Cardiovascular
21 free practice questions shared by students. Answer them right here — no account needed.
A 76-year-old man reports that for three months he has felt light-headed and has twice nearly fainted walking up the hill to the shops, together with a tight fe…
Pre-internship · common
A 68-year-old man with chronic kidney disease presents with weakness after spironolactone was added to his medicines. His serum potassium is 7.0 mmol/L (3.5–5.2…
Clinical rotations · common
A 71-year-old man presents with three days of dyspnoea. CT pulmonary angiography shows bilateral pulmonary emboli and right ventricular enlargement; his blood p…
Clinical rotations · common
A 59-year-old woman is admitted after vomiting for two days and taking sotalol for recurrent atrial fibrillation. She has several brief episodes of faintness as…
Clinical rotations · common
A 71-year-old man receiving an unfractionated heparin infusion for a recent pulmonary embolus develops recurrent haematemesis and hypotension. The infusion is s…
Clinical rotations · common
A 70-year-old woman is recovering from a small ischaemic stroke and is found to have persistent atrial fibrillation. She has normal renal function and no eviden…
Clinical rotations · common
A 62-year-old woman is reviewed three months after a large anterior myocardial infarction. She has mild exertional breathlessness but no recurrent chest pain; t…
Clinical rotations · common
A 71-year-old man is monitored after an inferior ST-elevation myocardial infarction. He becomes dizzy but remains conscious; the ECG shows regular P waves at 84…
Clinical rotations · common
A 64-year-old man becomes hypotensive shortly after reperfusion of an inferior ST-elevation myocardial infarction. He is distressed but has clear breath sounds,…
Clinical rotations · common
A 67-year-old man is recovering on the fourth day after an inferior myocardial infarction treated with primary percutaneous coronary intervention. He suddenly d…
Clinical rotations · common
A 58-year-old man is being treated with unfractionated heparin for a proximal deep vein thrombosis. On day 7, his platelet count has fallen from 224 to 86 × 10⁹…
Clinical rotations · common
A 67-year-old man with a previous anterior myocardial infarction develops palpitations while being monitored in hospital. He is alert, has a blood pressure of 1…
Clinical rotations · common
A 74-year-old woman presents with severe pain in her left leg that began abruptly two hours ago while she was sitting watching television. She walks to the shop…
Clinical rotations · common
A 76-year-old woman with atrial fibrillation, whose apixaban was stopped three weeks ago after a fall, presents with four hours of severe constant central abdom…
Clinical rotations · common
A 72-year-old man with hypertension and a 40 pack-year smoking history presents with sudden severe left flank pain radiating to the groin that began one hour ag…
Clinical rotations · common
A 66-year-old man with ischaemic cardiomyopathy attends for review. Echocardiography shows a left ventricular ejection fraction of 30%, and he remains breathles…
Clinical rotations · common
A 68-year-old man presents with 30 minutes of rapid palpitations and light-headedness. Three years ago he had a heart attack treated with a coronary artery sten…
Clinical rotations · common
A 76-year-old man is brought to the emergency department after losing consciousness while pushing his lawnmower up a slope. His wife reports he went pale and co…
Clinical rotations · common
A 38-year-old man is reviewed because his blood pressure remains elevated despite perindopril 10 mg and amlodipine 10 mg daily. He feels well, sleeps soundly wi…
Clinical rotations · common
A 28-year-old woman presents to the emergency department with two days of right-sided chest pain that is worse on deep inspiration. She takes a combined oral co…
Clinical rotations · common