Your-Doctor Multiple Choice Questions (MCQ)

Quiz Categories Click to expand

Category: Cardiology--->Ischaemic heart disease
Page: 2

Question 6#Print Question

Angiography of a patient who had redo coronary artery bypass grafting in 1987. He had three grafts and has a recurrence of angina.

The following LAO angiogram shows?

 

a. Aortic diverticulum
b. ight coronary graft stump
c. Left coronary system graft stump
d. LIMA graft
e. Aortic pseudoaneurysm


Question 7#Print Question

Angiography of a patient who had redo coronary artery bypass grafting in 1987. He had three grafts and has a recurrence of angina.

The Aortogram in LAO shows?

a. 1 = right subclavian artery, 2 = common carotid artery, 3 = left subclavian artery
b. 1 = brachiocephalic artery, 2 = right subclavian artery, 3 = left subclavian artery
c. 1 = right carotid artery, 2 = brachiocephalic artery, 3 = left subclavian artery
d. 1 = right subclavian artery, 2 = left subclavian artery, 3 = brachiocephalic artery
e. 1 = brachiocephalic artery, 2 = left carotid artery, 3 = left subclavian artery


Question 8#Print Question

You are referred a 40-year-old lady with left arm pain. She had a single episode after running for a bus with shopping, which subsided after 5 minutes. She has never previously had exertional chest discomfort. Resting ECG is normal and 8 hours high-sensitivity troponin is negative. She has a BMI of 33 and diet-controlled type 2 diabetes mellitus but is not hypertensive.

What do you recommend?

a. Reassure and discharge
b. Inpatient invasive coronary angiogram
c. Outpatient stress echo
d. Discharge-dependent exercise treadmill test
e. CT coronary angiogram


Question 9#Print Question

A 25-year-old male developed sharp central chest pain and palpitations after drinking three cans of energy drink whilst revising for exams. The symptoms were ongoing when he initially attended the ED, and an ECG showed a sinus tachycardia with no ST change. The pain subsided shortly afterwards. He is normally fit and well. His father recently had a myocardial infarction at the age of 62. All observations and examination are normal. Troponin and D-dimer tests were negative.

What would you recommend?

a. Admit for observations
b. Exercise treadmill test
c. Stress echocardiogram
d. CT coronary angiogram
e. No further investigation


Question 10#Print Question

 One of your patients has small vessel coronary disease which is not suitable for revascularization. They are still experiencing class 2 angina particularly in the evening despite bisoprolol 10 mg od. Blood pressure is 135/90 mmHg.

What would you recommend next?

a. Amlodipine
b. Ivabradine
c. Nicorandil
d. Bisoprolol 5 mg bd
e. Ranolazine




Category: Cardiology--->Ischaemic heart disease
Page: 2 of 26