Prometric HAAD/DHA/MOH MOCK TEST - 1
1.
Identify the auscultatory area
2.
A 32-year-old woman presents to the clinic with complaints of palpitations, fatigue, and occasional chest discomfort. She has no significant past medical history. On auscultation, you hear a mid-systolic click followed by a late systolic murmur. What is the most likely diagnosis?
3.
A 75-year-old male presents with dyspnea on exertion and syncope. Physical examination reveals a harsh crescendo-decrescendo systolic murmur best heard at the right upper sternal border, radiating to the carotids. What is the most likely underlying condition?
4.
A 55-year-old woman presents with progressive shortness of breath, especially with exertion. On physical exam, she has a low-pitched, rumbling diastolic murmur best heard at the apex with the patient in the left lateral decubitus position. She also has a loud S1 sound. Which of the following is the most likely cause of her condition?
5.
A 60-year-old male presents with complaints of fatigue and shortness of breath. On physical examination, there is a decrescendo diastolic murmur best heard at the left sternal border. The patient's blood pressure shows a wide pulse pressure. Which valvular abnormality is most likely present?
6.
A 40-year-old male with a history of intravenous drug use presents with fatigue and swelling in his legs. Physical exam reveals a holosystolic murmur heard best at the left lower sternal border, which increases with inspiration. What is the most likely diagnosis?
7.
A 45-year-old man with a known history of mitral regurgitation presents with fever, weight loss, and night sweats over the past few weeks. On examination, a new regurgitant murmur is heard. Blood cultures are positive for Streptococcus viridans. What is the most likely diagnosis?
8.
A 62-year-old male presents with exertional dyspnea and palpitations. On physical exam, you note a high-pitched diastolic murmur and a bounding pulse. Which of the following physical exam findings is most likely present?
9.
A 28-year-old woman presents with dyspnea and fatigue. On auscultation, there is a systolic ejection murmur best heard at the left upper sternal border, accompanied by a wide splitting of the second heart sound (S2). Which of the following is the most likely diagnosis?
10.
A 58-year-old woman presents with shortness of breath and fatigue. Physical examination reveals a holosystolic murmur best heard at the apex, radiating to the axilla. Echocardiogram shows left atrial enlargement. Which of the following is the most likely cause of her condition?
11.
A nurse is caring for a patient who just had a mitral valve replacement surgery. Which of the following is the most important to monitor in the immediate postoperative period?
12.
A patient who has undergone mechanical valve replacement is being discharged. Which of the following medications should the nurse expect the patient to be prescribed long-term?
13.
The nurse is providing discharge instructions to a patient who has had a prosthetic heart valve replacement. Which of the following should be included in the teaching to reduce the risk of infective endocarditis?
14.
A patient is recovering from aortic valve replacement surgery. The nurse knows to monitor for signs of which potential complication?
15.
A nurse is educating a patient post valve replacement surgery about activity restrictions. Which of the following instructions is most appropriate for the nurse to include?
