Free CV-BC™ Practice Test Questions

A 45-year-old male presents with exertional dyspnea and occasional palpitations. His father died suddenly at age 50, and his elder brother has been diagnosed with hypertrophic cardiomyopathy. Genetic testing reveals a mutation in the MYH7 gene. Which statement is most accurate regarding the role of genetics in his condition?

A 78-year-old male with advanced heart failure has been hospitalized multiple times in the past year. Despite optimal medical management, he experiences worsening fatigue, dyspnea at rest, and has limited functional capacity. The patient expresses a wish not to be intubated or resuscitated if his condition deteriorates. Which of the following is the most appropriate ethical consideration for his end-of-life care planning?

A 55-year-old woman with a history of hypertension, who lives in an urban area with high levels of air pollution, comes to the clinic with increasing fatigue and shortness of breath. Considering her exposure to air pollution, which cardiovascular disease risk is most likely elevated in this patient?

A 52-year-old female with a history of hyperlipidemia is concerned about her cardiovascular health following a recent LDL cholesterol level of 190 mg/dL. She is looking to incorporate nutritional interventions as part of her management plan. Which dietary change is most strongly supported by evidence to specifically lower LDL cholesterol in this patient?

A 38-year-old executive presents to the clinic with episodes of palpitations, a racing heart, and increased perspiration over the past two months. He admits to consuming six cups of coffee daily and experiencing significant work-related stress. His blood pressure is 140/90 mmHg. Which of the following is the most appropriate initial advice to manage his symptoms?

A 72-year-old male with chronic heart failure is being monitored through a telemedicine program. He reports new onset of bilateral leg swelling and a weight gain of 5 pounds over the past week. The telemedicine nurse notes that his blood pressure readings are consistently elevated, and his heart rate is irregular. Which of the following interventions is most appropriate to implement through the telemedicine platform to address these findings?

A 62-year-old female with a history of hypertension and smoking lives in a rural area with limited access to healthcare facilities. She presents with worsening shortness of breath and fatigue when engaging in her daily farming activities. Her community has limited resources for cardiac rehabilitation programs and patient education. Which of the following interventions could best mitigate cardiac health disparities in this population?

A 65-year-old female is six months post coronary artery bypass grafting (CABG). She presents with an elevated blood pressure of 150/92 mmHg. She is on aspirin, atorvastatin, lisinopril, and metoprolol. Her recent laboratory results show a serum potassium level of 5.4 mEq/L and a mild increase in creatinine when compared to pre-operative levels. Which of the following is the most appropriate medication adjustment to make?

A 62-year-old male patient with a history of myocardial infarction is considering dietary supplements to improve his cardiovascular health. He specifically asks about the potential benefits of omega-3 fatty acids. Which of the following is the most evidence-based benefit of omega-3 fatty acid supplementation in cardiovascular health management?

A 55-year-old male with a history of hypertension and hypercholesterolemia seeks advice on lifestyle modifications to manage his blood pressure. He consumes a diet high in sodium and enjoys a sedentary lifestyle. Despite being on antihypertensive medication, his blood pressure remains uncontrolled at 150/95 mmHg. Which lifestyle change is most likely to have the greatest impact on reducing his blood pressure?

A 54-year-old male with a history of heart failure and recent implantation of a left ventricular assist device (LVAD) presents with consistent low flows on the device monitor. He reports feeling lightheaded and has persistent fatigue. Upon examination, his blood pressure is 88/54 mmHg, and he is mildly diaphoretic. What is the most likely cause of this patient's current symptoms?

A 58-year-old male with a history of untreated obstructive sleep apnea presents to the emergency department with acute onset of chest discomfort and marked fatigue. He reports daytime somnolence and has recently noticed a decline in exercise tolerance. His ECG shows signs consistent with right ventricular hypertrophy. Which of the following is the most likely cardiac complication of his untreated condition?

A 48-year-old female with a history of chest pain and known coronary artery disease presents to the emergency department with severe chest pain. Her initial ECG shows ST-elevation in the anterior leads. The emergency physician orders cardiac biomarker tests to aid in the evaluation. Which cardiac biomarker is most specific for detecting myocardial necrosis and is recommended as the gold standard for diagnosing an acute myocardial infarction?

A 64-year-old male with a history of poorly controlled essential hypertension presents with worsening dyspnea and periodic chest tightness. He recently moved from a temperate climate to a region experiencing frequent heatwaves. Considering the impact of climate changes on cardiovascular health, which of the following cardiovascular conditions is most likely exacerbated in this patient due to the new environmental conditions?

A 63-year-old male with a 10-year history of chronic renal failure is evaluated for cardiovascular symptoms. He reports shortness of breath on exertion and mild swelling in his legs. Recent laboratory tests show a potassium level of 5.8 mEq/L. An echocardiogram reveals left ventricular hypertrophy. Which of the following is the most likely cardiac effect associated with chronic renal failure in this patient?

A 28-year-old elite marathon runner presents for a routine health check-up. He reports no symptoms and feels at peak fitness. Physical examination reveals a regular heart rate of 45 bpm and blood pressure of 110/70 mmHg. An ECG shows a sinus bradycardia with occasional premature ventricular contractions (PVCs). What is the most appropriate management for this athlete?

A 47-year-old woman with a history of chronic stress and sedentary lifestyle is keen on improving her cardiac health using a mobile health app. She seeks advice on which features of a mobile health app would be most beneficial for managing stress, which is a significant contributor to her cardiovascular risk. Which feature of a mobile health app should be prioritized for this purpose?

A 58-year-old male with a history of hypertension and a recent diagnosis of acute coronary syndrome (ACS) is started on a novel antiplatelet agent. The patient is scheduled for a percutaneous coronary intervention (PCI) and expresses concern about the risk of bleeding associated with antiplatelet therapy. Which of the following novel antiplatelet agents is most appropriate for this patient considering his upcoming PCI?

A 52-year-old woman presents with recurrent episodes of fatigue, joint pain, and a recent rash on her face. Laboratory tests reveal elevated erythrocyte sedimentation rate (ESR) and anti-nuclear antibodies (ANA). She is diagnosed with systemic lupus erythematosus (SLE). Which of the following cardiac complications is most commonly associated with SLE?

A 70-year-old male with a history of chronic obstructive pulmonary disease (COPD) presents to the clinic with worsening exertional dyspnea and peripheral edema. Physical examination reveals jugular venous distension and an accentuated P2 heart sound. Laboratory testing shows elevated brain natriuretic peptide (BNP) levels. What is the most likely cardiac condition associated with these findings?