Practice Test Geeks(MCCQE) Medical Council of Canada Qualifying Examination Practice Test
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Cardiovascular Disease Management Flashcards

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

Read the first 7 Cardiovascular Disease Management flashcards as text

  1. A 55-year-old diabetic man presents with typical chest pain and troponin elevation. ECG shows no ST changes. Which diagnosis is most likely?

    Answer: NSTEMI

    Troponin elevation with ischemic symptoms but no ST elevation is diagnostic of NSTEMI, distinguishing it from unstable angina (no troponin rise).

  2. Which finding on echocardiography is most consistent with cardiac tamponade?

    Answer: Right ventricular diastolic collapse

    Diastolic collapse of the right ventricle on echocardiography is the hallmark finding of cardiac tamponade due to external pericardial compression.

  3. A patient with HFpEF (EF 55%) presents with dyspnea. Which treatment has shown clear mortality benefit in HFpEF?

    Answer: SGLT2 inhibitor (empagliflozin)

    Empagliflozin (EMPEROR-Preserved trial) demonstrated reduced cardiovascular death and heart failure hospitalization in HFpEF, the first therapy with clear benefit.

  4. A 60-year-old woman with Wolff-Parkinson-White syndrome develops AF. Which drug is contraindicated?

    Answer: Digoxin

    Digoxin (and verapamil, diltiazem) are contraindicated in WPW with AF because blocking the AV node increases conduction through the accessory pathway, risking VF.

  5. A 45-year-old man with dilated cardiomyopathy (EF 25%) on optimal medical therapy has LBBB with QRS 155 ms. What device therapy should be considered?

    Answer: Cardiac resynchronization therapy (CRT)

    CRT is indicated in HFrEF with LVEF ≤35%, LBBB, and QRS ≥150 ms on optimal medical therapy to improve symptoms and reduce mortality.

  6. A patient presents with chest pain that is worse when lying flat and relieved by leaning forward. ECG shows diffuse ST elevation with PR depression. What is the diagnosis?

    Answer: Acute pericarditis

    Diffuse ST elevation with PR depression, pleuritic positional chest pain relieved by leaning forward is the classic presentation of acute pericarditis.

  7. Which lipid-lowering drug class is most appropriate as first-line therapy for a patient with LDL 4.5 mmol/L and established atherosclerotic cardiovascular disease?

    Answer: High-intensity statins

    High-intensity statins (e.g., atorvastatin 40–80 mg, rosuvastatin 20–40 mg) are first-line for secondary prevention, reducing LDL by ≥50% and lowering CV events.