PANRE Cardiology 3

Question 1

A patient presents with sharp pleuritic chest pain, friction rub, and diffuse ST elevation with PR depression on EKG. What is the diagnosis?

Accepted Answer

Acute pericarditis

Answer

STEMI

Answer

Pulmonary embolism

Answer

Aortic dissection

Question 2

A 55-year-old man with an EF of 30% is on optimal medical therapy. His QRS is 160 ms with LBBB morphology. Which device is indicated?

Accepted Answer

Cardiac resynchronization therapy with defibrillator (CRT-D)

Answer

Implantable cardioverter-defibrillator (ICD) alone

Answer

Permanent pacemaker

Answer

Left ventricular assist device (LVAD)

Question 3

Which physical exam finding is most characteristic of aortic regurgitation?

Accepted Answer

Water-hammer pulse (bounding pulse)

Answer

Opening snap followed by diastolic rumble

Answer

Pulsus paradoxus

Answer

Fixed split S2

Question 4

A 45-year-old woman is found to have a serum LDL of 210 mg/dL with no cardiovascular risk factors. Initial management should include:

Accepted Answer

Lifestyle modification for 3 months, then reassess

Answer

High-intensity statin and aspirin

Answer

Immediate coronary calcium scoring

Answer

Ezetimibe monotherapy

Question 5

A patient with known heart failure presents with worsening dyspnea, orthopnea, and bilateral crackles. BNP is 1,200 pg/mL. Which medication provides the most immediate symptomatic relief?

Accepted Answer

IV furosemide

Answer

Oral metoprolol

Answer

Spironolactone

Answer

Sacubitril/valsartan

Question 6

Which electrocardiographic finding is most suggestive of right heart strain in acute pulmonary embolism?

Accepted Answer

S1Q3T3 pattern

Answer

Diffuse ST depression with T-wave inversions in V4-V6

Answer

ST elevation in leads II, III, and aVF

Answer

Left axis deviation with RBBB

Question 7

A 72-year-old man has a murmur that decreases with standing and increases with squatting. Which diagnosis is most consistent?

Accepted Answer

Hypertrophic obstructive cardiomyopathy

Answer

Mitral valve prolapse

Answer

Aortic stenosis

Answer

Tricuspid regurgitation