Cardiology Board Exam Started: Jul 13, 2026 04:17 Page 54 of 62 Attempt #1931 Overall: 0 / 306 questions answered Question 266 / 306 Not answered At a preventive-care consultation: a 24-year-old woman presents with progressive dyspnea with bibasal crackles. Relevant risk context includes chronic hypertension. What is the most likely diagnosis? A. Dilated cardiomyopathy B. ST-elevation myocardial infarction C. Acute decompensated heart failure D. Hypertensive emergency E. Atrial fibrillation Show Answer & Explanation Correct Answer: A Explanation: The pattern of progressive dyspnea with bibasal crackles with risk factors such as chronic hypertension is most consistent with Dilated cardiomyopathy. 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 Question 267 / 306 Not answered During ward handover: a 40-year-old man presents with palpitations with irregularly irregular pulse. Relevant risk context includes smoking. What is the most likely diagnosis? A. Acute decompensated heart failure B. Severe aortic stenosis C. ST-elevation myocardial infarction D. Atrial fibrillation E. Hypertensive emergency Show Answer & Explanation Correct Answer: B Explanation: The pattern of palpitations with irregularly irregular pulse with risk factors such as smoking is most consistent with Severe aortic stenosis. 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 Question 268 / 306 Not answered During a primary-care follow-up visit: a 42-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. Urgent transthoracic echocardiography C. BNP or NT-proBNP measurement D. 12-lead ECG with serial troponins E. CT angiography for aortic syndrome 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 269 / 306 Not answered During morning rounds: a 71-year-old woman is evaluated for progressive dyspnea with bibasal crackles in the context of long-standing diabetes. Which is the most appropriate next investigation? A. CT angiography for aortic syndrome B. Urgent transthoracic echocardiography C. BNP or NT-proBNP measurement D. 12-lead ECG with serial troponins 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 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 270 / 306 Not answered At a preventive-care consultation: a 51-year-old man is evaluated for progressive dyspnea with bibasal crackles in the context of family history of premature coronary disease. Which is the most appropriate next investigation? A. CT angiography for aortic syndrome B. 12-lead ECG with serial troponins C. BNP or NT-proBNP measurement D. Coronary angiography when indicated E. Ambulatory rhythm monitoring Show Answer & Explanation Correct Answer: D 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 54 of 62 Next → »