Smarty PANCE
Cardiology
questions with
correct and verified
answers with a
guaranteed pass
100
,Which of the following conditions would cause a positive Kussmaul's sign on physical
examination?
A. Left ventricular failure
B. Pulmonary edema
C. Coarctation of the aorta
D. Constrictive pericarditis - D. Constrictive pericarditis
Anginal chest pain is most commonly described as which of the following?
A. Pain changing with position or respiration
B. A sensation of discomfort
C. Tearing pain radiating to the back
D. Pain lasting for several hours - B. A sensation of discomfort
Myocardial ischemia is often experienced as a sensation of discomfort lasting 5-15
minutes, described as dull, aching or pressure.
Eliciting a history from a patient presenting with dyspnea due to early heart failure the
severity of the dyspnea should be quantified by
A. Amount of activity that precipitates it
B. How many pillows they sleep on at night
C. How long it takes the dyspnea to resolve
D. any associated comorbities - A. Amount of activity that precipitates it
A 25 year old female presents with a three day history of chest pain aggravated by
coughing and relieved by sitting. She is febrile and a CBC with differential reveals
leukocytosis. Which of the following physical exam signs is characteristics of her
problem?
A. Pulsus paradoxus
B. Localized crackles
C. Pericardial friction rub
D. Wheezing - C. Pericardial friction rub
A 65-year-old white female presents with dilated tortuous veins on the medial aspect of
her lower extremities. Which of the following would be the most common initial
complaint?
,A. Pain in the calf with ambulation
B. Dull aching heaviness brought on by periods of standing
C. Brownish pigmentation above the ankle
D. Edema on the lower extremities - B. Dull aching heaviness brought on by periods of
standing
A 22-year-old male received a stab wound in the chest an hour ago. The diagnosis of
pericardial tamponade is strongly supported by the presence of
A. Pulmonary edema
B. Wide pulse pressure
C. Distended neck veins
D. An early diastolic murmur - C. Distended neck veins
A 70-year-old man presents to the emergency department with severe substernal chest
pain of one hour's duration. The patient was taking a morning walk when the onset of
pain led him to seek care. His past medical history includes coronary artery disease,
hyperlipidemia, and hypertension. Medications include aspirin, losartan, and
atorvastatin. An electrocardiogram reveals ST elevations in the inferior leads II, III, and
avF as well as in leads V5 and V6. The ST elevations found in leads V5-V6 are most
indicative of pathology in which of the following areas of the heart?
A. Inferior wall, right coronary artery
B. Interventricular septum, left anterior descending coronary artery
C. Lateral wall of the left ventricle, left circumflex coronary artery
D. Left atrium, left main coronary artery
E. Right ventricle, left main coronary artery - C. Lateral wall of the left ventricle, left
circumflex coronary artery
A 72-year-old male with a new diagnosis of congestive heart failure and atrial fibrillation
develops episodes of hemodynamic compromise secondary to increased ventricular
rate. A decision to perform elective cardioversion is made and the patient is
anticoagulated with heparin. Which test should be ordered to assess for atrial or
ventricular mural thrombi?
A. Electrocardiography
B. Chest xray
C. Transesophageal echocardiogram
D. C-reactive protein - C. Transesophageal echocardiogram
A 64-year-old patient with known history of type 1 diabetes mellitus for 50 years has
developed pain radiating from the right buttock to the calf. Patient states that the pain is
made worse with walking and climbing stairs. Based upon this history which of the
following would be the most appropriate test to order?
, A. Venogram
B. Arterial duplex scanning
C. X-ray of the right hip and L/S spine
D. Venous Doppler ultrasound - B. Arterial duplex scanning
A 36-year-old male complains of occasional episodes of "heart fluttering." The patient
describes these episodes as frequent, short-lived and episodic. He denies any
associated chest pain. Based on this information, which one of the following tests would
be the most appropriate to order?
A. Holter monitor
B. Cardiac catheterization
C. Stress testing
D. Cardiac nuclear scanning - A. Holter monitor
A patient with a mitral valve replacement was placed post-operatively on warfarin
(Coumadin) for anticoagulation prophylaxis. To monitor this drug for its effectiveness,
what test would be used?
A. PTT
B. PT-INR
C. Platelet aggregation
D. Bleeding time - B. PT-INR
A 64-year-old male, with a long history of COPD, presents with increasing fatigue over
the last three months. The patient has stopped playing golf and also complains of
decreased appetite, chronic cough, and a bloated feeling. Physical examination reveals
distant heart sounds, questionable gallop, lungs with decreased breath sounds at lung
bases and the abdomen reveals RUQ tenderness with the liver two finger-breadths
below the costal margin, the extremities show 2+/4+ pitting edema. Labs reveal the
serum creatinine level of 1.6 mg/dl, BUN 42 mg/dl, liver function test's mildly elevated
and the CBC to be normal. Which of the following is the most likely diagnosis?
A. Right ventricular failure
B. Pericarditis
C. Exacerbation of COPD
D. Cirrhosis - A. Right ventricular failure
A 56-year-old male with a known history of polycythemia suddenly complains of pain
and paresthesia in the left leg. Physical examination reveals the left leg is cool to the
touch and the toes are cyanotic. The popliteal pulse is absent by palpation and Doppler.
The femoral pulse is absent by palpation but weak with Doppler. The right leg and upper
extremities has 2+/4+ pulses throughout. Given these findings what is the most likely
diagnosis?
A. Venous thrombosis
Cardiology
questions with
correct and verified
answers with a
guaranteed pass
100
,Which of the following conditions would cause a positive Kussmaul's sign on physical
examination?
A. Left ventricular failure
B. Pulmonary edema
C. Coarctation of the aorta
D. Constrictive pericarditis - D. Constrictive pericarditis
Anginal chest pain is most commonly described as which of the following?
A. Pain changing with position or respiration
B. A sensation of discomfort
C. Tearing pain radiating to the back
D. Pain lasting for several hours - B. A sensation of discomfort
Myocardial ischemia is often experienced as a sensation of discomfort lasting 5-15
minutes, described as dull, aching or pressure.
Eliciting a history from a patient presenting with dyspnea due to early heart failure the
severity of the dyspnea should be quantified by
A. Amount of activity that precipitates it
B. How many pillows they sleep on at night
C. How long it takes the dyspnea to resolve
D. any associated comorbities - A. Amount of activity that precipitates it
A 25 year old female presents with a three day history of chest pain aggravated by
coughing and relieved by sitting. She is febrile and a CBC with differential reveals
leukocytosis. Which of the following physical exam signs is characteristics of her
problem?
A. Pulsus paradoxus
B. Localized crackles
C. Pericardial friction rub
D. Wheezing - C. Pericardial friction rub
A 65-year-old white female presents with dilated tortuous veins on the medial aspect of
her lower extremities. Which of the following would be the most common initial
complaint?
,A. Pain in the calf with ambulation
B. Dull aching heaviness brought on by periods of standing
C. Brownish pigmentation above the ankle
D. Edema on the lower extremities - B. Dull aching heaviness brought on by periods of
standing
A 22-year-old male received a stab wound in the chest an hour ago. The diagnosis of
pericardial tamponade is strongly supported by the presence of
A. Pulmonary edema
B. Wide pulse pressure
C. Distended neck veins
D. An early diastolic murmur - C. Distended neck veins
A 70-year-old man presents to the emergency department with severe substernal chest
pain of one hour's duration. The patient was taking a morning walk when the onset of
pain led him to seek care. His past medical history includes coronary artery disease,
hyperlipidemia, and hypertension. Medications include aspirin, losartan, and
atorvastatin. An electrocardiogram reveals ST elevations in the inferior leads II, III, and
avF as well as in leads V5 and V6. The ST elevations found in leads V5-V6 are most
indicative of pathology in which of the following areas of the heart?
A. Inferior wall, right coronary artery
B. Interventricular septum, left anterior descending coronary artery
C. Lateral wall of the left ventricle, left circumflex coronary artery
D. Left atrium, left main coronary artery
E. Right ventricle, left main coronary artery - C. Lateral wall of the left ventricle, left
circumflex coronary artery
A 72-year-old male with a new diagnosis of congestive heart failure and atrial fibrillation
develops episodes of hemodynamic compromise secondary to increased ventricular
rate. A decision to perform elective cardioversion is made and the patient is
anticoagulated with heparin. Which test should be ordered to assess for atrial or
ventricular mural thrombi?
A. Electrocardiography
B. Chest xray
C. Transesophageal echocardiogram
D. C-reactive protein - C. Transesophageal echocardiogram
A 64-year-old patient with known history of type 1 diabetes mellitus for 50 years has
developed pain radiating from the right buttock to the calf. Patient states that the pain is
made worse with walking and climbing stairs. Based upon this history which of the
following would be the most appropriate test to order?
, A. Venogram
B. Arterial duplex scanning
C. X-ray of the right hip and L/S spine
D. Venous Doppler ultrasound - B. Arterial duplex scanning
A 36-year-old male complains of occasional episodes of "heart fluttering." The patient
describes these episodes as frequent, short-lived and episodic. He denies any
associated chest pain. Based on this information, which one of the following tests would
be the most appropriate to order?
A. Holter monitor
B. Cardiac catheterization
C. Stress testing
D. Cardiac nuclear scanning - A. Holter monitor
A patient with a mitral valve replacement was placed post-operatively on warfarin
(Coumadin) for anticoagulation prophylaxis. To monitor this drug for its effectiveness,
what test would be used?
A. PTT
B. PT-INR
C. Platelet aggregation
D. Bleeding time - B. PT-INR
A 64-year-old male, with a long history of COPD, presents with increasing fatigue over
the last three months. The patient has stopped playing golf and also complains of
decreased appetite, chronic cough, and a bloated feeling. Physical examination reveals
distant heart sounds, questionable gallop, lungs with decreased breath sounds at lung
bases and the abdomen reveals RUQ tenderness with the liver two finger-breadths
below the costal margin, the extremities show 2+/4+ pitting edema. Labs reveal the
serum creatinine level of 1.6 mg/dl, BUN 42 mg/dl, liver function test's mildly elevated
and the CBC to be normal. Which of the following is the most likely diagnosis?
A. Right ventricular failure
B. Pericarditis
C. Exacerbation of COPD
D. Cirrhosis - A. Right ventricular failure
A 56-year-old male with a known history of polycythemia suddenly complains of pain
and paresthesia in the left leg. Physical examination reveals the left leg is cool to the
touch and the toes are cyanotic. The popliteal pulse is absent by palpation and Doppler.
The femoral pulse is absent by palpation but weak with Doppler. The right leg and upper
extremities has 2+/4+ pulses throughout. Given these findings what is the most likely
diagnosis?
A. Venous thrombosis
