FMCLA Cardiovascular and Pulmonary Medicine

Question 1

Which finding on spirometry is most consistent with obstructive lung disease?

Accepted Answer

FEV1/FVC ratio less than 0.70

Answer

Reduced FVC with normal FEV1/FVC ratio

Answer

Increased TLC with elevated DLCO

Answer

Reduced TLC with normal FEV1/FVC ratio

Question 2

A 60-year-old male smoker presents with progressive dyspnea and chronic cough. Spirometry shows FEV1/FVC of 0.58. What is the diagnosis?

Accepted Answer

COPD

Answer

Asthma

Answer

Pulmonary fibrosis

Answer

Congestive heart failure

Question 3

Which medication is first-line for rate control in a patient with atrial fibrillation with rapid ventricular response?

Accepted Answer

Metoprolol

Answer

Amiodarone

Answer

Digoxin

Answer

Flecainide

Question 4

What is the CHA2DS2-VASc score used to determine in patients with atrial fibrillation?

Accepted Answer

Risk of stroke and need for anticoagulation

Answer

Rate vs. rhythm control strategy

Answer

Appropriate antiarrhythmic drug selection

Answer

Need for cardioversion

Question 5

Which drug class is considered first-line for reducing cardiovascular mortality in patients with reduced ejection fraction heart failure?

Accepted Answer

Beta-blockers

Answer

Loop diuretics

Answer

Calcium channel blockers

Answer

Nitrates

Question 6

A patient with an ejection fraction of 35% and NYHA Class II symptoms is started on an ARNI. Which medication is this?

Accepted Answer

Sacubitril/valsartan

Answer

Lisinopril

Answer

Losartan

Answer

Spironolactone