AKT-0264
Your patient, who has been discharged after a non-ST elevation myocardial infarction, is unsure if he has experienced a heart attack. Which statement from the list accurately describes non-ST elevation myocardial infarction?
MRCGP AKT Category: Cardiovascular Health
AKT-0265
A 32-year-old man complains of palpitations.
Select from the list the single situation in which palpitations will most likely need urgent further investigation.
AKT-0266
A 65-year old man has had syncopal attacks and exertional chest pain which settles spontaneously with rest. He presents to his General Practitioner, not wanting to bother the Emergency Department. On auscultation, there is a loud ejection systolic murmur. Following an electrocardiogram (ECG) he is urgently referred to cardiology and aortic stenosis is diagnosed.
Given the likely diagnosis, which of the following comorbid conditions is most associated with a poor prognosis?
AKT-0267
A 35-year-old construction worker presents with symptoms of dizziness, blurred vision and difficulty walking after a long day at a construction site. During examination, there is a significant difference in blood pressure between his right and left arms.
Select from the list the most appropriate diagnosis for this clinical presentation.
AKT-0268
A 50-year-old woman has a mid-systolic ejection murmur in the third left intercostals space. It radiates into the left arm and shoulder.
Select from the list the single associated symptom that this woman is most likely to have.
AKT-0269
A 29-year-old man who has entered for the London Marathon comes to the surgery for a routine medical. He has now been training for 13 months.
On examination he is bradycardic with a resting pulse of 40. His BP is 115/72 mmHg at rest. The LV impulse is laterally displaced and there is a systolic ejection flow murmur. You can hear a third heart sound.
What is the most probable diagnosis?
AKT-0270
A 50-year-old man presents with complaints of dizziness and syncope. Upon examination, he has a slow-rising pulse and normal blood pressure, with a narrow pulse pressure. An ejection systolic murmur is heard in the aortic area, and an echocardiogram confirms a valvular abnormality. What is the most probable cause of this abnormality in a man of this age?
AKT-0271
An 80-year-old man presents with persistent atrial fibrillation. He has a past medical history of hypertension and type 2 diabetes, both of which are being treated with oral agents. He has no contraindications to any antithrombotic treatments and has come to discuss his risk of stroke and the need for antithrombotic treatment. What is the first-line antithrombotic treatment that should be considered in this case?
AKT-0272
A 68-year-old-man visits his General Practitioner complaining of syncope without any prodromal features. He has noticed increased dyspnea on exertion in the past few weeks. He denies any chest pain and has no known history of cardiac issues. Upon examination, an electrocardiogram (ECG) is performed which reveals complete heart block.
Which of the following physical findings is most indicative of the diagnosis?
Select ONE answer only.
AKT-0273
What is the most useful investigation to differentiate between the types of cardiomyopathy from the given list?