Your-Doctor
Multiple Choice Questions (MCQ)

Quiz Categories Click to expand

Category: Cardiology--->Ischaemic heart disease
Page: 25

Question 121#Print Question

A 37-year-old man known for obesity felt typical chest pain while playing tennis accompanied by nausea, dyspnea, and sudations. The ECG shows STsegment elevation. He is immediately admitted to the catheterization laboratory (Fig. below).

What is the underlying pathology?

A. Thrombotic occlusion of the left main trunk
B. Anomalous origin of the left main trunk
C. Dissection of the left main trunk
D. Vasospasm of the left main trunk
E. None of the above


Question 122#Print Question

A 58-year-old man known for hypertension and smoking suffered chest pain and dyspnea in the previous 48 hours. He consulted emergency department for persisting symptoms. The rest 12-lead ECG at admissions is shown in Figure below.

What is the diagnosis?

A. Takotsubo cardiomyopathy
B. Pericarditis
C. Anterior subacute MI
D. Cardiomyopathy hypertrophic obstructive
E. Hypertensive heart disease


Question 123#Print Question

A 28-year-old male smoker presented after wakeup typical inaugural chest pain. The 12-rest ECG at admission is shown in Figure below.

He is transferred immediately to the catheterization laboratory. What is the most likely finding?

A. Occlusion of a large diagonal branch
B. Occlusion of the left anterior descending coronary artery
C. Occlusion of the left circumflex coronary artery
D. Occlusion of the RCA
E. Normal coronary angiogram


Question 124#Print Question

A 69-year-old man known for hypertension and diabetes consulted emergency department for typical chest pain. The ECG did not show significant changes. Troponins were elevated (1.4 μg/L). Coronary angiography (Fig. below)

shows

A. No significant lesion of the RCA
B. Perforation of the mid-portion of the RCA
C. Anomalous origin of the RCA
D. Visible thrombus in the mid-portion of the RCA
E. Dissection of the mid-portion of the RCA


Question 125#Print Question

A 41-year-old overweight heavy-smoker construction worker presented with chest pain while on the job associated with diaphoresis and dyspnea. In the field, no ECG could be obtained due to the extreme diaphoresis. In the ambulance, the patient developed hypotension, bradycardia, and subsequently asystole. Under cardiopulmonary resuscitation he was transferred to the cardiac catheterization laboratory and circulation was reestablished using extracorporeal membrane oxygenation. Subsequently, coronary angiography (Fig. below)

shows

A. Subtotal occlusion of the left main trunk
B. Aortic dissection
C. Anomalous origin of the left main trunk
D. Left main trunk stenosis equivalent (i.e., severe stenosis of the left anterior descending coronary artery and left circumflex)
E. Severe aortic stenosis




Category: Cardiology--->Ischaemic heart disease
Page: 25 of 26