Part 3 Quiz Version - Sinoe medical homepage.

Cardiology – Part 3
Quiz
6.1) While auscultating over the third intercostal space at the left sternal border (3LSB),
splitting of S2 is heard during expiration, with the aortic valve (A2) coming before the
pulmonic valve (P2). What is the likely cause
a) Physiologic
b) Aortic stenosis (AS)
c) Left bundle branch block (LBBB)
d) Hypertrophic obstructive cardiomyopathy (HOCM)
e) Electronic right ventricular pacemaker
6.2) An atrial septal defect (ASD) would likely cause which of the following when
auscultating at 3LSB
a) Splitting of S2 during inspiration
b) Splitting of S2 during expiration
c) Fixed splitting of S2 during inspiration and expiration
d) Mid-systolic murmur with no splitting of S2
e) Random splitting of S2 dependent on heart rate
7.1) What is the lowest grading of systolic murmur (Freeman-Levine system) that is
associated with a palpable thrill
a) 2
b) 3
c) 4
d) 5
e) 6
7.2) Aside from the pulmonic ejection sound, which of the following is true of
pathological auscultatory findings during inspiration
a) Left-sided findings decrease in intensity
b) Left-sided findings increase in intensity
c) Right-sided findings decrease in intensity
d) Right-sided findings increase in intensity
7.3) Which of the following would increase venous return and thus increase ventricular
preload
a) Passive declination (de-elevation) of the legs
b) Going from a squatting to standing position
c) Placing a cold pack on the face
d) Valsalva maneuver
e) Muller maneuver
7.4) Which of the following would be used to decrease systemic arterial pressure
a) Sustained handgrip
b) Amyl nitrite
c) Methoxamine
d) Phenylepherine
e) Premature ventricular contractions
8.1) A patient presents with a systolic murmur that does not change with inspiration.
Which of the following is most likely
a) Aortic stenosis
b) Pulmonic stenosis
c) Pulmonic regurgitation
Version: 16Oct2008 Page 2 of 60