Here are some scenario-based Cardiac Disease multiple-choice medical exam questions 2023
A 55-year-old man with a history of smoking, high blood pressure, and high cholesterol presents to the emergency department with chest pain that radiates to his left arm. He is diagnosed with a heart attack. What is the most likely cause of his heart attack?
a. Coronary artery disease
b. Cardiomyopathy
c. Arrhythmia
d. Valvular heart disease
Answer: a. Coronary artery disease
A 62-year-old woman with a history of diabetes, hypertension, and obesity presents to her primary care physician complaining of shortness of breath, fatigue, and ankle swelling. Upon physical examination, the physician notes an S3 heart sound and jugular venous distension. What is the most likely diagnosis?
a. Aortic stenosis
b. Congestive heart failure
c. Pericarditis
d. Mitral regurgitation
Answer: b. Congestive heart failure
A 40-year-old man presents to the emergency department with sudden onset chest pain and shortness of breath. He reports a family history of pulmonary embolism. What is the most likely diagnosis?
a. Acute coronary syndrome
b. Aortic dissection
c. Pulmonary embolism
d. Myocarditis
Answer: c. Pulmonary embolism
A 75-year-old woman presents to her primary care physician with dizziness and fainting spells. She has a history of hypertension and has been taking medication for it for the past 10 years. What is the most likely diagnosis?
a. Orthostatic hypotension
b. Aortic stenosis
c. Cardiac arrhythmia
d. Hypoglycemia
Answer: c. Cardiac arrhythmia
A 45-year-old man presents to the emergency department with chest pain and shortness of breath. He has a history of smoking and a family history of heart disease. Upon examination, the physician notes a loud systolic murmur. What is the most likely diagnosis?
a. Aortic stenosis
b. Myocardial infarction
c. Pulmonary embolism
d. Mitral regurgitation
Answer: a. Aortic stenosis
A 60-year-old man with a history of smoking and hypertension presents to the emergency department with sudden chest pain that radiates to his back. He is diagnosed with a tear in the inner layer of the aorta. What is the most likely diagnosis?
a. Myocardial infarction
b. Pulmonary embolism
c. Aortic dissection
d. Mitral valve prolapse
Answer: c. Aortic dissection
A 50-year-old woman with a history of rheumatic fever presents to her primary care physician with fatigue and shortness of breath. Upon physical examination, the physician notes a diastolic murmur. What is the most likely diagnosis?
a. Aortic stenosis
b. Mitral regurgitation
c. Ventricular septal defect
d. Pulmonary stenosis
Answer: b. Mitral regurgitation
A 70-year-old man with a history of atrial fibrillation and heart failure presents to the emergency department with difficulty breathing and rapid heart rate. His electrocardiogram shows an irregular rhythm with absent P waves. What is the most likely diagnosis?
a. Myocardial infarction
b. Aortic stenosis
c. Ventricular tachycardia
d. Atrial fibrillation
Answer: d. Atrial fibrillation
A 35-year-old woman presents to the emergency department with sudden chest pain and difficulty breathing. She has a history of lupus and has been on long-term steroid treatment. Upon examination, the physician notes a friction rub. What is the most likely diagnosis?
a. Myocarditis
b. Pericarditis
c. Endocarditis
d. Aortic dissection
Answer: b. Pericarditis
A 65-year-old man presents to his primary care physician with chest pain that occurs with exertion and is relieved with rest. He has a history of smoking and hypertension. What is the most likely diagnosis?
a. Angina pectoris
b. Acute myocardial infarction
c. Pericarditis
d. Pulmonary embolism
Answer: a. Angina pectoris
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