MKSAP – Cardiology UPDATED ACTUAL
Exam Questions and CORRECT Answers
What type of heart block happens when a beat is dropped without a lengthening PR before it? -
CORRECT ANSWER - Mobitz type II second degree heart block
In a patient with stable angina who has more frequent nitro use, elevated heart rate, but still pain
is relieved with rest, what med change should I make? - CORRECT ANSWER - increase
the dose of beta blocker - want to titrate to resting heart rate around 60
What does normal heart wall motion on echo during an episode of chest pain rule out? -
CORRECT ANSWER - MI, and points against coronary etiology
Consider a PE, especially chest pain + dyspnea + leg edema + elevated venus pressure +
tachycardia
Should you screen for coronary disease in a person with low ASCVD risk score and no
indications of CAD? - CORRECT ANSWER - nope
What is the rhythm of a patient with tachycardia, ECG show delta wave and short PR? -
CORRECT ANSWER - WPW (AV node reentry tachycardia)
What does a stress test evaluate? - CORRECT ANSWER - which parts of the heart have
partially obstructed blood flow. A negative finding rules out heart etiology of chest pain
When is coronary angiography indicated for a patient with stable angina? - CORRECT
ANSWER - when the patient is still having progressive symptoms despite optimal medical
therapy. Consider if known blockage and need to treat as part of diagnosis.
Post MI, what condition presents with tearing chest pain, syncope, heart failure (+/-tamponade),
aortic regurgitation (diastolic murmur? - CORRECT ANSWER - aortic dissection
Exam Questions and CORRECT Answers
What type of heart block happens when a beat is dropped without a lengthening PR before it? -
CORRECT ANSWER - Mobitz type II second degree heart block
In a patient with stable angina who has more frequent nitro use, elevated heart rate, but still pain
is relieved with rest, what med change should I make? - CORRECT ANSWER - increase
the dose of beta blocker - want to titrate to resting heart rate around 60
What does normal heart wall motion on echo during an episode of chest pain rule out? -
CORRECT ANSWER - MI, and points against coronary etiology
Consider a PE, especially chest pain + dyspnea + leg edema + elevated venus pressure +
tachycardia
Should you screen for coronary disease in a person with low ASCVD risk score and no
indications of CAD? - CORRECT ANSWER - nope
What is the rhythm of a patient with tachycardia, ECG show delta wave and short PR? -
CORRECT ANSWER - WPW (AV node reentry tachycardia)
What does a stress test evaluate? - CORRECT ANSWER - which parts of the heart have
partially obstructed blood flow. A negative finding rules out heart etiology of chest pain
When is coronary angiography indicated for a patient with stable angina? - CORRECT
ANSWER - when the patient is still having progressive symptoms despite optimal medical
therapy. Consider if known blockage and need to treat as part of diagnosis.
Post MI, what condition presents with tearing chest pain, syncope, heart failure (+/-tamponade),
aortic regurgitation (diastolic murmur? - CORRECT ANSWER - aortic dissection
