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Day 1 ENT Flashback

Total questions: 15

Worksheet time: 9mins

Name
Class
Date
1.

Medications that were shown to be beneficial to patients with HFrEF may not have the same benefits for patients with HFpEF

a)

YES

b)

NO

c)

MAY BE

d)

I DON'T KNOW

2.

In HF treatment landscape, which beta-blocker has no randomized clinical trial on its significant reduction in all-cause mortality?

a)

Nebivolo

b)

Carvedilol

c)

Propranolol

d)

Bisoprolol

3.

The mortality rate for patients with chronic HF is as high as ______ at 5 years post-diagnosis

a)

25%

b)

50%

c)

75%

d)

90%

4.

In ESC 2016 HF guideline, Sacubitril/valsartan was given a class ____ as recommendation to replaced ACEi to further reduce the risk of HF hospitalization and death in patients with HFrEF

a)

1A

b)

1B

c)

2A

d)

2B

5.

In SOLVD-Treatment (1991): which medication showed significantly reduction in the risk of all-cause mortality in patients with HFrEF?

a)

Ramipril

b)

Enalapril

c)

Perindopril

d)

Lisinopril

6.

Which of the following is NOT substrate of Neprilysin enzyme?

a)

Endothelin

b)

Bradykinin

c)

Aldosterone

d)

BNP

7.

Natriuretic peptides are released in response to:

a)

Salt and water retention

b)

Release of norepinephrine

c)

Increase in cardiac wall stress

d)

Increase in heart rate

8.

Which NYHA functional classification is this – “Marked limitation of physical activity. Comfortable at rest, but less than ordinary activity results in HF symptoms”?

a)

CLASS I

b)

CLASS II

c)

CLASS III

d)

CLASS IV

9.

What is the most common cause of HF with reduced EF?

a)

Hypertension

b)

Valve disease

c)

Cardiomyopathies

d)

Coronary artery disease

10.

What is the proposed mechanism of Sac/Val in cardiac remodeling?

a)

↑ BNP and ↓ RAAS effects on cardiac

b)

↓ both BNP and RAAS effects on cardiac

c)

↑ both BNP and RAAS effects on cardiac

d)

↓ BNP and ↑ RAAS effects on cardiac

11.

According to ESC guideline, to rule out non-acute setting HF, we need to have BNP level

of:

a)

< 20 pg/mL

b)

< 35 pg/mL

c)

< 100 pg/mL

d)

< 125 pg/mL

12.

Please label the following diagram accordingly

a)

A: Pulmonary valve; B: Aortic valve; C: Tricuspid valve; D: Mitral valve

b)

A: Aortic valve; B: Pulmonary valve; C: Mitral valve; D: Tricuspid valve

c)

A: Aortic valve; B: Pulmonary valve; C: Tricuspid valve; D: Mitral valve

d)

A: Pulmonary valve; B: Aortic valve; C: Mitral valve; D: Tricuspid valve

13.

What is condition ‘X’ as described in this graph?

a)

Myocardial infarction

b)

Acute decompensated heart failure

c)

Mortality in HF

d)

Diabetes Mellitus

14.

ESC 2016: Which pharmacological treatment did not have class 1 recommendation indicated in patients with symptomatic HFrEF?

a)

Enalapril

b)

Entresto

c)

Ivabradine

d)

Epleronone

15.

In the PARADIGM-HF trial with Sac/Val vs Enalapril in HFrEF, what was the RRR achieved in its primary endpoint of CV death or HF hospitalization?

a)

21%

b)

18%

c)

20%

d)

16%