Cardiology Board Exam Started: Jul 13, 2026 09:20 Page 18 of 62 Attempt #2511 Overall: 0 / 306 questions answered Question 86 / 306 Not answered In a ward handover scenario: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 344) A. IM epinephrine for every isolated wheal B. Long-term oral steroid for all C. Antibiotic D. Second-generation H1 antihistamine E. Warfarin Show Answer & Explanation Correct Answer: D Explanation: [Cardiology] Acute urticaria without anaphylaxis is treated with non-sedating H1 antihistamines. Reference: EAACI/GA2LEN/EuroGuiDerm/APAAACI Urticaria 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 87 / 306 Not answered During preoperative 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 88 / 306 Not answered During preoperative 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. Oral anticoagulation B. Aspirin alone C. No therapy because AF is intermittent D. Clopidogrel only E. Digoxin as anticoagulant Show Answer & Explanation Correct Answer: A 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 Question 89 / 306 Not answered In a ward handover scenario: A 58-year-old man with heart failure has LVEF 30% and remains symptomatic. Which medication class improves survival? A. ARNI or ACE inhibitor/ARB as part of guideline-directed therapy B. Loop diuretic only as disease-modifying therapy C. Short-acting nifedipine D. Chronic NSAID therapy E. Oral decongestant Show Answer & Explanation Correct Answer: A 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 90 / 306 Not answered In a ward handover scenario: 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. Clopidogrel only D. Digoxin as anticoagulant E. Oral anticoagulation Show Answer & Explanation Correct Answer: E 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 18 of 62 Next → »