Cardiology Board Exam Started: Jul 13, 2026 10:03 Page 46 of 62 Attempt #2530 Overall: 0 / 306 questions answered Question 226 / 306 Not answered During ward handover: a 38-year-old man presents with crushing chest pain radiating to left arm. Relevant risk context includes hyperlipidemia. What is the most likely diagnosis? A. Acute decompensated heart failure B. Atrial fibrillation C. ST-elevation myocardial infarction D. Hypertensive emergency E. Severe aortic stenosis Show Answer & Explanation Correct Answer: A Explanation: The pattern of crushing chest pain radiating to left arm with risk factors such as hyperlipidemia is most consistent with Acute decompensated heart failure. 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 227 / 306 Not answered During morning rounds: a 73-year-old woman is evaluated for crushing chest pain radiating to left arm 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: E Explanation: Ambulatory rhythm monitoring is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management 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 228 / 306 Not answered During ward handover: a 70-year-old man is evaluated for exertional syncope with systolic murmur in the context of prior myocardial infarction. Which is the most appropriate next investigation? A. Urgent transthoracic echocardiography B. Ambulatory rhythm monitoring C. BNP or NT-proBNP measurement D. CT angiography for aortic syndrome 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 229 / 306 Not answered During a primary-care follow-up visit: a 81-year-old man is evaluated for crushing chest pain radiating to left arm in the context of long-standing diabetes. Which is the most appropriate next investigation? A. Coronary angiography when indicated B. BNP or NT-proBNP measurement C. Ambulatory rhythm monitoring D. 12-lead ECG with serial troponins E. CT angiography for aortic syndrome Show Answer & Explanation Correct Answer: B 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 230 / 306 Not answered During ward handover: a 52-year-old man presents with crushing chest pain radiating to left arm. Relevant risk context includes family history of premature coronary disease. What is the most likely diagnosis? A. Hypertensive emergency B. Dilated cardiomyopathy C. Acute decompensated heart failure D. Atrial fibrillation E. ST-elevation myocardial infarction Show Answer & Explanation Correct Answer: A Explanation: The pattern of crushing chest pain radiating to left arm with risk factors such as family history of premature coronary disease is most consistent with Hypertensive emergency. This answer best matches the expected diagnostic framework for 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 46 of 62 Next → »