Your-Doctor Multiple Choice Questions (MCQ)

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Category: Cardiology--->Cardiac Rehabilitation
Page: 2

Question 6#Print Question

You are working in a general cardiology clinic and are just finishing a consultation with a 69-year-old man who had been admitted with an NSTEMI 6 weeks previously. He has recovered well and has good LV function on a recent echocardiogram. His medications include aspirin, clopidogrel, bisoprolol, ramipril, and simvastatin. On the way out of the door he mentions some concerns about sexual dysfunction.

Which one of the following statements is incorrect?

a. You are usually fit enough to have sex if you can comfortably walk about 300 yards on the flat, or climb two flights of stairs briskly without getting chest pain or becoming breathless
b. Patients can resume sexual intercourse 4 weeks after an uncomplicated MI
c. Erectile dysfunction is often due to underlying vascular disease, but can also relate to a patient’s use of beta-blockers and/or ACE inhibitors
d. Phosphodiesterase type 5 inhibitors (e.g. Viagra/sildenafil) could now be considered for use in this patient
e. Patients on nitrates and/or nicorandil should avoid taking phosphodiesterase type 5 inhibitors because this can lead to dangerously low blood pressure


Question 7#Print Question

When advising patients about the DVLA regulations governing the entitlement to drive a private car or motorcycle, which one of the following statements is incorrect?

a. After implantation of a standard permanent pacemaker patients may not drive for 1 week
b. After implantation of a CRT-P device patients may not drive for 1 month
c. After implantation of a prophylactic ICD patients may not drive for 1 month
d. After the initial insertion of an ICD implanted for a ventricular arrhythmia associated with incapacity, patients may not drive for 6 months
e. Patients with an ICD should stop driving for 1 month following any revision electrodes or alteration of anti-arrhythmic drug and for 1 week after a defibrillator box change


Question 8#Print Question

When advising patients about the DVLA regulations governing Group 2 entitlement to drive an HGV, which one of the following statements is incorrect?

a. Patients with angina can be relicensed provided that they have been symptom free for more than 6 weeks, and can complete three stages/9 minutes of a Bruce protocol exercise tolerance test with no significant symptoms/ECG changes (having been off anti-anginals for 48 hours)
b. After an acute MI, patients are disqualified from their Group 2 entitlement for 6 weeks. Thereafter they may be relicensed provided that they can complete three stages/9 minutes of a Bruce protocol exercise tolerance test with no significant symptoms/ECG changes (having been off anti-anginals for 48 hours)
c. Following elective PCI, patients can resume their Group 2 entitlement after 1 week
d. Following the implantation of a permanent pacemaker, patients are disqualified from their Group 2 entitlement for 6 weeks
e. Following the implantation of an ICD, patients are permanently disqualified from their Group 2 entitlement


Question 9#Print Question

You have been looking after an obese 55-year-old man with a history of hypertension, who was admitted with an NSTEMI.  Apart from optimizing his antihypertensive medication,

which one of the following would be appropriate lifestyle advice measures for improving his blood pressure?

a. Weight loss
b. Reduction of his salt intake
c. Regular exercise
d. Stress management
e. All of the above


Question 10#Print Question

You are reviewing a 45-year-old man in clinic who suffered an NSTEMI 6 months previously. He has always led a healthy lifestyle, but when he was admitted he was found to have a cholesterol of 8.4 mmol/L. He is very concerned about his elevated cholesterol and is asking if there is anything he can do to help lower it. 

You emphasize the importance of continuing with his statin medication, but which one of the following lifestyle measures would also be appropriate?

a. Consuming saturated fats in preference to unsaturated fats
b. Smoking cessation
c. Reduce alcohol intake to 35 units per week
d. Regular exercise with the aim of increasing waist circumference
e. All of the above




Category: Cardiology--->Cardiac Rehabilitation
Page: 2 of 4