Cardiology Board Exam Started: Jul 13, 2026 10:16 Page 19 of 62 Attempt #2605 Overall: 0 / 306 questions answered Question 91 / 306 Not answered At a primary-care follow-up visit: 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. Short-acting nifedipine C. Chronic NSAID therapy D. Oral decongestant E. ARNI or ACE inhibitor/ARB as part of guideline-directed therapy Show Answer & Explanation Correct Answer: E 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 92 / 306 Not answered At a primary-care follow-up visit: A patient with severe aortic stenosis develops exertional syncope. What is the most appropriate management? A. Urgent cardiology referral for valve intervention assessment B. Reassurance only C. High-intensity exercise program D. Long-term nitrates as definitive treatment E. Annual urine culture Show Answer & Explanation Correct Answer: A Explanation: [Cardiology] Symptomatic severe aortic stenosis requires valve intervention evaluation because symptoms carry high mortality risk. Reference: ESC/EACTS Valvular Heart Disease 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 93 / 306 Not answered At a primary-care follow-up visit: A 50-year-old man has BP 168/104 mmHg on repeated visits without acute target-organ damage. What is the best diagnosis? A. Hypertensive emergency B. Stage 2 chronic hypertension needing confirmed assessment and treatment C. White coat hypertension proven without ambulatory readings D. Normal BP for age E. Shock Show Answer & Explanation Correct Answer: B 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 94 / 306 Not answered At a primary-care follow-up visit: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 328) A. Subcutaneous injection into forearm B. Oral tablet C. Intramuscular injection into the mid-anterolateral thigh D. Nebulized only E. Topical application Show Answer & Explanation Correct Answer: C Explanation: [Cardiology] IM epinephrine into the mid-anterolateral thigh is first-line for anaphylaxis. Reference: World Allergy Organization Anaphylaxis Guidance. 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 95 / 306 Not answered At a primary-care follow-up visit: A patient with acute coronary syndrome is allergic to aspirin with true anaphylaxis. What should be considered in specialist care when aspirin is essential? (Variant 329) A. Ignore allergy and give full dose unsupervised B. Avoid all antiplatelets forever C. Use antihistamine as antiplatelet D. Aspirin desensitization if benefits outweigh risks E. Give only paracetamol Show Answer & Explanation Correct Answer: D Explanation: [Cardiology] Aspirin desensitization may be considered when aspirin is essential and allergy is confirmed, under specialist supervision. Reference: ACC/AHA ACS guidance; AAAAI drug allergy practice parameter. 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 19 of 62 Next → »