
Final MCQ Test IACC
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Other
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Professional Development
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Practice Problem
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Medium
Enzo Bearzot
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100 questions
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1.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
A 61-year-old man presents with 45 minutes of substernal chest pressure radiating to the left arm. He is diaphoretic and anxious. Vitals: BP 96/62 mmHg, HR 58 bpm, RR 18/min, SpO2 96% on room air. ECG shows 2 mm ST-segment elevation in leads II, III, and aVF with reciprocal depression in leads I and aVL.
Administer sublingual nitroglycerin
Initiate fibrinolytic therapy
Administer IV fluids and assess for right ventricular infarct
Start intravenous beta-blockers
Obtain serial troponin levels
2.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
A 69-year-old woman with diabetes presents with atypical chest pain. Vitals: BP 138/86 mmHg, HR 102 bpm, ECG shows no ST-elevation. Troponin I is elevated at 3.2 ng/mL. Which of the following is the next best step in her management?
Immediate coronary angiography
Stress testing with echocardiography
Administer aspirin and monitor
Dual antiplatelet therapy and risk stratification
Administer thrombolytic therapy
3.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
A 55-year-old man undergoes successful PCI with a drug-eluting stent for a STEMI. On post-procedure day 3, he develops hypotension, new pansystolic murmur, and pulmonary edema.
Acute mitral regurgitation due to papillary muscle rupture
Ventricular septal rupture
Pericardial tamponade
Cardiogenic shock from stunned myocardium
Free wall rupture
4.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
A 73-year-old man presents 4 hours after the onset of chest pain. ECG shows new LBBB. Troponin is not yet elevated. Which of the following criteria most strongly supports a diagnosis of acute myocardial infarction?
Sgarbossa concordant ST elevation ≥1 mm in any lead
Discordant ST depression ≥1 mm in V1–V3
ST depression in lead I and aVL
ST elevation in V3–V4
Absence of Q waves
5.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
A 65-year-old woman with a recent NSTEMI is on aspirin and ticagrelor. She develops upper GI bleeding. INR is 1.1. Which of the following is the best next step in her antiplatelet management?
Discontinue both aspirin and ticagrelor
Discontinue aspirin and continue ticagrelor
Discontinue ticagrelor and continue aspirin
Continue both aspirin and ticagrelor
Switch to clopidogrel monotherapy
6.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
A 58-year-old man with a history of hypertension and dyslipidemia presents with acute chest pain for 30 minutes. Vitals: BP 120/80 mmHg, HR 88 bpm. ECG shows dynamic T-wave inversions in V2–V4. Troponin I is mildly elevated.
Emergent PCI
Conservative medical therapy only
Invasive angiography within 24–72 hours
Thrombolytic therapy
Repeat troponin in 12 hours
7.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
A 62-year-old woman presents 3 days after a STEMI treated with PCI. She now has chest pain that worsens with inspiration and improves when sitting forward. ECG shows diffuse ST elevation and PR depression.
High-dose aspirin only
Colchicine and NSAIDs
Systemic corticosteroids
Repeat coronary angiography
Anticoagulation with heparin
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