MKSAP 18 Cardiovascular Medicine
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Modifiable Risk Factors for Cardiovascular Disease - CORRECT ANSWER -
Dyslipidemia
Smoking
Diabetes Mellitus
Hypertension
Obesity
Inadequate Exercise
Diet
Conditions Causing Elevated CVD Risk - CORRECT ANSWER - Diabetes Mellitus
Systemic Inflammatory Conditions
HIV
CKD
Statins in Hemodialysis - CORRECT ANSWER - HD patients do not benefit from
secondary prevention with statins.
Functional Testing for CAD - CORRECT ANSWER - Presence of ischemia - exercise
ECG, SPECT, PET
Extent and severity of ischemia - SPECT, PET
Coronary bloodflow - PET, FFR-CT
Wall motion abnormalities - ECHO, Cardiac MRI
Anatomic Testing for CAD - CORRECT ANSWER - Invasive Angiography
, Coronary CT - limited w/ extensive calcification
Coronary Artery Calcium
Exercise ECG - CORRECT ANSWER - Useful with normal baseline ECG
Initial Test for suspected CAD
Exercise Capacity, BP and HR response, Provoked Symptoms
Stress ECHO - CORRECT ANSWER - Baseline Abnormal ECG
Need info on particular area of myocardium
Exercise data w/ wall motion visualization
Valve function, Pulmonary Pressures
<1h length
Nuclear SPECT Perfusion - CORRECT ANSWER - Baseline Abnormal ECG
Need info on particular area of myocardium
Dobutamine ECHO - CORRECT ANSWER - Patients who cannot exercise
Patient is supine
CI - severe HTN, UA, Tachyarrhythmias, HOCM, Severe Aortic Stenosis, Large Aortic
Aneurysm
Vasodilator Nuclear Perfusion - CORRECT ANSWER - Patients who cannot exercise
Major Indications for TTE - CORRECT ANSWER - Heart Failure
Cardiomyopathy
Valve Disease
Congenital Heart Disease
Pulmonary HTN
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Modifiable Risk Factors for Cardiovascular Disease - CORRECT ANSWER -
Dyslipidemia
Smoking
Diabetes Mellitus
Hypertension
Obesity
Inadequate Exercise
Diet
Conditions Causing Elevated CVD Risk - CORRECT ANSWER - Diabetes Mellitus
Systemic Inflammatory Conditions
HIV
CKD
Statins in Hemodialysis - CORRECT ANSWER - HD patients do not benefit from
secondary prevention with statins.
Functional Testing for CAD - CORRECT ANSWER - Presence of ischemia - exercise
ECG, SPECT, PET
Extent and severity of ischemia - SPECT, PET
Coronary bloodflow - PET, FFR-CT
Wall motion abnormalities - ECHO, Cardiac MRI
Anatomic Testing for CAD - CORRECT ANSWER - Invasive Angiography
, Coronary CT - limited w/ extensive calcification
Coronary Artery Calcium
Exercise ECG - CORRECT ANSWER - Useful with normal baseline ECG
Initial Test for suspected CAD
Exercise Capacity, BP and HR response, Provoked Symptoms
Stress ECHO - CORRECT ANSWER - Baseline Abnormal ECG
Need info on particular area of myocardium
Exercise data w/ wall motion visualization
Valve function, Pulmonary Pressures
<1h length
Nuclear SPECT Perfusion - CORRECT ANSWER - Baseline Abnormal ECG
Need info on particular area of myocardium
Dobutamine ECHO - CORRECT ANSWER - Patients who cannot exercise
Patient is supine
CI - severe HTN, UA, Tachyarrhythmias, HOCM, Severe Aortic Stenosis, Large Aortic
Aneurysm
Vasodilator Nuclear Perfusion - CORRECT ANSWER - Patients who cannot exercise
Major Indications for TTE - CORRECT ANSWER - Heart Failure
Cardiomyopathy
Valve Disease
Congenital Heart Disease
Pulmonary HTN
