Cardiology Board Exam Started: Jul 13, 2026 13:00 Page 22 of 62 Attempt #2752 Overall: 0 / 306 questions answered Question 106 / 306 Not answered A 70-year-old with newly diagnosed atrial fibrillation and CHA2DS2-VASc score of 4. Most appropriate therapy: A. Observation only B. Rate control and anticoagulation C. Immediate cardioversion D. Antiarrhythmic drugs only E. No anticoagulation needed Show Answer & Explanation Correct Answer: B Explanation: Anticoagulation is indicated based on CHA2DS2-VASc score and rate control should be achieved to reduce symptoms. Reference: ACC/AHA Guidelines on AF 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 107 / 306 Not answered A 60-year-old with reduced ejection fraction of 30% and NYHA class III symptoms. Most appropriate therapy: A. Observation only B. ACE inhibitor beta-blocker and aldosterone antagonist C. Diuretics only D. Inotropes chronically E. Digoxin monotherapy Show Answer & Explanation Correct Answer: B Explanation: Triple therapy with ACE inhibitor beta-blocker and aldosterone antagonist reduces mortality in systolic heart failure. Reference: ACC/AHA Heart Failure 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 108 / 306 Not answered At a multidisciplinary case conference: a 39-year-old man is evaluated for elevated JVP with peripheral edema in the context of smoking. Which is the most appropriate next investigation? A. Ambulatory rhythm monitoring B. Urgent transthoracic echocardiography C. Coronary angiography when indicated D. 12-lead ECG with serial troponins E. BNP or NT-proBNP measurement Show Answer & Explanation Correct Answer: E Explanation: BNP or NT-proBNP measurement 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 Question 109 / 306 Not answered During ward handover: a 69-year-old man has exertional syncope with systolic murmur with risk profile of smoking. After initial stabilization and assessment, what is the most appropriate management step? A. Guideline-directed medical therapy for HFrEF B. Urgent cardiology referral for valve intervention C. Rate or rhythm control with anticoagulation assessment D. Secondary prevention with statin and antiplatelet therapy E. Early reperfusion strategy Show Answer & Explanation Correct Answer: D 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: 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 Question 110 / 306 Not answered At a multidisciplinary case conference: a 54-year-old woman presents with palpitations with irregularly irregular pulse. Relevant risk context includes hyperlipidemia. What is the most likely diagnosis? A. Acute decompensated heart failure B. Hypertensive emergency C. ST-elevation myocardial infarction D. Atrial fibrillation E. Dilated cardiomyopathy Show Answer & Explanation Correct Answer: C Explanation: The pattern of palpitations with irregularly irregular pulse with risk factors such as hyperlipidemia is most consistent with ST-elevation myocardial infarction. This answer best matches the expected diagnostic framework for 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 Cancel « ← Previous Page 22 of 62 Next → »