Family Practice Exam Family Practice Exam Cardiovascular Medicine

Question 1

A 55-year-old male presents with crushing chest pain radiating to the left arm. What is the first-line diagnostic test?

Accepted Answer

ECG

Answer

An ECG is the first-line test in suspected acute MI because it can rapidly identify ST-elevation changes at the bedside.

Question 2

Which medication class is the first-line pharmacologic treatment for stable angina?

Accepted Answer

Beta-blockers

Answer

Beta-blockers are first-line for stable angina because they reduce myocardial oxygen demand by lowering heart rate and contractility.

Question 3

A patient has a blood pressure of 165/95 mmHg on two separate office visits. According to ACC/AHA 2017 guidelines, what is the diagnosis?

Accepted Answer

Stage 2 hypertension

Answer

ACC/AHA 2017 guidelines define Stage 2 hypertension as BP ≥140/90 mmHg on repeated measurements.

Question 4

Which ECG finding is the earliest sign of hyperkalemia?

Accepted Answer

Peaked T waves

Answer

Peaked (tall, narrow, symmetric) T waves are the earliest ECG manifestation of hyperkalemia before QRS widening occurs.

Question 5

A 62-year-old with atrial fibrillation has a CHA2DS2-VASc score of 3. What is the recommended management?

Accepted Answer

Oral anticoagulation

Answer

A CHA2DS2-VASc score ≥2 in males warrants long-term oral anticoagulation to reduce ischemic stroke risk.

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