Question 1
A 68-year-old man presents with central crushing chest pain for 40 minutes. His ECG shows 2 mm ST elevation in leads II, III and aVF with reciprocal depression in I and aVL. His blood pressure is 88/54 mmHg and his JVP is raised. What is the single most appropriate immediate management priority?
Correct Answer:
Primary percutaneous coronary intervention
Question 2
A 24-year-old woman is found to have an early diastolic murmur best heard at the left sternal edge in expiration. She has collapsing pulse and wide pulse pressure. Echocardiography confirms severe aortic regurgitation with a dilated aortic root. Which underlying condition is most likely?
Correct Answer:
Marfan syndrome
Question 3
A 72-year-old man with chronic heart failure (LVEF 28%) remains symptomatic (NYHA II) despite optimal doses of ramipril, bisoprolol and spironolactone. He is in sinus rhythm at 78 bpm. According to NICE/ESC guidance, which change is most likely to reduce mortality and hospitalisation?
Correct Answer:
Switch ramipril to sacubitril-valsartan
Question 4
A 55-year-old man presents with palpitations. ECG shows a regular narrow-complex tachycardia at 180 bpm with no clearly visible P waves. Carotid sinus massage transiently slows then terminates the rhythm. What is the most likely diagnosis?
Correct Answer:
Atrioventricular nodal re-entrant tachycardia
Question 5
A 60-year-old woman with non-valvular atrial fibrillation has a CHA2DS2-VASc score of 4 and a HAS-BLED score of 2. She has normal renal function. Which is the most appropriate antithrombotic strategy?
Correct Answer:
A direct oral anticoagulant such as apixaban
Question 1
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Prepare with the MRCP(UK) Part 2 Written Practice Questions - MRCP(UK) Part 2 (Written) Exam practice quiz. This question bank includes 100 questions covering year-old, presents, woman, shows, and diagnosis. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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MRCP(UK) Part 2 Written Practice Questions - MRCP(UK) Part 2 (Written) Exam

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

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