OSCE Cardiovascular Assessment

Question 1

During a cardiovascular OSCE station, where is the mitral valve best auscultated?

Accepted Answer

5th intercostal space, midclavicular line

Answer

2nd intercostal space, right sternal edge

Answer

2nd intercostal space, left sternal edge

Answer

4th intercostal space, left sternal edge

Question 2

A third heart sound (S3) auscultated in a 58-year-old patient is most likely indicative of which condition?

Accepted Answer

Heart failure with ventricular dilation

Answer

Athletic training adaptation

Answer

Hypertensive heart disease

Answer

Aortic valve stenosis

Question 3

During JVP assessment, which waveform is characteristically absent in atrial fibrillation?

Accepted Answer

a wave

Answer

x descent

Answer

v wave

Answer

y descent

Question 4

A collapsing (water-hammer) pulse on cardiovascular examination is most characteristic of which valvular pathology?

Accepted Answer

Aortic regurgitation

Answer

Aortic stenosis

Answer

Mitral stenosis

Answer

Pulmonary hypertension

Question 5

Which location is correct for auscultating the aortic valve during a cardiovascular OSCE examination?

Accepted Answer

2nd intercostal space, right sternal edge

Answer

5th intercostal space, midclavicular line

Answer

4th intercostal space, left sternal edge

Answer

2nd intercostal space, left sternal edge

Question 6

During peripheral examination for cardiovascular disease, splinter hemorrhages under the fingernails are most strongly associated with which condition?

Accepted Answer

Infective endocarditis

Answer

Deep vein thrombosis

Answer

Peripheral arterial disease

Answer

Raynaud's phenomenon

Question 7

You find a displaced apex beat at the 6th intercostal space, anterior axillary line. What does this most likely indicate?

Accepted Answer

Left ventricular enlargement

Answer

Hypovolemia

Answer

Right ventricular hypertrophy

Answer

Pericardial effusion