Module 3B: Cardiovascular, CSA #3 Questions With
Complete Solutions
Men 60 years of age or older who are either a sibling/offspring
of patients with AAAs should undergo:
Physical exam and US screening
Men who are 65-75 years of age who have ever smoked should
undergo:
Physical exam and 1 time US screening
Imaging study most often ordered for screening and initial
confirmation of AAA:
US
Preferred and most widely used imaging modality before AA
repair:
CTA
Imaging that may also be used to diagnose aortic disease and for
pre-operative planning:
MRI/MRA
MRI/MRA are unable to be used for patients with:
Pacemakers or other metallic hardware
What is used to estimate 10-year risk of fatal/non-fatal CVD
events in adults 40-79?
Pooled cohort equation (PCE)
,Patients at high risk of HTN should be started on medical
therapy at ____ BP threshold
Lower
Patients with an estimated 10-year risk of atherosclerosis should:
Start treatment
According to the 2017 ACC/AHA guidelines, stage 1 HTN is:
SBP 130-139/ DBP 80-89
According to the 2017 ACC/AHA guidelines, stage 2 HTN is:
BP greater than or equal to 140/90
According to the 2023 ESH guideline, grade 1 HTN is:
> 140/90
According to the 2023 ESH guideline, normal or high-normal
BP is:
SBP 130-139/ DBP 80-89
Initial therapeutic choices for HTN treatment:
ACE inhibitors, ARBs, thiazide or thiazide-like diuretics, and
CCBs
First-line strategy for many patients with HTN:
Single pill combination therapy
2023 ESH guideline uses which tool for CVD risk stratification?
Systematic Coronary Risk Evaluation 2 (SCORE2)
Non-invasive assessment of CAD should include immediate:
, EKG and lab biomarker testing
A cardiac catheterization is indicated if findings indicate:
Acute MI
Standard diagnostic test for CAD involving any obstructive
lesion producing symptoms or individuals at risk of ACS:
Invasive coronary angiography (ICA) - may not be ideal due to
risks/costs
Functional tests indicate whether symptoms are correlated with:
Areas of ischemia
CACS is directly related to the plaque burden where zero
constitutes:
A normal CACS
<10 CACS indicates:
Low
>400 CACS indicates:
High
Calcium scoring and exercise testing is appropriate in
individuals at:
Intermediate and high risk
Exercise stress testing has ___ sensitivity than other tests and
____ specificity in women
Lower, poor
Complete Solutions
Men 60 years of age or older who are either a sibling/offspring
of patients with AAAs should undergo:
Physical exam and US screening
Men who are 65-75 years of age who have ever smoked should
undergo:
Physical exam and 1 time US screening
Imaging study most often ordered for screening and initial
confirmation of AAA:
US
Preferred and most widely used imaging modality before AA
repair:
CTA
Imaging that may also be used to diagnose aortic disease and for
pre-operative planning:
MRI/MRA
MRI/MRA are unable to be used for patients with:
Pacemakers or other metallic hardware
What is used to estimate 10-year risk of fatal/non-fatal CVD
events in adults 40-79?
Pooled cohort equation (PCE)
,Patients at high risk of HTN should be started on medical
therapy at ____ BP threshold
Lower
Patients with an estimated 10-year risk of atherosclerosis should:
Start treatment
According to the 2017 ACC/AHA guidelines, stage 1 HTN is:
SBP 130-139/ DBP 80-89
According to the 2017 ACC/AHA guidelines, stage 2 HTN is:
BP greater than or equal to 140/90
According to the 2023 ESH guideline, grade 1 HTN is:
> 140/90
According to the 2023 ESH guideline, normal or high-normal
BP is:
SBP 130-139/ DBP 80-89
Initial therapeutic choices for HTN treatment:
ACE inhibitors, ARBs, thiazide or thiazide-like diuretics, and
CCBs
First-line strategy for many patients with HTN:
Single pill combination therapy
2023 ESH guideline uses which tool for CVD risk stratification?
Systematic Coronary Risk Evaluation 2 (SCORE2)
Non-invasive assessment of CAD should include immediate:
, EKG and lab biomarker testing
A cardiac catheterization is indicated if findings indicate:
Acute MI
Standard diagnostic test for CAD involving any obstructive
lesion producing symptoms or individuals at risk of ACS:
Invasive coronary angiography (ICA) - may not be ideal due to
risks/costs
Functional tests indicate whether symptoms are correlated with:
Areas of ischemia
CACS is directly related to the plaque burden where zero
constitutes:
A normal CACS
<10 CACS indicates:
Low
>400 CACS indicates:
High
Calcium scoring and exercise testing is appropriate in
individuals at:
Intermediate and high risk
Exercise stress testing has ___ sensitivity than other tests and
____ specificity in women
Lower, poor
