PCCN 2026 QUESTIONS WITH VERIFIED ANSWERS

PCCN 2026 QUESTIONS WITH VERIFIED
ANSWERS



exertional angina - ans-caused by excerise, eating, emotional stress and extreme temps
xc xc xc xc xc xc xc xc xc xc xc




variant angina/prinzmetal angina - ans-during rest, caused by vasospasm
xc xc xc xc xc xc xc xc




stable angina - ans-coronary vessel with a KNOWN occlusion, goes away with nitro or rest
xc xc xc xc xc xc xc xc xc xc xc xc xc xc




Unstable angina - ans- xc xc xc




occurs at rest, different than usual angina, recent onset, treatment based on pathology
xc xc xc xc xc xc xc xc xc xc xc xc




Troponin windows - ans-rise 2-5 hours xc xc xc xc xc




peak 24-48 hours
xc xc




normal 5-14 days xc xc




repeat 3-6 hours xc xc




High sensitivity troponin windows - ans-quicker to rule out than regular troponin
xc xc xc xc xc xc xc xc xc xc xc




more than 10-30 is considered postitive
xc xc xc xc xc




repeat 1-3 hours xc xc




Creatine Kinase (CK-MB) - ans-rise 4-6 hoursxc xc xc xc xc xc




peak 12-14 hours
xc xc




normal 2-3 days xc xc




cardiac biomarker in stemi xc xc xc




Aortic stenosis - ans-
xc xc xc




ejection from LV during systole is impaired d/t obstructive narrowing of aortic valve
xc xc xc xc xc xc xc xc xc xc xc xc




causes a harsh loud systolic ejection murmur
xc xc xc xc xc xc




Aortic regurgitation - ans-
xc xc xc




incompetent aortic valve causes backflow from aorta to LV during ventricular diastole
xc xc xc xc xc xc xc xc xc xc xc




high pitched blowing diastolic murmur
xc xc xc xc




Mitral stenosis - ans-
xc xc xc




Progressive narrowing of mitral orifice that impedes blood flow from LA to LV during ventric
xc xc xc xc xc xc xc xc xc xc xc xc xc xc




ular diastole
xc