CARDIO- IM 3 Exam Questions and
Answers 100% Solved | Graded A+
13. Clinical indications for CABG include the following, except?
A. Disease of the Left main coronary artery (LMCA).
B. Disease of all three coronary vessels (LAD, LCX and RCA)
C. Diffuse disease not amenable to treatment with a PCI.
D. CABG is the preferred treatment with low-risk patients - ✔✔D. CABG is
the preferred treatment with low-risk patients
14. Clinical indications for PCI include the following, except:
A. Acute ST-elevation myocardial infarction (STEMI)
B. Non-ST-elevation acute coronary syndrome (NSTE-ACS)
C. Unstable angina
D. Negative stress test result - ✔✔D. Negative stress test result
16. Major Jones Criteria includes all the following except:
A. High ESR/CRP
B. Migratory Polyarthritis
C. Carditis
1
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,D. Subcutaneous nodules
E. Erythema marginatum
F. Sydenham Chorea - ✔✔A. High ESR/CRP
15. A 27-year-old Caucasian male, a professional basketball player
develops severe chest pain during a game. Echocardiography reveals an
asymmetrically thickened interventricular septum along with a decreased
end-diastolic volume. Which of the following is the most likely diagnosis?
A. Hypertrophic cardiomyopathy
B. Endomyocardial fibrosis
C. Heart amyloidosis
D. Physiologic heart hypertrophy - ✔✔A. Hypertrophic cardiomyopathy
17. Which of the following statement is not true about Prinzmetal's angina?
A. It occurs at rest, often without a predictable pattern between midnight
B. Episodes of chest pain caused by Prinzmetal's angina usually occur in
clusters, with periods of frequent episodes lasting for a few months
followed by weeks or months with no chest pain episodes
. C. The chest pain of Prinzmetal's angina is caused by coronary artery
spasm D. Chest pain of Prinzmetal's angina occurs in a predictable pattern
during exertion or exercise. - ✔✔D. Chest pain of Prinzmetal's angina
occurs in a predictable pattern during exertion or exercise.
2
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, 18. What is Gerhardt's sign?
A. A decrease in diastolic blood pressure of 15 mmHg when the arm is held
above the head,
6. Pulsation of the spleen in the presence of splenomegaly.
C. Bobbing of the head with each heartbeat (like a bird walking)
D. Exaggeration of the murmur of aortic regurgitation with leaning forward
at end expiration - ✔✔6. Pulsation of the spleen in the presence of
splenomegaly.
1.A 50-year-old woman presents to the emergency department due to
acute severe chest pain over 20 minutes . She states she has had similar
chest pains in the past, usually also at night, but never this severe .She
states that the pain woke her from sleep and that she is very concerned
she is having a heart attack. A cardiopulmonary examination is
noncontributory. An ECG is obtained and reveals ST- elevations in leads II,
III, AVF. Laboratory investigations show her cardiac enzyme marker levels
are within normal limits. Angiography reveals no pathological findings.
Which of the following is the most likely diagnosis?
A. Anterior myocardial infarction
B. Anteroseptal myocardial infarction
C. Infer.Myocardial infarction
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Answers 100% Solved | Graded A+
13. Clinical indications for CABG include the following, except?
A. Disease of the Left main coronary artery (LMCA).
B. Disease of all three coronary vessels (LAD, LCX and RCA)
C. Diffuse disease not amenable to treatment with a PCI.
D. CABG is the preferred treatment with low-risk patients - ✔✔D. CABG is
the preferred treatment with low-risk patients
14. Clinical indications for PCI include the following, except:
A. Acute ST-elevation myocardial infarction (STEMI)
B. Non-ST-elevation acute coronary syndrome (NSTE-ACS)
C. Unstable angina
D. Negative stress test result - ✔✔D. Negative stress test result
16. Major Jones Criteria includes all the following except:
A. High ESR/CRP
B. Migratory Polyarthritis
C. Carditis
1
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,D. Subcutaneous nodules
E. Erythema marginatum
F. Sydenham Chorea - ✔✔A. High ESR/CRP
15. A 27-year-old Caucasian male, a professional basketball player
develops severe chest pain during a game. Echocardiography reveals an
asymmetrically thickened interventricular septum along with a decreased
end-diastolic volume. Which of the following is the most likely diagnosis?
A. Hypertrophic cardiomyopathy
B. Endomyocardial fibrosis
C. Heart amyloidosis
D. Physiologic heart hypertrophy - ✔✔A. Hypertrophic cardiomyopathy
17. Which of the following statement is not true about Prinzmetal's angina?
A. It occurs at rest, often without a predictable pattern between midnight
B. Episodes of chest pain caused by Prinzmetal's angina usually occur in
clusters, with periods of frequent episodes lasting for a few months
followed by weeks or months with no chest pain episodes
. C. The chest pain of Prinzmetal's angina is caused by coronary artery
spasm D. Chest pain of Prinzmetal's angina occurs in a predictable pattern
during exertion or exercise. - ✔✔D. Chest pain of Prinzmetal's angina
occurs in a predictable pattern during exertion or exercise.
2
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, 18. What is Gerhardt's sign?
A. A decrease in diastolic blood pressure of 15 mmHg when the arm is held
above the head,
6. Pulsation of the spleen in the presence of splenomegaly.
C. Bobbing of the head with each heartbeat (like a bird walking)
D. Exaggeration of the murmur of aortic regurgitation with leaning forward
at end expiration - ✔✔6. Pulsation of the spleen in the presence of
splenomegaly.
1.A 50-year-old woman presents to the emergency department due to
acute severe chest pain over 20 minutes . She states she has had similar
chest pains in the past, usually also at night, but never this severe .She
states that the pain woke her from sleep and that she is very concerned
she is having a heart attack. A cardiopulmonary examination is
noncontributory. An ECG is obtained and reveals ST- elevations in leads II,
III, AVF. Laboratory investigations show her cardiac enzyme marker levels
are within normal limits. Angiography reveals no pathological findings.
Which of the following is the most likely diagnosis?
A. Anterior myocardial infarction
B. Anteroseptal myocardial infarction
C. Infer.Myocardial infarction
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
