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Question 1
A 62-year-old man presents with 40 minutes of crushing chest pain. ECG shows 2 mm ST elevation in leads II, III and aVF. He is at a centre with a cath lab able to perform primary PCI within 60 minutes. What is the most appropriate reperfusion strategy?
Correct Answer:
Primary percutaneous coronary intervention
Question 2
A 74-year-old woman with newly diagnosed non-valvular atrial fibrillation has hypertension, diabetes and prior TIA. Her CHADS2-VASc components yield a high stroke risk. Renal function is normal. Which is the most appropriate stroke-prevention therapy?
Correct Answer:
A direct oral anticoagulant such as apixaban
Question 3
A 68-year-old man with heart failure and a reduced ejection fraction of 30% remains symptomatic (NYHA II) despite an ACE inhibitor, beta-blocker and mineralocorticoid receptor antagonist. Which medication class has been shown to reduce cardiovascular death and heart-failure hospitalization when added in this setting?
Correct Answer:
SGLT2 inhibitor
Question 4
A 55-year-old man has an office blood pressure of 156/98 mmHg confirmed on automated readings, with no diabetes or chronic kidney disease. His 10-year cardiovascular risk is low. According to Hypertension Canada, what threshold defines the treatment target most appropriate for initiating discussion of pharmacotherapy in this patient?
Correct Answer:
Treat when BP is persistently 140/90 or higher
Question 5
A 70-year-old woman presents with exertional syncope, a slow-rising carotid pulse and a harsh late-peaking systolic murmur radiating to the carotids. Echocardiography shows a valve area of 0.8 cm2 and mean gradient of 50 mmHg. What is the most appropriate management?
Correct Answer:
Refer for aortic valve replacement
Question 1
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About this Exam

Prepare with the RCPSC Internal Medicine Practice Questions - Royal College Certification Examination in Internal Medicine Exam practice quiz. This question bank includes 100 questions covering year-old, presents, shows, woman, 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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RCPSC Internal Medicine Practice Questions - Royal College Certification Examination in Internal Medicine Exam

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

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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