Free Physician Assistant Free Board Review Questions of the Week – Valvular Heart Disease

Adam WandermanPA Question of the Week, Personal Education, Question of the Week

Free board review question of the week valvular heart disease

Free valvular heart disease review questions sample from Med-Challenger.

Med-Challenger offers valvular heart disease review along with everything else that physician assistants need to stay up-to-date and pass PANCE/PANRE exams with in-depth review questions with detailed explanations. More physician assistant review questions can be accessed via a free trial of Med-Challenger PA: Start Free Full Trial

Valvular heart disease review can also be found in a host of other Med-Challenger products for physicians and nurses as well.

This week’s case-based question:

A 35-year-old woman presents complaining of worsening dyspnea on exertion, orthopnea, and paroxysmal nocturnal dyspnea. She has recently noticed blood-tinged sputum. She reports no notable medical history, and her only medication is a multivitamin. She was born in rural Sudan and immigrated to the U.S. in her early 20s. Her family history is unknown.

Her temperature is 98.5 F, heart rate 95, blood pressure 108/72, respiratory rate 18, saturation 99% on room air. She has jugular venous distension to the angle of her jaw. She has a loud S1, and S2 is normally split. She has a quiet apical impulse and a parasternal lift. Her heart is regular, with a 3/6 low-pitched early diastolic rumble at the apex. Her chest is clear to auscultation, with isolated crackles at the bases. Her liver is somewhat enlarged. She has no stigmata of chronic liver disease. She has 2+ bilateral edema in her feet and ankles. Complete blood count, basic metabolic panel, and thyroid-stimulating hormone are normal. Chest x-ray, echocardiogram, MRI and esophagogram show the following:

What is the anatomic diagnosis?

Answer Options

tricuspid regurgitation
mitral stenosis, left atrial enlargement, and right ventricular hypertrophy
aortic regurgitation, mitral regurgitation, and tricuspid regurgitation
pulmonary stenosis and right atrial enlargement
tricuspid stenosis and left atrial enlargement

And the answer is …

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