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Choose your answers from a-d by clicking the radio button next to each choice and then press 'Submit' to get your score.

Which of these features suggest that a pulsation in the neck is arterial?

a) A waggling earlobe

b) Positive for hepatojugular reflux

c) No variation with posture

d) Pressure in the root of the neck reduces the impulse

A palpable left parasternal impulse suggests which abnormality?

a) Right ventricular hypertrophy

b) Aortic stenosis

c) Aortic regurgitation

d) Left ventricular hypertrophy

Which of these is not necessary when examining the jugular venous pulse?

a) Patient's neck muscles should be relaxed

b) Timing the pulsation with the radial pulse

c) Good lighting

d) Patient lying at 45 degree angle

Which of these combinations of clinical features is most suggestive of mixed mitral valve disease with a predominance of mitral regurgitation?

a) Displaced apex beat; soft first heart sound; pan-systolic murmur; short mid-diastolic murmur

b) Irregularly, irregular pulse; displaced apex beat; ejection systolic murmur; short mid-diastolic murmur

c) Displaced apex beat; normal first heart sound; pan-systolic murmur; long mid-diastolic murmur

d) Tapping apex beat; loud first heart sound; pan-systolic murmur; long mid-diastolic murmur

In a patient with chest pain which of these features is most suggestive of a myocardial infarction?

a) Very severe pain

b) Sweating and vomiting

c) Pain has lasted for over a week

d) Pain is sharp like a knife

Oxford University Press, Online Resource Centre, Chapter 4.