CSC Risk Assessment & Management 2

Question 1

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

Accepted Answer

NCDR CathPCI Risk Score

Answer

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

Question 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?

Accepted Answer

IV isotonic saline hydration before and after the procedure

Answer

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

Question 3

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

Accepted Answer

Stage B

Answer

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

Question 4

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

Accepted Answer

Concomitant antiplatelet or NSAID use

Answer

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

Question 5

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

Accepted Answer

To reclassify patients from intermediate to high or low risk

Answer

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

CSC - Cardiac Subspecialty Certification Exam Practice Test

CSC - Cardiac Subspecialty Certification Exam Practice Test

CSC Risk Assessment & Management 2