Cardiology Board Exam Started: Jul 13, 2026 08:05 Page 14 of 62 Attempt #2336 Overall: 0 / 306 questions answered Question 66 / 306 Not answered A pregnant patient needs influenza prevention. Which vaccine type is appropriate? (Variant 310) A. Live intranasal influenza vaccine B. BCG vaccine C. Varicella vaccine D. No vaccine in pregnancy ever E. Inactivated influenza vaccine Show Answer & Explanation Correct Answer: E Explanation: [Cardiology] Inactivated influenza vaccine is recommended in pregnancy; live attenuated intranasal vaccine is avoided. Reference: CDC/ACIP Immunization in Pregnancy Guidance. 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 67 / 306 Not answered 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. Immediate primary PCI activation with antiplatelet and anticoagulant therapy B. Exercise stress test C. Oral nitrates only and discharge D. Routine echocardiogram next week E. No reperfusion because pain is less than 1 hour Show Answer & Explanation Correct Answer: A 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 68 / 306 Not answered A 72-year-old woman has atrial fibrillation, hypertension, diabetes, and prior stroke. What is the best long-term stroke prevention unless contraindicated? A. Aspirin alone B. Oral anticoagulation C. No therapy because AF is intermittent D. Clopidogrel only E. Digoxin as anticoagulant Show Answer & Explanation Correct Answer: B Explanation: [Cardiology] High CHA2DS2-VASc risk, especially prior stroke, warrants oral anticoagulation unless contraindicated. Reference: ACC/AHA/HRS Atrial Fibrillation 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 69 / 306 Not answered A 58-year-old man with heart failure has LVEF 30% and remains symptomatic. Which medication class improves survival? A. Loop diuretic only as disease-modifying therapy B. Short-acting nifedipine C. ARNI or ACE inhibitor/ARB as part of guideline-directed therapy D. Chronic NSAID therapy E. Oral decongestant Show Answer & Explanation Correct Answer: C 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 Question 70 / 306 Not answered A patient with severe aortic stenosis develops exertional syncope. What is the most appropriate management? A. Reassurance only B. High-intensity exercise program C. Long-term nitrates as definitive treatment D. Urgent cardiology referral for valve intervention assessment E. Annual urine culture Show Answer & Explanation Correct Answer: D Explanation: [Cardiology] Symptomatic severe aortic stenosis requires valve intervention evaluation because symptoms carry high mortality risk. Reference: ESC/EACTS Valvular Heart Disease 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 14 of 62 Next → »