EMED EOR Practice Questions- Cardiology |
100% Correct Answers | Verified | Latest
2024 Version
A 72 year old male with new dx of congestive heart failure and atrial fibrillation develops episodes of
hemodynamic compromise secondary to increased ventricular rate. A decision to perform elective
cardioversion is made and the patient is anticoagulated with heparin. Which test should be ordered to
assess for atrial or ventricular mural thrombi?
A. Electrocardiogram
B. Chest XR
C. Transesophageal echocardiogram
D. C-Reactive protein - ✔✔C. Transesophageal Echocardiogram
A 74 year old pt presents with signs and symptoms of heart failure. EKG shows the patient to be in atrial
fibrillation at a rate of 80 bpm. BP is 120/76. The patient denies complaint of palpitations, chest pain or
syncope. Which of the following is the most important long term therapy in this patient?
A. Verapamil
B. Amiodarone
C. Furosemide
D. Warfarin - ✔✔D. Warfarin
A 29 year-old male presents with complaint of substernal chest pain for 12 hours. The patient states that
the pain radiates to his shoulders and is relieved with sitting forward. The patient admits to recent upper
respiratory symptoms. On examination vital signs are BP 126/68, HR 86, RR 20, temp 100.3 degrees F.
There is no JVD noted. Heart exam reveals regular rate and rhythm with no S3 or S4. There is a friction
rub noted. Lungs are clear to auscultation. EKG shows diffuse ST segment elevation. What is the
treatment of choice in this patient?
A. Pericardiocentesis
B. Nitroglycerin
C. Percutaneous coronary intervention
D. Indomethacin (Indocin) - ✔✔D. Indomethacin
, A 49-year-old female presents complaining of several episodes of chest pain recently. Initial ECG in the
ED shows no acute changes. Two hours later while the patient was having pain, repeat ECG revealed ST
segment elevation in leads II, III and avf. Cardiac catheterization shows no significant obstruction of the
coronary arteries. Which of the following is the treatment of choice in this patient?
A. nifedipine (Procardia)
B. Metoprolol (Lopressor)
C. Lisinopril (Zestril)
D. Carvedilol (Coreg) - ✔✔A- Nifedipine (Procardia)- prophylactic treatment with CCB for coronary
vasospasm
A 60 year-old male with hypertension is brought to the emergency department 30 minutes after the
sudden onset of severe chest pain that radiates to his back and arms. His blood pressure is 180/80
mmHg in his left arm; no blood pressure reading can be obtained from the right arm. ECG shows sinus
tachycardia with left ventricular hypertrophy. A high pitched decrescendo diastolic murmur is heard
along the left mid-sternal border. Which of the following is the most likely diagnosis?
A. Acute myocardial infarction
B. Aortic dissection
C. Pulmonary embolism
D. Right subclavian arterial embolus - ✔✔B- Aortic Dissection
26 yo pt is brought to the ED after a head on collision. The pt complains of chest pain, dyspnea and
cough. Examination reveals the patient to be tachypneic and tachycardic with a narrow pulse pressure.
JVD is noted. ECG reveals nonspecific T wave changes and electrical alternans. Which of the following is
most appropriate management for this patient?
A. Serial echo cardiogram
B. Pericardiocentesis
C. Cardiac catherization
D. Pericardectomy - ✔✔B - Pericardiocentesis- this is TOC for pleural effusion
22 yo male received a stab wound in the chest 1 hr ago. The diagnosis of pericardial tamponade is
strongly supported by the presence of...?
A. Pulmonary edema
B. Wide pulse pressure
C. Distended neck veins
100% Correct Answers | Verified | Latest
2024 Version
A 72 year old male with new dx of congestive heart failure and atrial fibrillation develops episodes of
hemodynamic compromise secondary to increased ventricular rate. A decision to perform elective
cardioversion is made and the patient is anticoagulated with heparin. Which test should be ordered to
assess for atrial or ventricular mural thrombi?
A. Electrocardiogram
B. Chest XR
C. Transesophageal echocardiogram
D. C-Reactive protein - ✔✔C. Transesophageal Echocardiogram
A 74 year old pt presents with signs and symptoms of heart failure. EKG shows the patient to be in atrial
fibrillation at a rate of 80 bpm. BP is 120/76. The patient denies complaint of palpitations, chest pain or
syncope. Which of the following is the most important long term therapy in this patient?
A. Verapamil
B. Amiodarone
C. Furosemide
D. Warfarin - ✔✔D. Warfarin
A 29 year-old male presents with complaint of substernal chest pain for 12 hours. The patient states that
the pain radiates to his shoulders and is relieved with sitting forward. The patient admits to recent upper
respiratory symptoms. On examination vital signs are BP 126/68, HR 86, RR 20, temp 100.3 degrees F.
There is no JVD noted. Heart exam reveals regular rate and rhythm with no S3 or S4. There is a friction
rub noted. Lungs are clear to auscultation. EKG shows diffuse ST segment elevation. What is the
treatment of choice in this patient?
A. Pericardiocentesis
B. Nitroglycerin
C. Percutaneous coronary intervention
D. Indomethacin (Indocin) - ✔✔D. Indomethacin
, A 49-year-old female presents complaining of several episodes of chest pain recently. Initial ECG in the
ED shows no acute changes. Two hours later while the patient was having pain, repeat ECG revealed ST
segment elevation in leads II, III and avf. Cardiac catheterization shows no significant obstruction of the
coronary arteries. Which of the following is the treatment of choice in this patient?
A. nifedipine (Procardia)
B. Metoprolol (Lopressor)
C. Lisinopril (Zestril)
D. Carvedilol (Coreg) - ✔✔A- Nifedipine (Procardia)- prophylactic treatment with CCB for coronary
vasospasm
A 60 year-old male with hypertension is brought to the emergency department 30 minutes after the
sudden onset of severe chest pain that radiates to his back and arms. His blood pressure is 180/80
mmHg in his left arm; no blood pressure reading can be obtained from the right arm. ECG shows sinus
tachycardia with left ventricular hypertrophy. A high pitched decrescendo diastolic murmur is heard
along the left mid-sternal border. Which of the following is the most likely diagnosis?
A. Acute myocardial infarction
B. Aortic dissection
C. Pulmonary embolism
D. Right subclavian arterial embolus - ✔✔B- Aortic Dissection
26 yo pt is brought to the ED after a head on collision. The pt complains of chest pain, dyspnea and
cough. Examination reveals the patient to be tachypneic and tachycardic with a narrow pulse pressure.
JVD is noted. ECG reveals nonspecific T wave changes and electrical alternans. Which of the following is
most appropriate management for this patient?
A. Serial echo cardiogram
B. Pericardiocentesis
C. Cardiac catherization
D. Pericardectomy - ✔✔B - Pericardiocentesis- this is TOC for pleural effusion
22 yo male received a stab wound in the chest 1 hr ago. The diagnosis of pericardial tamponade is
strongly supported by the presence of...?
A. Pulmonary edema
B. Wide pulse pressure
C. Distended neck veins
