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Cardiology: Clinical Vignettes MCQs

Waraq Clinical Review: Cardiology · USMLE - Step II · 12 practice questions

1. Diffuse concave ST elevation with PR depression on ECG suggests:

  1. AHyperkalaemia
  2. BAcute pericarditis
  3. CAnterior myocardial infarction
  4. DLeft ventricular hypertrophy
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B. Acute pericarditis It is usually preceded by a viral illness.

2. The commonest organism in infective endocarditis in intravenous drug users is:

  1. AStreptococcus viridans
  2. BEnterococcus
  3. CCandida
  4. DStaphylococcus aureus
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D. Staphylococcus aureus It affects the tricuspid valve.

3. Hypotension, raised JVP and muffled heart sounds suggest:

  1. AAortic stenosis
  2. BTension pneumothorax
  3. CCardiac tamponade
  4. DHeart failure
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C. Cardiac tamponade It needs urgent pericardiocentesis.

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