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

Diffuse ST elevation with PR depression and friction rub are hallmark features of acute pericarditis.

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

CRT-D is indicated for symptomatic HFrEF with EF ≤35%, QRS ≥150 ms (especially LBBB), on optimal medical therapy.

Question 3

Which physical exam finding is most characteristic of aortic regurgitation?

Accepted Answer

Water-hammer pulse (bounding pulse)

Answer

The water-hammer (Corrigan's) pulse reflects the wide pulse pressure caused by rapid diastolic runoff in aortic regurgitation.

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

In primary prevention with elevated LDL but no other risk factors, lifestyle modification is the initial step before pharmacotherapy.

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

IV loop diuretics rapidly reduce preload and relieve pulmonary congestion in acute decompensated heart failure.

PANRE Test Practice Test

PANRE Test Practice Test

PANRE Cardiology 3