Practice Test GeeksCMC - Cardiac Medicine Certification Practice Test
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Risk Assessment & Management Flashcards

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

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  1. A 55-year-old woman with type 2 diabetes has an LDL of 105 mg/dL and no prior cardiovascular events. Per 2018 ACC/AHA guidelines, what is her statin therapy indication?

    Answer: Moderate- to high-intensity statin given diabetes as a risk-enhancing condition

    Adults aged 40–75 with diabetes are candidates for moderate- to high-intensity statin; high-intensity is preferred when multiple risk factors or 10-year ASCVD risk ≥ 20% is present.

  2. Which hemodynamic parameter measured during right heart catheterization most directly quantifies pulmonary vascular resistance (PVR)?

    Answer: (Mean PAP − PCWP) / cardiac output

    PVR = (mean PAP − PCWP) / cardiac output, expressed in Wood units, and differentiates pre-capillary from post-capillary pulmonary hypertension.

  3. In a patient with stable ischemic heart disease, which non-invasive test result best identifies high-risk findings that mandate prompt coronary angiography?

    Answer: Nuclear stress test with ≥ 10% ischemic myocardium at low workload

    Ischemic myocardium ≥ 10% on nuclear perfusion imaging at low workload is a high-risk feature that warrants referral for coronary angiography.

  4. Which scoring system is used to estimate the operative mortality risk of patients undergoing cardiac surgery, and is commonly used in pre-operative cardiac risk stratification?

    Answer: STS Risk Score

    The Society of Thoracic Surgeons (STS) Risk Score estimates operative mortality and morbidity for cardiac surgical procedures and guides surgical candidacy decisions.

  5. In a patient with peripheral artery disease (PAD) and an ankle-brachial index (ABI) of 0.65, what is the most appropriate first-line cardiovascular risk-reduction therapy?

    Answer: High-intensity statin therapy plus antiplatelet therapy

    Patients with PAD (ABI < 0.9) have high ASCVD risk; high-intensity statin plus antiplatelet therapy (aspirin or clopidogrel) is the guideline-recommended medical management.

  6. A 70-year-old man with hypertension and paroxysmal AF has a CHA₂DS₂-VASc score of 3. What is the most appropriate anticoagulation recommendation?

    Answer: Oral anticoagulation is recommended

    A CHA₂DS₂-VASc score ≥ 2 in men (≥ 3 in women) indicates sufficient stroke risk to recommend oral anticoagulation per ACC/AHA AF guidelines.

  7. Which pre-operative evaluation tool is most appropriate for estimating cardiac risk before a major non-cardiac surgical procedure?

    Answer: Revised Cardiac Risk Index (RCRI)

    The Revised Cardiac Risk Index (RCRI) estimates risk of major adverse cardiac events (MACE) after non-cardiac surgery using six clinical predictors.