General Practitioner Question Bank

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1. Difference between unstable and stable angina :

Unstable angina differs from stable angina in that it occurs unpredictably, independent of exertion (at rest), reflecting plaque instability. Independence from activity is the keyed distinguishing feature.

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2. Drug contraindication hypertrophic obstructive cardiomyopathy

In hypertrophic obstructive cardiomyopathy, digoxin is contraindicated because its positive inotropy worsens outflow tract obstruction. Digoxin is the keyed contraindicated drug.

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3. Fick method in determining cardiac output

The Fick method calculates cardiac output using oxygen consumption and the arteriovenous oxygen difference, so blood oxygen saturation/content is central to it. Blood O2 saturation is the keyed component.

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4. Man who has had MI you will follow the next enzyme

After myocardial infarction, creatine phosphokinase (CPK/CK-MB) is a cardiac enzyme used to follow the infarct. CPK is the keyed enzyme.

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5. Patient with congestive heart failure, which medication will decreas his mortality?

In congestive heart failure, ACE inhibitors reduce mortality, unlike furosemide and digoxin which are symptomatic. ACE inhibitors are the keyed mortality-reducing drug.

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6. Regarding murmur of mitral stenosis

The murmur of mitral stenosis is a low-pitched mid-diastolic rumbling murmur best heard at the apex. The mid-diastolic rumble is the keyed description.

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7. What is the correct about unstable angina :

Unstable angina must be treated seriously because it can progress to myocardial infarction. The keyed statement reflects its potential to lead to MI.

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8. Patient with history of AF + MI, what the best prevention for stroke is?

For a patient with atrial fibrillation and prior MI, warfarin (anticoagulation) is the best prevention against thromboembolic stroke. Warfarin is the keyed prevention.

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9. Which most common condition associated with endocarditis?

Among the listed lesions, Tetralogy of Fallot is keyed as the condition most associated with infective endocarditis in this question. [Note: keyed answer 'd' TOF recorded as given; cyanotic lesions carry endocarditis risk.]

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10. RBBB:

Right bundle branch block produces a deep/long S wave in lead V1... and a tall R in V6 pattern; the keyed description reflects the RBBB QRS morphology. The keyed answer matches the RBBB pattern as recorded.