Cardio MKSAP Questions & Answers 2026/2027 A+ (16pages)

1. 19 yo M who underwent cardiac transplant 10 months ago for viral myocarditis. EKG shown - ANS-Endomyocardial biopsy 2. 69 yo M evaluated in hospital for 4 episodes of chest pain past 24 hours. An ECG demonstrates 2-mm ST segment depressions in leads V4 through V6. - ANS-Urgent angiography 3. 65 yo F evaluated during routine exam. Diagnosed with a cardiac murmur in early adulthood. Grade 3/6 holosystolic murmur preceded by multiple clicks present at the apex. Myxomatous degeneration of mitral valve is present with severe regurgitation due to posterior leaflet prolapse. - ANS-Surgical mitral valve repair 4. 60 yo F evaluated for new onset HTN. Medical hx is significant for metastatic cervical cancer for which she began chemo 2 months ago. Which agent likely caused HTN? - ANS-Bevacizumab 5. 52 yo F evaluated in ED for progressive dyspnea. A systolic ejection murmur is noted along the right sternal border and a separate systolic murmur is noted under the left clavicle and over the left posterior chest. Femoral pulses are diminished and radial artery to femoral artery pulse if delayed. CXR shown. - ANS-Coarctation of the aorta 6. 64 yo M evaluated in ED for acute right lower leg pain that began 2 days ago. Pain is now severe at rest and he reports coolness of the R foot. He underwent right femoral-popliteal bypass graft surgery for life-limiting claudication 1 year ago. - ANS-Urgent invasive angiography 7. 75 yo F is evaluated during a routine visit. Medical history is significant for HTN and CAD with placed stent to mid R coronary 5 years ago. The precordial cadence is irregularly irregular. EKG shows Afib. - ANS-Discontinue aspirin and begin oral anticoagulation 8. 55 yo M is evaluated for chest discomfort of several months duration. Describes the pain as sporadic left-sided chest heaviness that lasts for several minutes. EKG is shown - ANS-Exercise stress echo