Cert Cardiology(SA) Phys Practice Questions - Sub-specialty Certificate in Cardiology of the College of Physicians of South Africa Exam - Cert Cardiology(SA) Phys Practice Questions - Sub-specialty Certificate in Cardiology of the College of Physicians of South Africa Exam

Question 1

A 54-year-old male presents to a rural district hospital in the Eastern Cape 90 minutes after the onset of severe substernal chest pain. His ECG shows 4 mm ST-segment elevation in leads V1-V4 with reciprocal ST depression in II, III, and aVF. Transfer time to the nearest PCI-capable hospital is estimated at 3.5 hours. He has no contraindications to fibrinolysis. According to ESC and SA Heart guidelines, what is the most appropriate initial reperfusion strategy?

Conservative medical management with dual antiplatelet therapy and statin, reserving angiography for recurrent ischemia Immediate transfer for primary PCI without administering fibrinolytic therapy Immediate administration of a weight-adjusted bolus of tenecteplase (fibrinolysis) followed by urgent transfer for pharmacoinvasive PCI Administration of unfractionated heparin and clopidogrel, delaying reperfusion until transfer to the tertiary center

Correct Answer:

Immediate administration of a weight-adjusted bolus of tenecteplase (fibrinolysis) followed by urgent transfer for pharmacoinvasive PCI

Question 2

A 68-year-old female presents with acute NSTEMI. Her GRACE risk score is calculated at 152 (high risk). She is hemodynamically stable without recurrent pain, heart failure, or ventricular arrhythmias. According to current NSTEMI guidelines, what is the recommended timeframe for invasive coronary angiography?

Immediate emergency angiography within 2 hours of presentation Ischemia-guided non-invasive stress testing prior to deciding on angiography Invasive angiography within 24 hours of presentation (early invasive strategy) Elective angiography within 72 hours of presentation

Correct Answer:

Invasive angiography within 24 hours of presentation (early invasive strategy)

Question 3

A 60-year-old male undergoes successful primary PCI with a drug-eluting stent (DES) for an acute anterior STEMI. He has no history of stroke, transient ischemic attack (TIA), bleeding diathesis, or oral anticoagulation requirement. Which P2Y12 inhibitor is preferred over clopidogrel as part of dual antiplatelet therapy (DAPT)?

Ticagrelor 90 mg twice daily (or Prasugrel 10 mg daily) Dipyridamole 200 mg twice daily Cangrelor intravenous infusion for 12 months Clopidogrel 75 mg daily

Correct Answer:

Ticagrelor 90 mg twice daily (or Prasugrel 10 mg daily)

Question 4

On day 4 post-inferior STEMI, a 62-year-old male suddenly develops severe dyspnea, hypotension (BP 82/50 mmHg), and pulmonary edema. Physical exam reveals a new pan-systolic murmur at the apex radiating to the axilla. Echocardiogram demonstrates hyperdynamic left ventricle with severe acute mitral regurgitation and a flail posteromedial mitral leaflet. What is the definitive management?

Intravenous furosemide, high-dose nitroglycerin, and outpatient cardiology follow-up Percutaneous coronary intervention to the right coronary artery followed by conservative monitoring Thrombolytic therapy to dissolve suspected prosthetic thrombus Emergency cardiac surgery for mitral valve repair or replacement with intra-aortic balloon pump (IABP) stabilization

Correct Answer:

Emergency cardiac surgery for mitral valve repair or replacement with intra-aortic balloon pump (IABP) stabilization

Question 5

A 58-year-old male presents with acute inferior STEMI and marked hypotension (BP 78/45 mmHg), clear lungs, and elevated jugular venous pressure (Kussmaul sign positive). Right-sided ECG (V4R) shows 2 mm ST elevation. What is the most appropriate immediate medical intervention?

Intravenous beta-blocker (metoprolol) 5 mg slow push Intravenous sublingual or IV nitroglycerin titration Intravenous furosemide 80 mg bolus Intravenous isotonic saline fluid boluses (0.9% NaCl)

Correct Answer:

Intravenous isotonic saline fluid boluses (0.9% NaCl)

Question 1

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Prepare with the Cert Cardiology(SA) Phys Practice Questions - Sub-specialty Certificate in Cardiology of the College of Physicians of South Africa Exam practice quiz. This question bank includes 100 questions covering year-old, male, presents, heart, and coronary. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Cert Cardiology(SA) Phys Practice Questions - Sub-specialty Certificate in Cardiology of the College of Physicians of South Africa Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, male, presents, heart, and coronary. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

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Cert Cardiology(SA) Phys Practice Questions - Sub-specialty Certificate in Cardiology of the College of Physicians of South Africa Exam

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