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Cardiology I (MED-402) | 70 Cardiomyopathy, Ischemic Heart Disease & CHF Exam Questions with Answers

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This document contains 70 clinically-focused exam questions with fully verified answers, covering cardiomyopathies, ischemic heart disease (IDH), and congestive heart failure (CHF). It aligns with the Cardiology I (MED-402) course at the University of Health Sciences for the 2025/2026 academic year, and is designed to support medical students preparing for internal exams and board-style assessments. Key areas include: Ischemic heart disease (IDH): concepts like myocardial ischemia, acute coronary syndromes (STEMI, NSTEMI, unstable angina), and complications such as reperfusion injury and cardiogenic shock Diagnostics and interventions: troponin, LDH, stress testing (EKG, echo, nuclear), imaging (CT, X-ray, ultrasound), and procedures such as angioplasty, PCI, and revascularization Pharmacologic therapy: use of nitrates, aspirin, beta-blockers, statins, ACE inhibitors, and inotropic agents in acute and chronic cardiac management Congestive heart failure (CHF): detailed breakdown of HFrEF vs. HFpEF, left vs. right-sided symptoms, and NYHA staging (I–IV), along with diagnostic tools (BNP, EKG, echo, labs) and treatment considerations Cardiomyopathies: detailed differentiation between dilated, hypertrophic, restrictive, and ARVD types, including pathophysiology, clinical features, EKG changes, genetic inheritance patterns, and associated systemic diseases such as sarcoidosis and amyloidosis This high-yield resource is ideal for: Medical students in pre-clinical and clinical cardiology modules Candidates preparing for USMLE Step 1 & 2, PLAB, COMLEX, and other standardized medical exams Physician associate, nursing, and international medical graduates revising cardiovascular pathophysiology and therapeutics The structured Q&A format supports rapid learning, active recall, and mastery of essential cardiology concepts for academic and clinical success. Keywords: ischemic heart disease, myocardial infarction, angina, ACS, cardiogenic shock, troponin, stress testing, cardiac catheterization, PCI, CHF, HFrEF, HFpEF, NYHA stages, BNP, cardiomyopathy, dilated cardiomyopathy, hypertrophic cardiomyopathy, restrictive cardiomyopathy, ARVD, EKG findings, wall thickening, genetic inheritance, sarcoidosis, amyloidosis, TNF-alpha, inotropic therapy, ACE inhibitors, beta-blockers

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Uploaded on
December 12, 2025
Number of pages
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Written in
2025/2026
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CARDIO: Stein IDH, Cardiomyopathy,
CHF 2025/2026 Exam Questions and
Correct Answers | New Update



Angina Pectoris - 🧠ANSWER ✔✔manifestation (typically chest pain) of

myocardial ischemia caused by adenosine


Myocardial ischemia - 🧠ANSWER ✔✔coronary blood flow becomes

inadequate to meet myocardial O2 demand


Acute coronary syndrome - 🧠ANSWER ✔✔condition brought on by a

sudden reduction of O2 supply to the heart


Most common cause of ACS - 🧠ANSWER ✔✔plaque rupture

, Common IDH complaints - 🧠ANSWER ✔✔chest pain, SOB, weakness,

dizziness, palpitations, leg swelling, weight gain


Common IDH findings - 🧠ANSWER ✔✔irregular rate/rhythm, BP changes,

S4 gallop, sys. murmur, pulm/peripheral edema


IDH risk factors - 🧠ANSWER ✔✔older age, male sex, hx of smoking, DM,

BP distubances, high BMI, dyslipidemia

(+/-) myocardial damage




angina - 🧠ANSWER ✔✔(-)


(+/-) myocardial damage




myocardial ischemia/infarction - 🧠ANSWER ✔✔(+)


stable angina - 🧠ANSWER ✔✔predictable symptoms to activity performed


unstable angina - 🧠ANSWER ✔✔progressing anginal symptoms with a

decreased threshold of exertion


Angina decubitus - 🧠ANSWER ✔✔occurs with patient lying down

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