Return to course: NICE CKS Question Banks
Previous Lesson
Previous
Next
Next Lesson
Atrial fibrillation (PG)
Return to
Course Curriculum
1. What is the most common symptom of atrial fibrillation (AF)?
*
Chest pain
Syncope
Palpitations
Productive cough
2. Which ECG finding is characteristic of atrial fibrillation?
*
Sawtooth flutter waves
Regular narrow complexes
No P waves and irregularly irregular rhythm
Delta wave
3. What scoring system is used to assess stroke risk in AF?
*
HASBLED
CHADS2
Wells score
CHAâ‚‚DSâ‚‚-VASc
4. Which of the following is NOT part of the CHAâ‚‚DSâ‚‚-VASc score?
*
Diabetes
Smoking
Hypertension
Age >75
5. What is the preferred initial investigation in suspected AF?
*
Chest X-ray
ECG
Echocardiogram
CT Chest
6. Which is a key goal in the management of AF?
*
Improve liver function
Prevent stroke and control heart rate/rhythm
Increase NT-ProBNP
D. Increase HDL
7. Which type of AF resolves spontaneously within 7 days?
*
Reflex
Persistent
Paroxysmal
Recurring
8. What class of drugs is bisoprolol?
*
Alpha blocker
Beta blocker
Calcium channel blocker
DMARD
9. Which anticoagulant is recommended first-line in most people with AF and high stroke risk?
*
Warfarin
Aspirin
Clopidogrel
DOAC
10. When is rhythm control more likely to be considered in AF?
*
AF >12 months
Minimal symptoms
Younger patients with recent onset
Elderly with frailty
11. Which drug is a rate control agent in AF?
*
Digoxin
Ramipril
Furosemide
Lansoprazole
12. What does the HAS-BLED score assess in AF patients?
*
Heart failure risk
Stroke risk
Bleeding risk
Lung embolism
13. What is the preferred heart rate target for rate control in AF (according to NICE)?
*
<50 bpm
<80 bpm
<100 bpm at rest
<130 bpm
14. Which reversible cause should be excluded in new-onset AF?
*
Hyperthyroidism
Asthma
Hypercalcaemia
Vitamin D deficiency
15. Which imaging is commonly used to assess cardiac function in AF?
*
CT thorax
Echocardiography
MRI brain
Abdominal ultrasound
16. What is the main risk of untreated atrial fibrillation?
*
Pulmonary oedema
DVT
Stroke
Myocarditis
17. What is the recommended duration of anticoagulation before elective cardioversion in AF?
*
24 hours
48 hours
3 weeks
6 months
18. In which patient might rhythm control be preferable over rate control?
*
Asymptomatic elderly patient
Patient with longstanding persistent AF
Young, symptomatic patient with recent onset AF
Patient with high HAS-BLED score
19. What lifestyle modification can help reduce AF burden?
*
Increased salt intake
Weight loss and reduced alcohol
High-carb diet
Keto diet
20. Which of the following is a contraindication to DOAC use?
*
Mechanical heart valve
Diabetes
Mild hypertension
Overweight