48th Annual Cardiology Teaching Day ABIM MOC Quiz Question Title * 1. Demographics ABIM required info [Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 15.5 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity, upon completion of this test with a score >=80%. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. By completing this form you are authorizing the office of CME to transmit your completion information to the ACCME on your behalf.] Participants ABIM ID # First Name Last Name DOB Activity Completion Date PARS Activity Identifier MOC Points & CMe credits claimed Question Title * 2. Which of the following is NOT an appropriate antiplatelet therapy that is used to treat patient after an ACS event? Ticagrelor Apixiban Prasugrel Question Title * 3. Which patient population is appropriate for a TAVR A 65 year old woman asymptomatic with a bicuspid aortic valve 80 year old female with severe aortic insufficiency 90 year old with severe aortic stenosis and class 3 symptoms Question Title * 4. Which of the following patients is appropriate for a mitralclip procedure 80 year old with calcified fibrotic mitral valve and moderate mitral stenosis 60 year old with new flail leaflet of the anterior mitral leaflet and no other medical gistory 80 year old with severe mitral regurgitation and prior history of cabg and a cva Question Title * 5. Which of the following patients is appropriate for a percutanous atrial septal defect closure 30 year old with a large ASD and a left to right shunt of 2:1 60 year old with small ASD and a minimal shunt with normal pulmonary artery pressures 40 year old with a right to left shunt , large ASD and pulmonary pressure of 90 Question Title * 6. Which of the below treatments has been demonstrated in a randomized trial to improve survival in cardiogenic shock ECMO Revascularization Intravenous nitroglycerin Question Title * 7. Which of the following is NOT a marker of poor prognosis in cardiac arrest Number of epinephrine doses Initial rhythm ventricular fibrillation Unwitnessed arrest Question Title * 8. True or False - Multivessel revascularization is a Class I indication for cardiogenic shock with acute MI True False It depends on the time of day Question Title * 9. Which of the following is not a commercially approved tavr valve Sapien 3 Lotus edge Evolut pro Question Title * 10. With which device do we preclose vessels Proglides Angioseal Mynx Question Title * 11. Which parameter measured by cardiopulmonary exercise testing is LEAST modifiable with training? Lactate threshold Running economy VO2max Question Title * 12. ECMO is indicated in patients with Acute severe cardiac or pulmonary failure that is potentially reversible and failed conventional therapy Mortality risk >=50% Both A and B Question Title * 13. ECMO is indicated as temporary mechanical support in selected patiens with cardiogenic shock for Bridge to recovery Bridge to durable mechanical circulatory support or transplant Both A and B Question Title * 14. Mortality rate in patients receiving ECMO is >=50% 25-49% 10-25% Question Title * 15. Can Atrial Fibrillation cause Congestive Heart Failure Yes No Not sure Question Title * 16. Is early,aggressive Intervention for AF beneficial Not sure Yes No Question Title * 17. What is the role of ablation in management of AF unsure Not beneficial Beneficial Question Title * 18. What is the most common location of type A aortic dissection? In the descending thoracic aorta Just above the aortic root In the aortic arch Question Title * 19. What is the usual size (diameter) threshold for aortic surgery? 5 cm 5.5 cm 4 cm Question Title * 20. What is the most important activity restriction in the presence of aortic aneurysm? Valsalva activities (straining) Aerobic activities (running, jogging, swimming) Restriction of salt and alcohol intake Question Title * 21. Fractional Flow Reserve (FFR) is defined as: FFR= Pdistal/Pproximal FFR= Pproximal/Pdistal FFR=(Pproximal-=Pdistal)/Pproximal Question Title * 22. In what proportation does conventional stress testing lead to nonobstructive coronary disease on angiogram? 25-45% < 20% > 50% Question Title * 23. Which statement regarding CT-FFR is false? Negative CTR-FFR results can lead to decreased invasive coronary angiograms without adverse clinical events CT-FFR can provide non-invasive lesion specific information CT-FFR has not been validated by any studies and should be considered investigational Done