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Cardio 2 MRE 2020 CHAIM
Cardio 2 MRE 2020 CHAIM
Cardio 2 MRE 2020 CHAIM
CARDIOVASCULAR SYSTEM 2
MARCH 13, 2020
3. Which of the following is NOT a cause of heart failure with preserved ejection fraction?
A. Hypertension
B. Hemochromatosis
C. Aging
D. Chaga’s Disease
4. Which of the following beta blockers has NOT been proven to improve survival among
patients with HFrEF?
A. Carvedilol
B. Bisoprolol
C. Metoprolol tartrate
D. Metoprolol succinate
5. The most sensitive biomarker for the presence of heart failure with reduced EF?
A. Troponin
B. B type Natriuretic peptide
C. Soluble ST - 2
D. Galectin 3
7. What drug when combined with aspirin confers a 20% relative reduction in cardiovascular
death, MI, stroke compared to aspirin alone, but with absolute 1% increase in major
bleeding?
A. Clopidogrel
B. Ticagrelor
C. Prasugrel
D. Cilostazol
8. Drug of choice for Prinzmetal’s variant angina?
A. Beta blocker
B. ARB or ACEi
C. Nitrates and CCBs
D. ALL OF THE ABOVE
10. Most out of hospital mortalities from STEMI are due to:
A. Pump failure
B. Respiratory arrest
C. Septal rupture
D. Ventricular fibrillation
11. A patient presenting with severe chest pain, evidence of inferior infarction on ECG, elevated
JVP, clear lugs and hypotension most likely has:
A. Severe LV pump failure
B. Aortic dissection
C. Right ventricular infarction
D. Concomitant sepsis
12. Infarction of how much left ventricular mass usually results in cardiogenic shock?
A. >40%
B. >30%
C. >20%
D. at least 60%
14. Therapeutic agents considered highly beneficial for CHF complicating STEMI, except:
A. Nitrates
B. ACE inhibitors
C. Digitalis
D. Diuretics
16. Congenital heart disease characterized by a downward displacement of the tricuspid valve
into the right ventricle due to anomalous attachment of the tricuspid leaflets:
A. Ttricuspid atresia
B. Ebstein anomaly
C. Lutembacher’s syndrome
D. Kartagener’s syndrome
17. Beck’s triad of cardiac tamponade include hypotension, soft or absent heart sounds, and:
A. Summation gallop
B. Jugular venous distention, with prominent x descent but absent y descent
C. Electrical alternans
D. Pulsus paradoxus
22. Recommended treatment duration for patients with cancer associated VTE with LMWH as
monotherapy without warfarin:
A. 3 months
B. 6 months
C. 1 year
D. Indefinitely (or until cancer free)
24. Conditions associated with increased risk for venous thrombosis, except:
A. Acute myocardial infarction
B. Thromboangiitis obliterans
C. Malignancy
D. Chronic kidney disease
30. Phosphodiesterase inhibitor with vasodilator and antiplatelet properties can increase
claudication distance by 40-60% and improve quality of life:
A. Cilostazol
B. Sildenafil
C. Pentoxyfilline
D. Dipyridamole
32. For asymptomatic AAAs, operative repair is indicated once the diameter reaches:
A. >10cm
B. >5.5cm
C. >3.5cm
D. >15cm
33. Classic description of chest pain of acute aortic dissection:
A. Sudden, severe, and tearing
B. Often radiates to the interscapular area
C. Associated with diaphoresis
D. All of the above
34. This infection typically causes aneurysms of the aortic arch or ascending aorta due to
periaortitis and mesoaortitis:
A. Tuberculosis
B. Syphilis
C. Lyme disease
D. Candidiasis