Cardiology Board Exam Started: Jul 13, 2026 23:01 Page 28 of 62 Attempt #2991 Overall: 0 / 306 questions answered Question 136 / 306 Not answered During morning rounds: a 55-year-old woman presents with exertional syncope with systolic murmur. 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. Hypertensive emergency E. Atrial fibrillation Show Answer & Explanation Correct Answer: D Explanation: The pattern of exertional syncope with systolic murmur with risk factors such as prior myocardial infarction is most consistent with Hypertensive emergency. 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 Question 137 / 306 Not answered During ward handover: a 79-year-old woman presents with progressive dyspnea with bibasal crackles. Relevant risk context includes long-standing diabetes. What is the most likely diagnosis? A. Hypertensive emergency B. Acute decompensated heart failure C. Dilated cardiomyopathy D. Atrial fibrillation E. ST-elevation myocardial infarction Show Answer & Explanation Correct Answer: C Explanation: The pattern of progressive dyspnea with bibasal crackles 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 Question 138 / 306 Not answered During morning rounds: a 57-year-old man has progressive dyspnea with bibasal crackles with risk profile of long-standing diabetes. After initial stabilization and assessment, what is the most appropriate management step? A. Early reperfusion strategy B. Targeted blood pressure reduction with monitoring C. Guideline-directed medical therapy for HFrEF D. Rate or rhythm control with anticoagulation assessment E. Urgent cardiology referral for valve intervention 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: 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 139 / 306 Not answered At a preventive-care consultation: a 81-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. Urgent transthoracic echocardiography B. BNP or NT-proBNP measurement C. Coronary angiography when indicated D. 12-lead ECG with serial troponins E. Ambulatory rhythm monitoring Show Answer & Explanation Correct Answer: A 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 140 / 306 Not answered In an emergency department assessment: a 71-year-old woman is evaluated for exertional syncope with systolic murmur in the context of hyperlipidemia. 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. CT angiography for aortic syndrome E. Coronary angiography when indicated Show Answer & Explanation Correct Answer: E Explanation: Coronary angiography when indicated 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 Cancel « ← Previous Page 28 of 62 Next → »