Dr. Usman's Cardiology Notes

Attempt this exam to know your Score to get an idea of your fcps part 2 toacs preparation: Welcome to cardiology toacs mock exam , there will be 40 stations, time for each station is usually 3 mins in the exam but in this video it will be, 1 min. you can pause the video if you need more time.  Answer key is also shown in the video after 40 stations. For More TOACS stuff <<Click here>> In this comprehensive TOACS (Task Oriented Assessment of Clinical Skills) session, the candidate is taken through multiple diagnostic modalities in cardiology: surface ECG, chest-X-ray (CXR), echocardiography (Echo), cardiac catheterisation/angiography (Cath), cardiac CT, cardiac MRI (CMR), electrophysiology (EP) tracings, and nuclear scans (e.g., SPECT stress test). The aim is to test the ability of the trainee to interpret images/recordings, link them to the clinical scenario, derive diagnoses, and suggest appropriate next steps (management/investigations). The video shows multiple “stat...

(A) Four chamber, cine SSFP (B) Four chamber, MDE; demonstrating no evidence of late gadolinium enhancement. (C) Axial, cine SSFP (D) Axial, LGE; demonstrating no evidence of late gadolinium enhancement. A 58 year old woman with an indwelling Hickman catheter for total parenteral nutrition administration presented with bacteremia with an echocardiogram showing a right atrial mass after the catheter was removed.What are the findings in above MR images? Click the button below to view answer: Show Answer

(A) Three chamber, diastole, gradient recalled echo (GRE). (B) 3 chamber, systole, GRE (C) Short axis, cine SSFP, pre-contrast. (D) Short axis, cine SSFP, post-gadolinium contrast; demonstrating increased signal intensity. A 73 year old man with a history of advanced gastrointestinal stromal cell sarcoma presented with 3 months of chest pain, palpitations, and shortness of breat, Identify the problem in above MRI images. Click the button below to view answer: Show Answer

A 68-year-old man with a history of advanced stage melanoma with pulmonary metastases presented with a suspicious lesion on a chest computed tomographic scan. What are the findings in above MR images? Click the button below to view answer: Show Answer

Cardiac MR Case: A 55 year old man presented with symptomatic exercise induced Ventricular Tachycardia (VT), Can you identify the abnormality? Click the button below to view answer: Show Answer

A 32 year old man with no significant past medical history presented with chest pain, fever, and dyspnea on exertion. His laboratory evaluation revealed elevated cardiac enzymes, elevated liver function tests, and pancytopenia. What is your likely diagnosis based on these images?Click the button below to view answer: Show Answer

A 67 year old woman with a history of lupus presented with dyspnea and chest pain. What are the findings shown in above MR images? Click the button below to view answer: Show Answer

A 22 year old woman with Behçet’s syndrome and myelodysplastic syndrome status post recent bone marrow transplant presented with dyspnea, fatigue, and lower extremity swelling. What are the key findings in above MR images? Click the button below to view answer: Show Answer

 Gadolinium enhanced MRA, Sagittal Oblique View A 57 year old woman with hypertension presented with sudden onset of severe chest pain radiating to the back. MRA was done, identify the structures marked with arrows. Click the button below to view answer: Show Answer

A 38 year old man with known MR, referred for MRI to rule out structural heart disease. What is your diagnosis based on above MRI images? Click the button below to view answer: Show Answer