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200 CARDIOVASCULAR DISEASE QUIZ Q&A | EPIDEMIOLOGY, RISK FACTORS, PATHOPHYSIOLOGY, ACS, HEART FAILURE, ARRHYTHMIAS, VALVULAR DISEASE & MORE | 2026 UPDATE

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Ace your cardiology exam or board review with this 2026-updated practice guide featuring 200 realistic questions and detailed rationales. Covers leading causes of death (INTERHEART study), modifiable and non-modifiable risk factors, atherosclerosis pathophysiology (vulnerable plaque, foam cells), hypertension (ACC/AHA 2017 guidelines, resistant hypertension, secondary causes), acute coronary syndromes (STEMI vs. NSTEMI, troponin, primary PCI), heart failure (HFrEF vs. HFpEF, GDMT including ARNI, SGLT2 inhibitors), arrhythmias (AFib, CHA₂DS₂-VASc, DOACs, VT/VF, long QT syndrome), valvular heart disease (aortic stenosis, mitral regurgitation), peripheral artery disease (ABI), venous thromboembolism (DVT/PE), cardiomyopathies (HCM, amyloidosis, Takotsubo), and congenital heart disease. Each answer explains the “why” — so you master pathophysiology, clinical presentation, and evidence-based management. Written for medical students, residents, nurses, and cardiovascular trainees preparing for exams.

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200 CARDIOVASCULAR DISEASE
Course
200 CARDIOVASCULAR DISEASE

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Page 1 of 88



CVD Quiz | Questions and Answers |

2026 Updated | Graded A+

Q1

Which of the following is the leading cause of death

worldwide as of 2026?

A) Cancer

B) Cardiovascular disease

C) Respiratory infections

D) Diabetes mellitus

Rationale: CVD remains the #1 cause of death globally,

accounting for ~32% of all deaths (WHO data). Ischemic heart

disease and stroke are the top two.

Answer: B

,Page 2 of 88


Q2

The INTERHEART study identified nine modifiable risk factors

that account for approximately what percentage of the

population attributable risk of myocardial infarction?

A) 50%

B) 90%

C) 30%

D) 70%

Rationale: The INTERHEART study (2004) demonstrated that nine

modifiable risk factors (smoking, lipids, hypertension, diabetes,

obesity, diet, physical activity, alcohol, psychosocial factors)

account for >90% of the risk of MI.

Answer: B




Q3

,Page 3 of 88


Which lipoprotein pattern is most strongly associated with

increased risk of atherosclerotic cardiovascular disease

(ASCVD)?

A) High HDL, low LDL

B) High LDL and high small dense LDL particles

C) Low triglycerides

D) High HDL, high LDL

Rationale: Elevated LDL cholesterol, particularly small dense LDL

particles, is highly atherogenic. High HDL is protective.

Answer: B




Q4

A 55-year-old male has a 10-year ASCVD risk of 12%

according to the pooled cohort equation (PCE). According to

2019 ACC/AHA guidelines, he should be considered:

A) Low risk (<5%)

, Page 4 of 88


B) Borderline to intermediate risk; statin therapy is

recommended (≥7.5% is threshold for moderate-intensity statin

in primary prevention)

C) Very high risk

D) No statin needed

Rationale: The 2018/2019 ACC/AHA guidelines recommend

moderate-intensity statin for primary prevention when 10-year

ASCVD risk is ≥7.5% and patient age 40-75.

Answer: B




Q5

Which risk factor has the highest population attributable risk

for coronary heart disease in women?

A) Hypertension

B) Diabetes mellitus

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200 CARDIOVASCULAR DISEASE
Course
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