PANRE Cardiology 2

Question 1

A 58-year-old man with hypertension presents with exertional chest pain relieved by rest. EKG at rest is normal. Which is the most appropriate next step?

Accepted Answer

Order exercise stress test

Answer

An exercise stress test is the standard initial evaluation for stable angina with a normal resting EKG.

Question 2

Which finding on echocardiogram is most consistent with cardiac tamponade?

Accepted Answer

Right ventricular diastolic collapse

Answer

Right ventricular diastolic collapse on echo is a classic sign of cardiac tamponade due to elevated pericardial pressure.

Question 3

A patient on warfarin for atrial fibrillation has an INR of 8.5 with no active bleeding. What is the most appropriate management?

Accepted Answer

Hold warfarin and administer oral vitamin K 2.5 mg

Answer

For INR >8 without bleeding, holding warfarin and giving low-dose oral vitamin K is the recommended approach.

Question 4

A 70-year-old woman develops hypotension, bradycardia, and cool extremities after an inferior MI. Which territory is most likely involved?

Accepted Answer

Right coronary artery

Answer

The right coronary artery supplies the inferior wall and the AV node, making RCA occlusion the likely cause of inferior MI with bradycardia.

Question 5

Which medication is CONTRAINDICATED in a patient with hypertrophic obstructive cardiomyopathy (HOCM) who presents with symptoms?

Accepted Answer

Nitroglycerin

Answer

Nitroglycerin reduces preload, worsening LVOT obstruction in HOCM and is contraindicated.

PANRE Test Practice Test

PANRE Test Practice Test

PANRE Cardiology 2