Cardiology Practice Questions

Question 1

A 42-year-old woman presents with fatigue, muscle aches, and widespread pain. She has multiple tender points but normal inflammatory markers. Sleep is poor. What is the most appropriate initial treatment?

Accepted Answer

Pregabalin

Answer

NSAIDs

Answer

Prednisolone

Answer

Methotrexate

Answer

Physiotherapy alone

Question 2

A 57-year-old diabetic man presents with a non-healing foot ulcer for 3 months. Ankle-brachial pressure index is 0.3. What does this indicate?

Accepted Answer

Severe arterial disease

Answer

Normal arterial supply

Answer

Mild arterial disease

Answer

Moderate arterial disease

Answer

Venous disease

Question 3

A 43-year-old man presents with recurrent episodes of severe sweating, palpitations, and headache. His BP during episodes is 240/130 mmHg. What is the most appropriate preoperative management?

Accepted Answer

Alpha-blockers then beta-blockers

Answer

Beta-blockers only

Answer

Alpha-blockers only

Answer

ACE inhibitors

Answer

Calcium channel blockers

Question 4

A 41-year-old man presents with progressive weakness in his hands and arms over 12 months. He has muscle fasciculations and hyperreflexia. EMG shows both acute and chronic denervation changes. What is the prognosis?

Accepted Answer

Poor with 3-5 year survival

Answer

Excellent with treatment

Answer

Good with supportive care

Answer

Variable depending on subtype

Answer

Stable with medication

Question 5

A 56-year-old man presents with progressive dyspnea and chest tightness. He works in coal mining. Chest X-ray shows bilateral upper lobe nodules. What is the most likely diagnosis?

Accepted Answer

Coal worker's pneumoconiosis

Answer

Lung cancer

Answer

Silicosis

Answer

Tuberculosis

Answer

Sarcoidosis

Question 6

A 61-year-old man presents with progressive dyspnea and fatigue. Echocardiogram shows severe aortic stenosis with valve area $0.5\mathrm{cm}^2$. He develops syncope during exercise testing. What is the most appropriate management?

Accepted Answer

Urgent aortic valve replacement

Answer

Medical management

Answer

Balloon aortic valvuloplasty

Answer

Heart transplantation

Answer

ICD insertion

Question 7

A 55-year-old woman presents with progressive dyspnea and fatigue. Echocardiogram shows severe aortic regurgitation with LV end-systolic dimension 58mm and EF 48%. She is asymptomatic at rest. What is the most appropriate management?

Accepted Answer

Aortic valve replacement

Answer

Medical management

Answer

ACE inhibitors and monitoring

Answer

Exercise stress testing

Answer

Cardiac catheterization

Question 8

A 53-year-old woman presents with progressive dyspnea and fatigue. Echocardiogram shows severe mitral regurgitation with flail posterior leaflet. LV function is normal but LV end-systolic dimension is 45mm. What is the most appropriate management?

Accepted Answer

Mitral valve repair

Answer

Medical management

Answer

Mitral valve replacement

Answer

Heart transplantation

Answer

Balloon valvuloplasty

Question 9

A 46-year-old man presents with progressive dyspnea and fatigue. Echocardiogram shows severe mitral stenosis with valve area 0.7 cm². He is in atrial fibrillation with rapid ventricular response. What is the most appropriate initial management?

Accepted Answer

Rate control with digoxin

Answer

Immediate cardioversion

Answer

Balloon mitral valvuloplasty

Answer

Mitral valve replacement

Answer

Anticoagulation alone

Cardiology

Study Resources

Lessons

Questions

Flashcards

Lessons

Acute coronary syndromes

Atrial fibrillation and anticoagulation

Cardiovascular risk assessment (QRISK)

Heart failure (HFrEF, HFpEF)

Hypertension diagnosis and management

Stable angina

Valvular heart disease

Practice Questions

Flashcards

About Cardiology for UKMLA

Lessons in Cardiology

Master Cardiology