lung bases. Which of the following treatments will provide the greatest long-term benefit?
A 71-year-old male with a 20+ year history of poorly controlled hypertension presents with dyspnea with minimal exertion and chronic fatigue. He has intermittent, brief episodes of left sided chest pain that resolves with rest. Vital signs are within normal limits. Physical exam reveals muffled heart sounds with an S4 gallop and an apical lift. 2+ pitting edema is noted in the lower extremities bilaterally. BNP is 1844 pg/ml. An echocardiogram reveals an ejection fraction of 54%. Which of the following is the most likely diagnosis?
According to the latest American Heart Association (AHA) and the American College of Cardiology Foundation (ACCF) guidelines, which of the following is the most important consideration in the treatment of Stage A congestive heart failure (CHF)?
A 48-year-old man with bipolar disorder is well-controlled on lithium. He recently developed hypertension. Which of the following antihypertensive drugs is most likely to cause lithium toxicity if prescribed to him by your practice?
The most common cause of right sided heart failure is left sided heart failure. Which of the following is the most common cause of left sided heart failure?
Which of the following is the recommended initial step in the treatment/management of cardiogenic shock after an acute myocardial infarction?
Which of the following is a common etiology of dilated cardiomyopathy?
Which of the following is not useful in the management of diastolic congestive heart failure?
A patient arrives at the emergency department complaining of shortness of breath. Her physical examination is significant for hives and blood pressure of 70/40. Which of the following pharmacologic agents is indicated?
Which answer best describes the electrocardiogram shown?
Which of the following is the best agent for treatment of hypertension in a patient with stable angina pectoris and past myocardial infarction?
Which answer best describes the electrocardiogram shown?
Which of the following best describes this EKG?
A 64-year-old female is admitted to the hospital following a stent placement for an antero-septal myocardial infarction. On her third postoperative day she starts to complain of recurrent chest pain and is found to have a new murmur which is holosystolic, and very harsh sounding. There is a palpable thrill. Which of the following is the most likely diagnosis?
Which of the following medications could be used to treat the cardiac rhythm in a patient with atrial fibrillation?
A 63-year-old female with a history of severe COPD presents with a complaint of palpitations for approximately 2 hours. She denies any chest pain or increasing shortness of breath. On examination her pulse is irregularly irregular is 138 beats per minute. Her blood pressure is 148/92. On auscultation her heart rate is tachycardic and irregular, but there are no additional sounds. Her ECG is pictured below. Which of the following is the most likely diagnosis?
A 40-year-old male presents with lower leg pain and erectile dysfunction. Auscultation of the legs reveals an absent femoral and distal pulse and an iliac bruit. Doppler study reveals an ankle-brachial index of 0.7. Based on the patient’s presentation, physical examination, and test results, which of the following is the most appropriate diagnosis?
Which of the following describes the type of shock that is the result of hemorrhage, loss of plasma, or loss of fluids and electrolytes?
A 46-year-old obese male presents in the emergency room with acute myocardial infarction. The patient’s initial blood pressure is 140/70 mmHg. Shortly after presentation, the patient’s blood pressure drops to 80/40 mmHg, heart rate is 130 beats per minute, and he becomes agitated and confused. Based on the presentation and patient’s condition, which of the following is the best diagnosis?
A 46-year-old African-American female presents with a persistent non-specific headache. Physical examination reveals her blood pressure to be 230/130 mmHg. Which of the following refers to the disorder that is characterized by blood pressure readings of this range?
A 55-year-old male presents to the emergency room in hypovolemic shock. Which of the following laboratory tests will assist in revealing the cause of shock?
A 38-year-old male presents with lightheadedness when transferring from a sitting position to a standing position. Blood pressure reading in the sitting position is 130/80 mmHg. Blood pressure reading in the standing position is 100/60 mmHg. Based on the patient’s presentation and blood pressure readings, which of the following is the most accurate diagnosis?
A 44-year-old female presents with dizziness and syncopal episodes when transferring from a sitting to a standing position. Blood pressure in the sitting position is 130/80 mmHg. Blood pressure in the standing position is noted to be 90/50 mmHg. It is noticed that her pulse rate in the sitting position is 80 beats per minute, while it is 105 beats per minute when standing. Based on this information, which of the following is the cause of the patient’s postural hypotension?
A 24-year-old Caucasian male presents for a routine physical exam. His blood pressure has been routinely elevated with little or no reduction in response to dietary adjustments or diuretic therapy. Which of the following is the class of medication you would prescribe to control blood pressure?
A 40-year-old white male with a history of diabetes presents for his annual physical examination. His blood pressure is moderately elevated at 150/90 mmHg. Diuretic therapy has proven to be ineffective in controlling the patient’s blood pressure. Which of the following is the class of medication you would prescribe to this patient to control his blood pressure?
Which of the leads of an electrocardiogram represent the posterior wall of the heart muscle?