Cardiology Board Exam Started: Jul 13, 2026 10:05 Page 16 of 62 Attempt #2545 Overall: 0 / 306 questions answered Question 76 / 306 Not answered During an emergency department assessment: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 322) A. IM epinephrine for every isolated wheal B. Second-generation H1 antihistamine C. Long-term oral steroid for all D. Antibiotic E. Warfarin Show Answer & Explanation Correct Answer: B 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 77 / 306 Not answered At a primary-care follow-up visit: 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. Immediate primary PCI activation with antiplatelet and anticoagulant therapy D. Routine echocardiogram next week E. No reperfusion because pain is less than 1 hour Show Answer & Explanation Correct Answer: C 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 78 / 306 Not answered At a primary-care follow-up visit: 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. No therapy because AF is intermittent C. Clopidogrel only D. Oral anticoagulation E. Digoxin as anticoagulant Show Answer & Explanation Correct Answer: D 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 79 / 306 Not answered In a ward handover scenario: A patient with severe aortic stenosis develops exertional syncope. What is the most appropriate management? A. Reassurance only B. Urgent cardiology referral for valve intervention assessment C. High-intensity exercise program D. Long-term nitrates as definitive treatment E. Annual urine culture Show Answer & Explanation Correct Answer: B 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 Question 80 / 306 Not answered In a ward handover scenario: A 50-year-old man has BP 168/104 mmHg on repeated visits without acute target-organ damage. What is the best diagnosis? A. Hypertensive emergency B. White coat hypertension proven without ambulatory readings C. Stage 2 chronic hypertension needing confirmed assessment and treatment D. Normal BP for age E. Shock Show Answer & Explanation Correct Answer: C Explanation: [Cardiology] Persistently high BP without acute end-organ injury is chronic hypertension, not emergency; confirm and treat with lifestyle and medication. Reference: ACC/AHA High Blood Pressure 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 16 of 62 Next → »