Coronary Artery Disease Quiz Coronary Artery Disease Quiz 1. What is the main cause of Coronary Artery Disease (CAD)? a) Bacterial infection b) Viral infection c) Atherosclerosis d) Autoimmune disorder 2. Which of the following is NOT a risk factor for CAD? a) Hypertension b) Obesity c) Regular exercise d) Diabetes 3. What are the typical symptoms of CAD? a) Fever and cough b) Chest pain and discomfort c) Nausea and vomiting d) Dizziness and headache 4. How is CAD diagnosed?
Aortic Stenosis Multiple Choice Questions and Answers
Question 1:
A 70-year-old male patient presents with exertional dyspnea, chest pain, and fatigue. On examination, a harsh systolic murmur is heard over the right second intercostal space. Which of the following is the most likely diagnosis?
a) Mitral regurgitation
b) Aortic stenosis
c) Atrial septal defect
d) Pulmonary stenosis
Answer: b) Aortic stenosis
Question 2:
A 65-year-old female patient with a history of a bicuspid aortic valve presents with progressive shortness of breath and syncope. Physical examination reveals a systolic ejection murmur and a delayed and diminished carotid upstroke. An echocardiogram shows severe aortic stenosis with a peak gradient of 80 mmHg. What is the most appropriate next step in management?
a) Initiate medical therapy with beta-blockers
b) Refer the patient for surgical aortic valve replacement
c) Perform percutaneous balloon valvuloplasty
d) Monitor the patient with regular follow-up
Answer: b) Refer the patient for surgical aortic valve replacement
Question 3:
A 50-year-old male patient with a history of rheumatic fever presents with symptoms of congestive heart failure. On examination, a mid-systolic murmur is heard at the apex along with a high-pitched early diastolic murmur along the left sternal border. Which of the following is the most likely diagnosis?
a) Aortic regurgitation
b) Aortic stenosis
c) Mitral regurgitation
d) Mitral stenosis
Answer: c) Mitral regurgitation
Question 4:
An 80-year-old female patient with severe aortic stenosis is scheduled for aortic valve replacement surgery. However, her renal function is severely impaired with an estimated glomerular filtration rate (eGFR) of 20 ml/min/1.73m². Which of the following is the most appropriate valve replacement procedure for this patient?
a) Mechanical valve replacement
b) Bioprosthetic valve replacement
c) Transcatheter aortic valve replacement (TAVR)
d) Balloon valvuloplasty
Answer: c) Transcatheter aortic valve replacement (TAVR)
Question 5:
A 60-year-old male patient presents with severe aortic stenosis and symptoms of angina and dyspnea. He has a high surgical risk due to multiple comorbidities. Which of the following is the most appropriate treatment option for this patient?
a) Medications for symptom control
b) Regular exercise and lifestyle modification
c) Balloon valvuloplasty
d) Transcatheter aortic valve replacement (TAVR)
Answer: d) Transcatheter aortic valve replacement (TAVR)
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