EXAM
Exam Solution zm
MFBA Heart disease 2026 A+ GRADE ASSURED COMPLzm zm zm zm zm zm zm
ETE SOLUTIONS AND VERIFIED ANSWERS (90DA0)
zm zm zm zm zm
QUESTION 1 zm
A 76-year-
zm
old female presents to the emergency department with increasing dyspnea and lighth
zm zm zm zm zm zm zm zm zm zm zm
eadedness. You order an EKG, which is shown below.Which one of the following is the
zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
most likely diagnosis?
m zm zm
A. Acute pericarditis
zm zm
B. Coronary artery spasm
zm zm zm
C. Mobitz II AV block
zm zm zm zm
D. Non-ST-elevation myocardial infarction
zm zm zm
E. Previous inferior myocardial infarction, age indeterminate
zm zm zm zm zm zm
ANSWER
D. Non-ST-elevation myocardial infarction Critique: The 12-lead EKG shows a marked ST-
zm zm zm zm zm zm zm zm zm zm zm
segment abnormality with ST-segment depression in leads V2-V6, I, and aVL consistent with non-ST-
zm zm zm zm zm zm zm zm zm zm zm zm zm
elevation myocardial injury or infarction. Coronary artery spasm and acute pericarditis are associate
zm zm zm zm zm zm zm zm zm zm zm zm
d with ST-
zm zm
segment elevation. The patient has a regular rhythm without evidence of an intermittent failure of c
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
onduction of the atrial pulse to the ventricles, and thus does not have Mobitz II (or type II) second
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
degree AV block. The EKG does not show Q waves in the inferior leads (II, III, and aVF), which wou
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ld indicate a previous inferior wall myocardial infarction.
zm zm zm zm zm zm zm
QUESTION 2 zm
A 61-year-
zm
old male is being treated for erectile dysfunction with intermittent tadalafil (Cialis), 2
zm zm zm zm zm zm zm zm zm zm zm zm
0 mg. He calls 911 due to severe chest pain. It would not be considered safe to admin
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ister nitrate therapy unless the time interval since his last dose of tadalafil has been a
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
minimum of
zm zm
A. 6 hourszm zm
B. 12 hours
zm zm
C. 24 hours
zm zm
Exam Solution zm
MFBA Heart disease 2026 A+ GRADE ASSURED COMPLzm zm zm zm zm zm zm
ETE SOLUTIONS AND VERIFIED ANSWERS (90DA0)
zm zm zm zm zm
QUESTION 1 zm
A 76-year-
zm
old female presents to the emergency department with increasing dyspnea and lighth
zm zm zm zm zm zm zm zm zm zm zm
eadedness. You order an EKG, which is shown below.Which one of the following is the
zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
most likely diagnosis?
m zm zm
A. Acute pericarditis
zm zm
B. Coronary artery spasm
zm zm zm
C. Mobitz II AV block
zm zm zm zm
D. Non-ST-elevation myocardial infarction
zm zm zm
E. Previous inferior myocardial infarction, age indeterminate
zm zm zm zm zm zm
ANSWER
D. Non-ST-elevation myocardial infarction Critique: The 12-lead EKG shows a marked ST-
zm zm zm zm zm zm zm zm zm zm zm
segment abnormality with ST-segment depression in leads V2-V6, I, and aVL consistent with non-ST-
zm zm zm zm zm zm zm zm zm zm zm zm zm
elevation myocardial injury or infarction. Coronary artery spasm and acute pericarditis are associate
zm zm zm zm zm zm zm zm zm zm zm zm
d with ST-
zm zm
segment elevation. The patient has a regular rhythm without evidence of an intermittent failure of c
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
onduction of the atrial pulse to the ventricles, and thus does not have Mobitz II (or type II) second
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
degree AV block. The EKG does not show Q waves in the inferior leads (II, III, and aVF), which wou
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ld indicate a previous inferior wall myocardial infarction.
zm zm zm zm zm zm zm
QUESTION 2 zm
A 61-year-
zm
old male is being treated for erectile dysfunction with intermittent tadalafil (Cialis), 2
zm zm zm zm zm zm zm zm zm zm zm zm
0 mg. He calls 911 due to severe chest pain. It would not be considered safe to admin
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ister nitrate therapy unless the time interval since his last dose of tadalafil has been a
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
minimum of
zm zm
A. 6 hourszm zm
B. 12 hours
zm zm
C. 24 hours
zm zm