Cardiology Board Exam Started: Jul 12, 2026 22:40 Page 6 of 62 Attempt #1184 Overall: 0 / 306 questions answered Question 26 / 306 Not answered In a rural clinic with limited resources: A patient with acute coronary syndrome is allergic to aspirin with true anaphylaxis. What should be considered in specialist care when aspirin is essential? (Variant 373) A. Ignore allergy and give full dose unsupervised B. Avoid all antiplatelets forever C. Aspirin desensitization if benefits outweigh risks D. Use antihistamine as antiplatelet E. Give only paracetamol Show Answer & Explanation Correct Answer: C Explanation: [Cardiology] Aspirin desensitization may be considered when aspirin is essential and allergy is confirmed, under specialist supervision. Reference: ACC/AHA ACS guidance; AAAAI drug allergy practice parameter. Reference: 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 27 / 306 Not answered In a rural clinic with limited resources: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? (Variant 374) A. Mild asthma suitable for discharge B. Normal finding after salbutamol C. Pneumonia excluded D. Life-threatening asthma requiring urgent escalation E. No oxygen required Show Answer & Explanation Correct Answer: D Explanation: [Cardiology] Silent chest and exhaustion are life-threatening asthma signs needing urgent escalation. Reference: GINA Strategy Report. Reference: 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 28 / 306 Not answered During morning rounds: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 388) A. IM epinephrine for every isolated wheal B. Long-term oral steroid for all C. Second-generation H1 antihistamine D. Antibiotic E. Warfarin Show Answer & Explanation Correct Answer: C Explanation: [Cardiology] Acute urticaria without anaphylaxis is treated with non-sedating H1 antihistamines. Reference: EAACI/GA2LEN/EuroGuiDerm/APAAACI Urticaria Guideline. Reference: 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 29 / 306 Not answered Question 89: In an Arab Board-style clinic station: A 61-year-old man has crushing chest pain for 45 minutes. ECG shows ST elevation in II, III, and aVF. PCI-capable hospital is 30 minutes away. What is the priority treatment strategy? A. Exercise stress test B. Oral nitrates only and discharge C. Routine echocardiogram next week D. Immediate primary PCI activation with antiplatelet and anticoagulant therapy E. No reperfusion because pain is less than 1 hour Show Answer & Explanation Correct Answer: D Explanation: [Cardiology] ST-elevation myocardial infarction requires immediate reperfusion, preferably primary PCI when timely available. Reference: ESC STEMI Guideline; ACC/AHA Acute Coronary Syndrome Guideline. Reference: 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 30 / 306 Not answered Question 91: In an Arab Board-style clinic station: A 58-year-old man with heart failure has LVEF 30% and remains symptomatic. Which medication class improves survival? A. ARNI or ACE inhibitor/ARB as part of guideline-directed therapy B. Loop diuretic only as disease-modifying therapy C. Short-acting nifedipine D. Chronic NSAID therapy E. Oral decongestant Show Answer & Explanation Correct Answer: A Explanation: [Cardiology] HFrEF survival therapy includes ARNI/ACEi/ARB, evidence-based beta-blocker, MRA, and SGLT2 inhibitor. Reference: AHA/ACC/HFSA Heart Failure Guideline. Reference: 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 6 of 62 Next → »