Cardiology Board Exam Started: Jul 13, 2026 20:38 Page 27 of 62 Attempt #2938 Overall: 0 / 306 questions answered Question 131 / 306 Not answered At a preventive-care consultation: a 76-year-old woman presents with exertional syncope with systolic murmur. Relevant risk context includes smoking. What is the most likely diagnosis? A. Atrial fibrillation B. Severe aortic stenosis C. Hypertensive emergency D. Acute decompensated heart failure E. Dilated cardiomyopathy Show Answer & Explanation Correct Answer: C Explanation: The pattern of exertional syncope with systolic murmur with risk factors such as smoking is most consistent with Hypertensive emergency. This answer best matches the expected diagnostic framework for Cardiology. Reference: ESC/EACTS Valvular Heart Disease 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 132 / 306 Not answered At a multidisciplinary case conference: a 26-year-old woman is evaluated for palpitations with irregularly irregular pulse in the context of prior myocardial infarction. Which is the most appropriate next investigation? A. Ambulatory rhythm monitoring B. 12-lead ECG with serial troponins C. Coronary angiography when indicated D. BNP or NT-proBNP measurement E. Urgent transthoracic echocardiography Show Answer & Explanation Correct Answer: D 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: 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 133 / 306 Not answered During a primary-care follow-up visit: a 55-year-old woman is evaluated for exertional syncope with systolic murmur in the context of hyperlipidemia. Which is the most appropriate next investigation? A. CT angiography for aortic syndrome B. Urgent transthoracic echocardiography C. BNP or NT-proBNP measurement D. Coronary angiography when indicated E. 12-lead ECG with serial troponins Show Answer & Explanation Correct Answer: C 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: ESC/EACTS Valvular Heart Disease 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 134 / 306 Not answered At a preventive-care consultation: a 46-year-old woman presents with elevated JVP with peripheral edema. Relevant risk context includes smoking. What is the most likely diagnosis? A. ST-elevation myocardial infarction B. Severe aortic stenosis C. Dilated cardiomyopathy D. Hypertensive emergency E. Atrial fibrillation Show Answer & Explanation Correct Answer: E Explanation: The pattern of elevated JVP with peripheral edema with risk factors such as smoking is most consistent with Atrial fibrillation. This answer best matches the expected diagnostic framework for 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 135 / 306 Not answered During ward handover: a 32-year-old woman presents with elevated JVP with peripheral edema. Relevant risk context includes prior myocardial infarction. What is the most likely diagnosis? A. ST-elevation myocardial infarction B. Acute decompensated heart failure C. Severe aortic stenosis D. Dilated cardiomyopathy E. Atrial fibrillation Show Answer & Explanation Correct Answer: E Explanation: The pattern of elevated JVP with peripheral edema with risk factors such as prior myocardial infarction is most consistent with Atrial fibrillation. This answer best matches the expected diagnostic framework for 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 Cancel « ← Previous Page 27 of 62 Next → »