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The question shown here is a real one, taken word-for-word from the free Chest pain topic — try it yourself without a card.
A 58 year old woman has central crushing chest pain for 1 hour radiating to her neck. She has hypertension and smokes 20 cigarettes daily. Her pulse rate is 88 bpm, blood pressure 162/94 mmHg, oxygen saturation 96% breathing air. The ECG shows no ST elevation. Which is the most appropriate initial investigation?
- AChest X-ray
- BCT coronary angiography
- CExercise tolerance test
- DHigh sensitivity troponin
- EVentilation-perfusion scan
Explanation
This patient presents with symptoms suggestive of an acute coronary syndrome (ACS) with cardiac risk factors including hypertension and smoking. The ECG shows no ST elevation, making a non-ST elevation myocardial infarction (NSTEMI) or unstable angina likely. High sensitivity troponin is the most appropriate initial investigation as it detects myocardial injury and differentiates NSTEMI from unstable angina. …
Referenced · NICE NG185: Acute coronary syndromes
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This card is real too — one of the Palpitationsdeck's cards on the free tier.
Most common sustained arrhythmia causing palpitations?
Atrial fibrillation. Characterised by irregularly irregular pulse and absent P waves on ECG.
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Palpitations
A 72 year old woman has palpitations for 3 days. She has hypertension and type 2 diabetes. She describes her heart racing irregularly. Her pulse is 112 bpm and irregularly irregular, BP 142/88 mmHg, respiratory rate 16 breaths per minute. Heart sounds are normal with no murmurs. Which is the most likely diagnosis?
- A. Atrial fibrillation
- B. Atrial flutter
- C. Sinus arrhythmia
- D. Sinus tachycardia
- E. Ventricular ectopics
Navigation
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| Attribute | Tutor mode | Timed mode |
|---|---|---|
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| Flagging | Available | Available + review queue |
| Best for | Learning new content | Rehearsing exam stamina |
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Accuracy by specialty
Last 30 days- Cardiology82%
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- 25
Questions
Tutor mode · Respiratory focus
- 40 due
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Renal + Endocrine
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