Management of Cardiac Transplant Patients in the Emergency Department – Post Test

Which one of the following is least helpful in making the diagnosis of myocardial infarction in a transplant patient?

Which one of the following best describes the pathological distribution of disease in graft vasculopathy?

Which one of the following statements concerning sustained ventricular arrhythmias in the transplanted heart is FALSE?

Which one of the following would be an unusual ECG finding early after a heart transplant?

A 37-year-old man presents to the ED 12 months after a heart transplant with shortness of breath. His ECG demonstrates atrial fibrillation. There is pulmonary congestion on the chest x-ray. You are suspicious of graft rejection. Which one of the following will be the definitive test?

Which one of the following is NOT a common echocardiographic finding after a heart transplant?

A 48-year-old lady who has had a cardiac transplant 3 years previously presents with shortness of breath; her ECG reveals atrial flutter with a rate of 150 per minute. Which one of the following therapeutic strategies would be ineffective?

A patient presents to hospital 4 years after a heart transplant with a 3-day history of shortness of breath. He is pale and sweaty. Investigations are suggestive of a recent ischaemic event. Which one of the following would you expect to be an effective treatment strategy for ischaemia arising as a consequence of graft vasculopathy?

A transplant patient presents to the ED with dizziness and pre-syncope. His heart rate is 38 and the bedside monitor shows pauses of up to 6 seconds. Which one of the following treatment strategies would NOT be of benefit to a transplant patient?