1) a 45 year old male is here for a "routine physical". During the history the patient states he's been having difficuulty sleeping. "i'll be sleeping great and then I wake uup and feel like I can't get my breath." Your best response would be:
a) "when was your last electrocardiogram?"
b) "Its probably because its been so hot at night."
c) Do you have any history of problems with your heart?"
D) Have you had a recent sinus infection or upper respiratory infection?
2) Which of the following would be an expected finding in a cardiac assessment of a four year old?
a) s3 when sitting up
b) persistent tachycardia > 150
c) murmur at second left intercostal space when supine
d) Palpable apical impulse in fifth intercostal space lateral to midclavicular line.
3) The mother of a 10month old tells you that she has noticed that her son becomes blue when he is crying and that the frequency of this is increasing. He is also not crawling yer. In your examination you palpate a thrill at the left loweer sternal border and auscualtate a lound systolic murmur in the same area. What would be the most likely cause of these findings?
a) tetralogy of Fallot
b) atrial deptal defect
c) Patent ductus arteriosis
d) ventricular septal defect
4) A 67 yr old patient states that he recently began to develpp pain in his left calf when climbing the 10 staries to his apartment. This pain is relieved by sitting for about 2 minutes, then he is able to resume his activities. This patient is most likely experiencing:
a) claudication
b) sore muscles
c) muscle cramps
d) venous insufficiency
Please help me with these questions I do not have answers for them.
