Medicine Assessment

20 learning units • 10 questions per unit • 200 explained questions

Module 03 — Chest Pain, Ischemia & Thromboembolism

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Question 01 • Single best answer

Which initial result cannot by itself exclude acute coronary syndrome?

A. A normal ECG B. A complete specialist pathway with appropriate serial assessment C. A reasoned final diagnosis after full evaluation D. A documented alternative confirmed in context

Question 02 • Single best answer

What does an elevated troponin establish most directly?

A. Myocardial injury B. Coronary plaque rupture in every case C. Pulmonary embolism in every case D. A normal heart

Question 03 • Single best answer

What should guide use of D-dimer for suspected pulmonary embolism?

A. Testing every patient regardless of context B. An appropriate pretest-probability pathway C. Using it as a definitive positive diagnosis D. Ignoring symptoms and risk factors

Question 04 • Single best answer

A positive D-dimer means what?

A. Pulmonary embolism is proven B. Anticoagulation is always contraindicated C. All imaging is unnecessary D. Further interpretation is needed because it is nonspecific

Question 05 • Single best answer

Abrupt severe chest and back pain with a pulse deficit raises concern for what?

A. Simple indigestion only B. Uncomplicated rhinitis C. Acute aortic disease D. Chronic eczema

Question 06 • Single best answer

A clearly suspected tension pneumothorax causes shock. What is appropriate?

A. Urgent trained treatment without waiting for routine imaging B. Wait for an elective scan C. Discharge with reassurance D. Give oral fluids only

Question 07 • Single best answer

Does reproducible chest-wall tenderness rule out every dangerous chest-pain cause?

A. No B. Yes universally C. Yes whenever the patient is young D. Yes if no fever is present

Question 08 • Single best answer

Which history increases venous thromboembolism risk?

A. A remote healed paper cut B. Recent major surgery with immobility C. Wearing spectacles D. A routine dental check alone

Question 09 • Single best answer

What is the principal hemodynamic problem in cardiac tamponade?

A. Isolated excess appetite B. Increased joint lubrication C. Normal venous return in every case D. Impaired cardiac filling

Question 10 • Single best answer

Why reconsider automatic antithrombotic treatment when aortic dissection is suspected?

A. All chest pain has identical treatment B. Troponin eliminates every contraindication C. The diagnosis and bleeding risk change treatment decisions D. Treatment context never matters

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