Practice Test GeeksCSC - Cardiac Subspecialty Certification Exam Practice Test
← All CSC Flashcard Decks

Risk Assessment & Management Flashcards

7 cards from real CSC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Risk Assessment & Management flashcards as text

  1. Which validated scoring system best predicts in-hospital mortality after percutaneous coronary intervention (PCI)?

    Answer: NCDR CathPCI Risk Score

    The NCDR CathPCI Risk Score was specifically developed and validated to predict in-hospital mortality following PCI procedures.

  2. A patient with chronic kidney disease (eGFR 28 mL/min/1.73m²) requires contrast angiography. Which intervention most effectively reduces contrast-induced nephropathy risk?

    Answer: IV isotonic saline hydration before and after the procedure

    Adequate IV isotonic saline hydration before and after contrast administration is the most evidence-based intervention to reduce contrast-induced nephropathy.

  3. In the ACC/AHA heart failure staging system, a patient with structural heart disease but no symptoms of heart failure is classified as:

    Answer: Stage B

    Stage B includes patients with structural heart disease (e.g., reduced EF, LVH, or prior MI) who have never had symptoms of heart failure.

  4. Which component of the HAS-BLED score accounts for the highest modifiable bleeding risk in atrial fibrillation patients on anticoagulation?

    Answer: Concomitant antiplatelet or NSAID use

    Concomitant use of antiplatelets or NSAIDs is a readily modifiable risk factor contributing to HAS-BLED bleeding risk score.

  5. What is the primary purpose of coronary artery calcium (CAC) scoring in cardiovascular risk stratification?

    Answer: To reclassify patients from intermediate to high or low risk

    CAC scoring is used to reclassify intermediate-risk patients into higher or lower risk categories to guide statin and aspirin therapy decisions.

  6. In a patient with non-ST-elevation acute coronary syndrome (NSTE-ACS), the TIMI risk score assigns one point for each of the following EXCEPT:

    Answer: Left ventricular ejection fraction <40%

    LVEF <40% is not a component of the TIMI risk score for NSTE-ACS; the seven variables include age, CAD risk factors, prior stenosis, ST changes, troponin, aspirin use, and anginal events.

  7. Which of the following patients is at HIGHEST risk for sudden cardiac death according to current risk stratification guidelines?

    Answer: LVEF 25%, NYHA Class II, prior sustained VT documented

    A patient with severely reduced LVEF (≤35%), symptomatic heart failure, and prior sustained VT carries the highest absolute risk for sudden cardiac death.