Cardiology - Valvular Heart Disease MCQ
Correct 100%
Which of the following are common precipitants of pulmonary oedema in Mitral Stenosis?
A. Infection
B. New-onset AF
C. Pregnancy
D. All of the above - ANSWERD. All of the above
A patient presents with symptomatic Aortic Stenosis: heart failure and syncope. Clinically, the Aortic
Stenosis is severe and this was confirmed on echo. The most appropriate course of action is:
A. A 24 hour Holter and follow-up in 3 months time
B. Commence diuretics
C. Commence ACE-inhibitors
D. Refer for assessment for aortic valve replacement - ANSWERD. Refer for assessment for aortic
valve replacement
A 21-year-old patient with severe Mitral Stenosis presents in atrial fibrillation (AF). What is the best
strategy of therapy regarding anticoagulation for the AF?
A. The patient is to be commenced on Warfarin
B. Aspirin is the treatment of choice
C. It's a young patient, so no anticoagulation is needed
D. A CHADSVASC score is calculated, anticoagulation (Warfarin) is prescribed if the score is above 2. -
ANSWERA. The patient is to be commenced on Warfarin
The apex beat in Aortic Stenosis is:
Correct 100%
Which of the following are common precipitants of pulmonary oedema in Mitral Stenosis?
A. Infection
B. New-onset AF
C. Pregnancy
D. All of the above - ANSWERD. All of the above
A patient presents with symptomatic Aortic Stenosis: heart failure and syncope. Clinically, the Aortic
Stenosis is severe and this was confirmed on echo. The most appropriate course of action is:
A. A 24 hour Holter and follow-up in 3 months time
B. Commence diuretics
C. Commence ACE-inhibitors
D. Refer for assessment for aortic valve replacement - ANSWERD. Refer for assessment for aortic
valve replacement
A 21-year-old patient with severe Mitral Stenosis presents in atrial fibrillation (AF). What is the best
strategy of therapy regarding anticoagulation for the AF?
A. The patient is to be commenced on Warfarin
B. Aspirin is the treatment of choice
C. It's a young patient, so no anticoagulation is needed
D. A CHADSVASC score is calculated, anticoagulation (Warfarin) is prescribed if the score is above 2. -
ANSWERA. The patient is to be commenced on Warfarin
The apex beat in Aortic Stenosis is:
