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Category: Cardiology--->Ischaemic heart disease
Page: 22

Question 106# Print Question

A 72-year-old man known with a history of coronary heart disease presents typical chest pain. During the transport to the PCI center, the patient had two episodes of ventricular fibrillation requiring electrical reanimation. ECG shows inferolateral ST depression.

What does the angiography show (Fig. below)?

A. Lesions at bifurcation
B. Stenosis of the ostium of the LCX
C. Stenosis of the ostium of the LAD
D. Stenosis of the distal left main trunk
E. All of the above


Question 107# Print Question

During coronary angioplasty of the RCA, this 72-year-old patient developed sharp chest pain with rapid development of hypotension and tachycardia. The etiology based on Figure below

is:

A. Abrupt closure of the RCA
B. Dissection of the RCA
C. Perforation of the RCA
D. Allergic reaction
E. Distal embolization of an atherosclerotic plaque


Question 108# Print Question

For which clinical situation is coronary angiography not recommended in patients with SIHD?

A. Risk assessment in patients with SIHD not candidates for revascularization because of comorbidities
B. Risk assessment in patients with SIHD who have preserved LV function and low-risk criteria on noninvasive testing
C. Risk assessment in patients who are at low risk according to clinical criteria and have not undergone noninvasive risk testing
D. Risk assessment in asymptomatic patients with no evidence of ischemia on noninvasive testing
E. All the mentioned clinical situations do not justify coronary angiography in the initial phase of patient management


Question 109# Print Question

A 66-year-old man with diabetes with no hypertension but end-stage renal failure treated with hemodialysis in the last 15 years presents with worsening dyspnea and suspicion of ischemia at the stress imaging.

What are the most characteristic findings relating to the coronary arteries to be found at angiography?

A. Tortuous coronary vessels
B. Calcified coronary arteries
C. Ectatic coronary arteries
D. Coronary arteries with anomalous origins
E. Normal coronary arteries (symptoms caused by small vessel disease)


Question 110# Print Question

A 65-year-old man with SIHD wants to optimize secondary prevention.

Which of the following statements does not apply?

A. Smoking cessation and avoidance of exposure to environmental tobacco smoke at work and home should be encouraged
B. Patients should be screened for depression and treated when indicated
C. Treatment with clopidogrel is reasonable when aspirin is contraindicated
D. Dipyridamole is not recommended as antiplatelet therapy for patients with SIHD
E. Acupuncture might be used for the purpose of improving symptoms of patients with SIHD




Category: Cardiology--->Ischaemic heart disease
Page: 22 of 26