ABIM Internal Medicine Board Review –
Cardiology UPDATED ACTUAL Exam
Questions and CORRECT Answers
Signs of cardiac ischemia on cardiac physical exam - CORRECT ANSWER - new MR
murmur
S3
S4
STEMI PCI timing - CORRECT ANSWER - Door to balloon <90 minutes
Door to PCI-capable hospital <120 minutes
Contraindications to thrombolytic therapy - CORRECT ANSWER - Active bleeding
High risk for bleeding (recent major surgery, brain mass)
Suspicion for aortic dissection
BP >180/110
P2Y12 inhibitors that are prodrugs and active drugs - CORRECT ANSWER - Prodrugs:
clopidogrel and prasugrel
Active drug: ticagrelor (has reversal agent)
Prasugrel contraindications - CORRECT ANSWER - History of TIA/stroke active bleed
Age >75
Weight <60 kg
Duration DAPT post-PCI - CORRECT ANSWER - Stable angina: bare metal 1 month,
DES 1 year
NSTEMI/STEMI: 1 year
, Complication after anteroseptal MI with loud holosystolic murmur and thrill - CORRECT
ANSWER - VSD - ventricular septal defect (~2-8 days post-MI)
Complication after anterolateral MI with sudden hypotension, cardiac death and PEA -
CORRECT ANSWER - LV free wall rupture (~48 hours post-MI)
Complication after inferior MI with loud holosystolic murmur with thrill - CORRECT
ANSWER - Papillary muscle rupture (~2-7 days post-MI)
ICD indications post-MI - CORRECT ANSWER - Ventricular arrhythmia >48 hours post-
MI
EF <35%
Peripartum cardiomyopathy with EF <35% needs tx with which AC - CORRECT
ANSWER - Warfarin
Murmur of ___
Increased with valsalva and standing
Decreased with squatting
Pulsus bisferiens - CORRECT ANSWER - HCM - hypertrophic cardiomyopathy
Murmur of ___
Decreased with valsalva and standing
Increased with squatting
Pulses parvus et tardus - CORRECT ANSWER - AS - aortic stenosis
ECG - LBBB - CORRECT ANSWER - V1-V2: deep and broad S
V5-V6: wide "clumsy" broad R
Cardiology UPDATED ACTUAL Exam
Questions and CORRECT Answers
Signs of cardiac ischemia on cardiac physical exam - CORRECT ANSWER - new MR
murmur
S3
S4
STEMI PCI timing - CORRECT ANSWER - Door to balloon <90 minutes
Door to PCI-capable hospital <120 minutes
Contraindications to thrombolytic therapy - CORRECT ANSWER - Active bleeding
High risk for bleeding (recent major surgery, brain mass)
Suspicion for aortic dissection
BP >180/110
P2Y12 inhibitors that are prodrugs and active drugs - CORRECT ANSWER - Prodrugs:
clopidogrel and prasugrel
Active drug: ticagrelor (has reversal agent)
Prasugrel contraindications - CORRECT ANSWER - History of TIA/stroke active bleed
Age >75
Weight <60 kg
Duration DAPT post-PCI - CORRECT ANSWER - Stable angina: bare metal 1 month,
DES 1 year
NSTEMI/STEMI: 1 year
, Complication after anteroseptal MI with loud holosystolic murmur and thrill - CORRECT
ANSWER - VSD - ventricular septal defect (~2-8 days post-MI)
Complication after anterolateral MI with sudden hypotension, cardiac death and PEA -
CORRECT ANSWER - LV free wall rupture (~48 hours post-MI)
Complication after inferior MI with loud holosystolic murmur with thrill - CORRECT
ANSWER - Papillary muscle rupture (~2-7 days post-MI)
ICD indications post-MI - CORRECT ANSWER - Ventricular arrhythmia >48 hours post-
MI
EF <35%
Peripartum cardiomyopathy with EF <35% needs tx with which AC - CORRECT
ANSWER - Warfarin
Murmur of ___
Increased with valsalva and standing
Decreased with squatting
Pulsus bisferiens - CORRECT ANSWER - HCM - hypertrophic cardiomyopathy
Murmur of ___
Decreased with valsalva and standing
Increased with squatting
Pulses parvus et tardus - CORRECT ANSWER - AS - aortic stenosis
ECG - LBBB - CORRECT ANSWER - V1-V2: deep and broad S
V5-V6: wide "clumsy" broad R
