Cardiology Board Exam Started: Jul 13, 2026 03:19 Page 11 of 62 Attempt #1778 Overall: 0 / 306 questions answered Question 51 / 306 Not answered During morning rounds: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? (Variant 385) A. Mild asthma suitable for discharge B. Normal finding after salbutamol C. Pneumonia excluded D. No oxygen required E. Life-threatening asthma requiring urgent escalation Show Answer & Explanation Correct Answer: E Explanation: [Cardiology] Silent chest and exhaustion are life-threatening asthma signs needing urgent escalation. Reference: GINA Strategy Report. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 52 / 306 Not answered Question 100: During an emergency department assessment: A 61-year-old man has crushing chest pain for 45 minutes. ECG shows ST elevation in II, III, and aVF. PCI-capable hospital is 30 minutes away. What is the priority treatment strategy? A. Exercise stress test B. Oral nitrates only and discharge C. Routine echocardiogram next week D. No reperfusion because pain is less than 1 hour E. Immediate primary PCI activation with antiplatelet and anticoagulant therapy Show Answer & Explanation Correct Answer: E Explanation: [Cardiology] ST-elevation myocardial infarction requires immediate reperfusion, preferably primary PCI when timely available. Reference: ESC STEMI Guideline; ACC/AHA Acute Coronary Syndrome Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 53 / 306 Not answered During preoperative assessment: A 58-year-old man with heart failure has LVEF 30% and remains symptomatic. Which medication class improves survival? A. Loop diuretic only as disease-modifying therapy B. ARNI or ACE inhibitor/ARB as part of guideline-directed therapy C. Short-acting nifedipine D. Chronic NSAID therapy E. Oral decongestant Show Answer & Explanation Correct Answer: B Explanation: [Cardiology] HFrEF survival therapy includes ARNI/ACEi/ARB, evidence-based beta-blocker, MRA, and SGLT2 inhibitor. Reference: AHA/ACC/HFSA Heart Failure Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 54 / 306 Not answered In a rural clinic with limited resources: A 50-year-old man has BP 168/104 mmHg on repeated visits without acute target-organ damage. What is the best diagnosis? A. Stage 2 chronic hypertension needing confirmed assessment and treatment B. Hypertensive emergency C. White coat hypertension proven without ambulatory readings D. Normal BP for age E. Shock Show Answer & Explanation Correct Answer: A Explanation: [Cardiology] Persistently high BP without acute end-organ injury is chronic hypertension, not emergency; confirm and treat with lifestyle and medication. Reference: ACC/AHA High Blood Pressure Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 55 / 306 Not answered During an emergency department assessment: A 72-year-old woman has atrial fibrillation, hypertension, diabetes, and prior stroke. What is the best long-term stroke prevention unless contraindicated? A. Aspirin alone B. No therapy because AF is intermittent C. Oral anticoagulation D. Clopidogrel only E. Digoxin as anticoagulant Show Answer & Explanation Correct Answer: C Explanation: [Cardiology] High CHA2DS2-VASc risk, especially prior stroke, warrants oral anticoagulation unless contraindicated. Reference: ACC/AHA/HRS Atrial Fibrillation Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 11 of 62 Next → »