Physiology Exam Directions: The following exam consists of various types of questions designed to test the critical reasoning skills of the examinee. Answers are found on the following page, with rationales. This is a Twenty question test, with an allotted time of 45 minutes to indulge one’s academic and clinical prowess. Questions 1-4 are based on the following scenario: A 55 year old male, medium body build of 90 Kg presents complaining of acute shortness of breath. …showed first 75 words of 3144 total…

…showed last 75 words of 3144 total…hypertension; and the prescene of sympromatic dysrhythmsias (palpitations, syncopal or presyncopal episodes. Patients with valvular heart disease may be symptomatic for emobolic events. On physical examination, particular attention should be paid to VS, HR, BP, and PP (determinants of myocardial O2 consumption and delivery) , JVD, peripheral edema, pulmonary edema, or an S3 gallup and the presence of murmurs. Baseline labs include CXR, and ECG. Further evaluation may be determined based on results (Reich and Jaffee)