Cardiology Board Exam Started: Jul 13, 2026 13:49 Page 23 of 62 Attempt #2795 Overall: 0 / 306 questions answered Question 111 / 306 Not answered A 70-year-old with dyspnea and syncope has severe aortic stenosis on echocardiography. Most appropriate therapy: A. Medical management only B. Aortic valve replacement C. Percutaneous balloon valvuloplasty D. Diuretics E. Observation Show Answer & Explanation Correct Answer: B Explanation: Aortic valve replacement is indicated for symptomatic severe AS to prevent sudden death and improve survival. Reference: ACC/AHA Valvular Disease 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 112 / 306 Not answered A 60-year-old with palpitations has regular heart rate of 180 bpm on ECG. Most appropriate acute therapy: A. Observation B. Adenosine IV push C. Digoxin D. Amiodarone infusion E. Observation and monitor Show Answer & Explanation Correct Answer: B Explanation: IV adenosine is first-line for stable SVT and terminates most episodes within seconds. Reference: ACC/AHA Arrhythmia 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 113 / 306 Not answered During ward handover: a 53-year-old woman is evaluated for exertional syncope with systolic murmur in the context of prior myocardial infarction. Which is the most appropriate next investigation? A. BNP or NT-proBNP measurement B. Ambulatory rhythm monitoring C. Coronary angiography when indicated D. Urgent transthoracic echocardiography E. 12-lead ECG with serial troponins Show Answer & Explanation Correct Answer: E Explanation: 12-lead ECG with serial troponins 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 114 / 306 Not answered At a preventive-care consultation: a 33-year-old woman has progressive dyspnea with bibasal crackles with risk profile of family history of premature coronary disease. After initial stabilization and assessment, what is the most appropriate management step? A. Targeted blood pressure reduction with monitoring B. Secondary prevention with statin and antiplatelet therapy C. Guideline-directed medical therapy for HFrEF D. Rate or rhythm control with anticoagulation assessment E. Early reperfusion strategy Show Answer & Explanation Correct Answer: C Explanation: Guideline-directed medical therapy for HFrEF is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes 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 115 / 306 Not answered At a preventive-care consultation: a 49-year-old woman presents with exertional syncope with systolic murmur. Relevant risk context includes long-standing diabetes. What is the most likely diagnosis? A. Hypertensive emergency B. Atrial fibrillation C. Severe aortic stenosis D. Dilated cardiomyopathy E. ST-elevation myocardial infarction Show Answer & Explanation Correct Answer: D Explanation: The pattern of exertional syncope with systolic murmur with risk factors such as long-standing diabetes is most consistent with Dilated cardiomyopathy. 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 23 of 62 Next → »