Cardiology Board Exam Started: Jul 13, 2026 12:03 Page 21 of 62 Attempt #2705 Overall: 0 / 306 questions answered Question 101 / 306 Not answered A 55-year-old male presents with acute chest pain and ST elevation in leads II III aVF. Which artery is most likely occluded? A. Left anterior descending B. Left circumflex C. Right coronary artery D. Left main coronary E. Diagonal branch Show Answer & Explanation Correct Answer: C Explanation: The ECG shows inferior wall ST elevation which indicates occlusion of the right coronary artery in most cases (80%). Reference: ESC Guidelines on ACS 2015 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 102 / 306 Not answered At a preventive-care consultation: a 63-year-old man is evaluated for exertional syncope with systolic murmur in the context of smoking. Which is the most appropriate next investigation? A. Ambulatory rhythm monitoring B. BNP or NT-proBNP measurement C. 12-lead ECG with serial troponins D. Coronary angiography when indicated E. Urgent transthoracic echocardiography Show Answer & Explanation Correct Answer: E Explanation: Urgent transthoracic echocardiography is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Cardiology. Reference: ESC Guidelines for Acute Coronary Syndromes (2023) 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 103 / 306 Not answered In an emergency department assessment: a 56-year-old man has elevated JVP with peripheral edema with risk profile of long-standing diabetes. After initial stabilization and assessment, what is the most appropriate management step? A. Guideline-directed medical therapy for HFrEF B. Rate or rhythm control with anticoagulation assessment C. Early reperfusion strategy D. Urgent cardiology referral for valve intervention E. Secondary prevention with statin and antiplatelet therapy Show Answer & Explanation Correct Answer: E Explanation: Secondary prevention with statin and antiplatelet therapy is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in Cardiology. Reference: ESC Atrial Fibrillation Guideline 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 104 / 306 Not answered What is the recommended first-line agent for hypertension management in a patient with concurrent diabetes mellitus? A. Diuretics B. ACE inhibitors C. Calcium channel blockers D. Alpha-blockers E. Beta-blockers Show Answer & Explanation Correct Answer: B Explanation: ACE inhibitors are recommended as first-line agents in diabetic patients due to renal protection and reduction of proteinuria. Reference: ACC/AHA 2017 Guidelines 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 105 / 306 Not answered At a multidisciplinary case conference: a 50-year-old woman is evaluated for crushing chest pain radiating to left arm in the context of smoking. Which is the most appropriate next investigation? A. Urgent transthoracic echocardiography B. CT angiography for aortic syndrome C. Coronary angiography when indicated D. 12-lead ECG with serial troponins E. Ambulatory rhythm monitoring Show Answer & Explanation Correct Answer: B Explanation: CT angiography for aortic syndrome is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Cardiology. Reference: AHA/ACC Heart Failure Guideline (2022 update) 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 21 of 62 Next → »