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ISCHEMIC HEART DISEASE EXAM QUESTIONS AND ANSWERS
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ISCHEMIC HEART DISEASE EXAM QUESTIONS ANDANSWERS
Which of the following is NOT used to calculate the Framingham risk
score?
A) age
B) gender
C) race
D) total cholesterol / HDL cholesterol
E) smoker - ANSWER C (race)
A Framingham risk score of >(#)% is considered high risk for ischemic
heart disease - ANSWER 20(%)
Which of the following lab values, if elevated, is considered a risk factor
for ischemic heart disease?
A) troponin
B) CRP
C) ESR
D) WBC - ANSWER B (CRP; >3mcg/ml is considered high risk)
Which of the following is considered the gold standard for diagnosis of
ischemic heart disease?
A) ECG
B) stress echocardiogram
C) cardiac catheterization
D) stress PET - ANSWER C (cardiac catheterization)
T/F A normal ECG excludes ischemic heart disease - ANSWER false
(does not exclude IHD or even acute MI)
Which of the following is a major, non-invasive tool used in the diagnosis
of CAD as it measures calcium score to help establish risk?
A) ECG
B) stress echocardiogram
C) cardiac catheterization
D) CT coronary angiogram - ANSWER D (CT coronary angiogram)
, Arterial ______ deposition is intimately associated with vascular injury
and atherosclerotic plaque - ANSWER calcium (the presence of CACP
is a/w atherosclerotic plaque size)
T/F CACP in the absence of luminal stenosis is a false positive for
ischemic heart disease - ANSWER false (evidence of coronary
atherosclerosis)
Which of the following tests for ischemic heart disease uses ultrasound
to examine the heart and to measure relative pressure differences
across valves?
A) ECG
B) echocardiogram
C) cardiac catheterization
D) CT coronary angiogram - ANSWER B (echocardiogram)
(gives instantaneous gradient where as catheter gives peak to peak
gradient)
Maximal instantaneous gradient across stenotic valves as measured
with an echocardiogram is usually (higher / lower) than the peak to peak
gradient measured in the cath lab - ANSWER higher
Which of the following is a low cost test for IHD that tests the functional
capacity, a strong predictor of mortality?
A) Treadmill Stress Test
B) Graded Exercise Test
C) Exercise Tolerance Test
D) Exercise Electrocardiographic Test - ANSWER A (Treadmill Stress
Test)
(widely available)
Which patient should NOT have a treadmill stress test or stress
echocardiogram?
A) initial evaluation in patients with known or suspected CAD
B) low risk patient with unstable angina, 12 hours after presentation
C) intermediate risk patient with unstable angina, 2-3 days after
presentation
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