MRCP Part 2 MCQs | Cardiology | Explained by an MRCP EXAMINER

MRCP Part 2 Cardiology MCQs | 5 high-yield questions written and explained by a practising international MRCP examiner. Covers aortic stenosis, inferior STEMI, long QT syndrome, HFrEF and atrial fibrillation — MRCP cardiology revision at examiner level. | ClinicalMedEd Each question mirrors the real MRCP written exam: full clinical scenario, 5 answer options, self-test pause, correct answer with clinical reasoning, discussion of every wrong option, and 4 high-yield learning pearls per topic. Featuring the MedEd Quartet — Tachy (burgundy beetle), Brady (green turtle), Au (gold beetle) & Ag (silver dove) — a unique visual mnemonic system to make MRCP cardiology concepts unforgettable. ━━━━━━━━━━━━━━━━━━━━ 📋 QUESTIONS COVERED ━━━━━━━━━━━━━━━━━━━━ ✅ Q1 — Severe Aortic Stenosis: Surgical AVR vs TAVI vs balloon valvuloplasty. Rule of 1-4-40, symptomatic triad, prognosis & low flow-low gradient AS pitfall. ✅ Q2 — Inferior STEMI: Primary PCI vs thrombolysis vs CABG. Door-to-balloon time, TIMI flow score, right ventricular infarction (V4R) & post-STEMI secondary prevention. ✅ Q3 — Congenital Long QT Syndrome (LQT1): Nadolol vs selective beta blockers, LQT1/2/3 triggers, QT-prolonging drugs & torsades de pointes management. ✅ Q4 — HFrEF: Sacubitril/Valsartan (ARNI/Entresto) vs dapagliflozin vs digoxin vs ivabradine. PARADIGM-HF, four pillars of HFrEF, DAPA-HF & ICD/CRT indications. ✅ Q5 — AF & Stroke Prevention: CHA₂DS₂-VASc scoring, apixaban vs warfarin (ARISTOTLE trial), DOAC dosing & HAS-BLED bleeding risk scoring. ━━━━━━━━━━━━━━━━━━━━ 🕐 CHAPTERS ━━━━━━━━━━━━━━━━━━━━ 00:00:00 - Introduction | MRCP Part 2 Cardiology MCQs & MedEd Quartet Explained 00:01:00 - Q1: Severe Aortic Stenosis | Surgical AVR vs TAVI vs Medical Management 00:02:28 - Q1 Answer: When to Choose Surgical Aortic Valve Replacement (SAVR) 00:03:54 - Q1 Discussion: Why Not TAVI, Balloon Valvuloplasty or Watchful Waiting? 00:06:14 - Q1 Key Pearls: Rule of 1-4-40, AS Prognosis Triad & Low Flow Low Gradient AS 00:09:09 - Q2: Inferior STEMI Reperfusion | Primary PCI vs Thrombolysis vs CABG 00:10:43 - Q2 Answer: Primary PCI Gold Standard | TIMI Flow Score & Door-to-Balloon Time 00:12:15 - Q2 Discussion: CABG, GP IIb/IIIa Inhibitors, Thrombolysis & Echo in Acute STEMI 00:15:25 - Q2 Key Pearls: Time Targets, Right Ventricular Infarction (V4R) & Post-STEMI Secondary Prevention 00:19:16 - Q3: Congenital Long QT Syndrome | Exertional Syncope & Family History of Sudden Death 00:20:43 - Q3 Answer: Nadolol for Long QT Syndrome Type 1 (LQT1) | Beta Blocker Choice Explained 00:22:01 - Q3 Discussion: Why Avoid Amiodarone, Flecainide & ICD Alone in Congenital Long QT 00:24:13 - Q3 Key Pearls: LQT1/2/3 Triggers, Treatment Ladder, QT-Prolonging Drugs & Torsades de Pointes Management 00:30:08 - Q4: HFrEF Management | Sacubitril/Valsartan vs SGLT2 Inhibitors vs Digoxin vs Ivabradine 00:31:49 - Q4 Answer: ARNI (Sacubitril/Valsartan, Entresto) | PARADIGM-HF Trial & RAAS Blockade 00:34:38 - Q4 Discussion: Amiodarone, Dapagliflozin, Digoxin & Ivabradine in HFrEF — What to Prioritise 00:38:03 - Q4 Key Pearls: Four Pillars of HFrEF, SGLT2 Mechanisms (DAPA-HF) & Device Therapy (ICD, CRT) 00:42:16 - Q5: Atrial Fibrillation & Stroke Prevention | CHA2DS2-VASc Scoring & Anticoagulation 00:43:53 - Q5 Answer: Apixaban (DOAC) vs Warfarin in Non-Valvular AF | ARISTOTLE Trial Evidence 00:45:27 - Q5 Discussion: Why Not Aspirin, Dual Antiplatelets or Warfarin First-Line in AF? 00:47:14 - Q5 Key Pearls: CHA2DS2-VASc Breakdown, DOAC Dosing in AF & HAS-BLED Bleeding Risk Score ━━━━━━━━━━━━━━━━━━━━ 🎓 WHO IS THIS FOR? ━━━━━━━━━━━━━━━━━━━━ MRCP Part 2 written & PACES candidates | Internal medicine trainees | USMLE Step 2/3 | PLAB 2 | Medical students ━━━━━━━━━━━━━━━━━━━━ 👨‍⚕️ ClinicalMedEd ━━━━━━━━━━━━━━━━━━━━ Dr. Raza is a practising physician, Fellow of the Royal College of Physicians of Edinburgh (FRCP Edin), MRCP written exam question author and active international MRCP PACES examiner. ClinicalMedEd delivers examiner-level MRCP revision using the MedEd Quartet visual mnemonic system. 🔔 LIKE | SUBSCRIBE | SHARE with a colleague preparing for MRCP Part 2. 💬 Questions in the comments — Dr. Raza reads and responds. #MRCPPart2 #MRCPCardiology #MRCPRevision #ClinicalMedEd #CardiologyMCQs #AorticStenosis #STEMI #LongQTSyndrome #HeartFailure #AtrialFibrillation #MRCPExaminer #InternalMedicine #MedicalEducation #HighYieldCardiology #MRCPWritten