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Category: Prometric--->Cardiology
Page: 1

Question 1# Print Question

A 34-year-old woman is admitted to the Emergency Department following a collapse. An ECG shows a polymorphicventricular tachycardia.

Which one of the following is not associated with an increased risk ofdeveloping torsade de pointes?

A. Tricyclic antidepressants
B. Subarachnoid haemorrhage
C. Hypercalcaemia
D. Romano-Ward syndrome
E. Hypothermia


Question 2# Print Question

A 54-year-old man is admitted to the Emergency Department with a 15 minute history of crushing central chestpain.

Which one of the following rises first following a myocardial infarction?

A. AST
B. Troponin I
C. CK
D. CK-MB
E. Myoglobin


Question 3# Print Question

A 17-year-old girl is brought into resuscitation in cardiac arrest. On admission she is in asystole and attempts to resuscitate are unsuccessful. She collapsed whilst competing in a 1,500m race at college. The only past medical of note was asthma for which she occasionally used a salbutamol inhaler. There is no relevant family history.

What is the most likely underlying cause of death?

A. Long QT syndrome
B. Hypertrophic obstructive cardiomyopathy
C. Catecholaminergic polymorphic ventricular tachycardia
D. Brugada syndrome
E. Arrhythmogenic right ventricular dysplasia


Question 4# Print Question

A 54-year-old male with no past medical history is found to be in atrial fibrillation during a consultation regardinga sprained ankle. He reports no history of palpitations or dyspnoea. After discussing treatment options he electsnot to be cardioverted. According to the latest European Society of Cardiology guidelines, if the patient remains in chronic atrial fibrillation what is the most suitable treatment to offer? 

A. Offer no treatment or low-dose aspirin. No treatment is the preferred option
B. Warfarin
C. Dabigatran
D. Aspirin + dipyridamole
E. Offer warfarin or low-dose aspirin. Aspirin is the preferred option


Question 5# Print Question

A 54-year-old man is admitted following a myocardial infarction associated with ST elevation. He is treated with thrombolysis and does not undergo angioplasty.

What advice should he be given regarding driving?

A. Can continue driving but must inform DVLA
B. Cannot drive until an angiogram has been performed and reviewed by a cardiologist
C. Cannot drive for 1 week
D. Cannot drive for 4 weeks
E. Cannot drive for 12 weeks




Category: Prometric--->Cardiology
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