AAPA Category 1 CME · Enduring Material

Comprehensive Clinical Review for Practicing PAs — 2026–27 Enduring CME Activity — Cardiology Module — 23 AAPA Category 1 CME Credits

Ischemic and structural heart disease, arrhythmias and conduction, heart failure, valvular disease, hypertension and lipids, and vascular emergencies.

What’s included: 200 board-style review questions (five options each) with per-question rationale and cited sources, 3.0 hours of narrated lecture video, and the full lecture slide deck

What this purchase awards: the Cardiology Module, worth up to 23 AAPA Category 1 CME credits. The accreditation statement below is written at the program level — the 468.75 figure covers the full 14-module program, not this individual module.

Accreditation statement

This activity has been reviewed by the American Academy of Physician Associates Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 468.75 AAPA Category 1 CME credits. Approval is valid from 8/26/2026 to 8/26/2027. PAs should only claim credit commensurate with the extent of their participation. AAPA reference number: CME-2016187.

This module is one component of Comprehensive Clinical Review for Practicing PAs — 2026–27 Enduring CME Activity, provided by CME Review Courses. Completion of the Cardiology Module accounts for up to 23 of the 468.75 AAPA Category 1 CME credits designated for the full activity. Claim only the credits commensurate with your actual participation.

Release date: 8/26/2026  ·  Expiration date: 8/26/2027
Access: 30 months from purchase
Format: Enduring material, delivered online  ·  Target audience: Practicing PAs and NPs
Faculty: Jeremy Boroff, MPAS, PA-C — sole faculty. No relevant financial relationships to disclose.
Commercial support: This activity received no commercial support.

To earn credit: review all module content, complete the module post-test with a score of 70% or higher, and complete the activity evaluation. Missed questions may be retaken to reach the passing score. A certificate of completion stating your precise credit is issued when both are complete.

PAs may also log AAPA Category 1 CME toward NCCPA requirements as permitted by NCCPA policy.

Cardiology CME Package with Gift Card

The Cardiology CME Package with Gift Card come from our PANCE Blueprint Lecture series.  How does it work?  When you purchase our Cardiology CME Review Package you can add on an Amazon or Apple gift card ($100-$1,500) to your total order.  Next, the gift card will come by email within 2-3 business days.

This Cardiology CME Package contains lecture slide, lecture video and a question bank.  The Cardiology CME Package question bank contains 200 PANCE style multiple choice questions, answers, and detailed explanations.  The Cardiology CME Lecture video is 3 hours and covers the NCCPA Blueprint for the PANCE and PANRE.

Nurse practitioner continuing education and credit acceptance can vary significantly from state to state, so each NP should always verify requirements with their individual state board of nursing. While some state boards and employers accept AAPA Category 1 credits for NP license renewal or certification maintenance, others require CE specifically approved by nursing-focused accreditors

This qualifies for up to 23 AAPA Category 1 CME credits.

This course is designed for physician assistants and meets the requirement for AAPA Category 1 CME.  Physician and Nurse Practitioners also purchase this course and find it of great use.

CME with Gift Card (Gift Cards $100-$1,500)

***This website is not affiliated or sponsored by Apple or Amazon .  These gift cards once emailed are non refundable.

Questions, Answers and Explanations

Question 1
1. Your patient is a 45 year old male with a newly diagnose
d right lower extremity DVT. Which of the following is the goal INR for him?
A. 1.5-2.5
B. 2.0-3.0
C. 3.0-4.0
D. 3.5-4.5
Answer 1
1. B is the correct answer. Patients with their initial diagnosis of DVT need to be anti coagulated and have a goal INR of between 2.0-3.0 if coumadin is used. They should be anticoagulated for 3-6 months. Consider repeating the vascular study before discontinuing therapy. The second DVT should be anticoagulated for life and/or get a Greenfield filter.

Question 2
2. Your patient is a 54 year old male who presents with bilateral leg pain that has been present for several months. He is a smoker so your consider peripheral artery disease as a potential etiology of his symptoms. His ABI comes back at 1.5. Which of the following is true about this patient’s findings?

A. This is a normal ABI
B. This ABI is abnormal.
C. This ABI is inaccurate. Smokers characteristically will have higher ABI’s. This patient needs more sensitive studies such as angiography
D.We treat patients and not diagnostic tests. This patient should be started on Cilostazol empirically
Answer 2
2. Choice A is the correct answer. An ABI greater than 1.0 is considered normal and an ABI less than 1.0 is considered abnormal and suggestive of peripheral artery disease. ABI is fairly accurate. No clinical data suggests that smokers need angiography. It is a highly invasive procedure with complications and should be reserved for those high risk individuals are those with acute arterial occlusion or those where surgery may be necessary. Starting patients empirically on Cilostazol is not appropriate. These medications can cause bleeding and have side effects.

Question 3
3. Your patient is a 43 year old male that presents with chest pain, dizziness and shortness of breath. His past medical history is remarkable for CAD with 2 stents placed 6 months ago. His vital signs are 52/32, HR-154, SpO2 is 98%, RR-24 Temp-97.3. Which of the following is likely the cause of this patient’s symptoms?

A. Volume Depletion
B. Cardiogenic Shock
C. Septic Shock
D. CVA
Answer 3

3. Choice B is the correct answer. Cardiogenic shock is defined as widespread failure of inadequate tissue perfusion resulting in metabolic demands not being met. Myocardial ischemia is the primary cause. These patients will likely need to be placed on vasopressors. The main treatment is to treat the underlying myocardial ischemia first. Volume depletion can cause tachycardia and hypotension but typically will not cause you to have chest pain. Patients in septic shock will usually be febrile. A CVA typically will not be hypotensive or tachycardic.
Question 4
4. Your patient is a 64 year old male that presents with the EKG listed below. Which of the following is best therapeutic intervention?
A. Defibrillation
B. Labetalol
C. Adenosine
D. Cardizem

Answer 4
4. Answer D is the correct answer. This patient has A-Fib with RVR. Defibrillation is reserved for Ventricular Tachycardia, Ventricular Fibrillation, or unstable A-Fib. This is a narrow complex tachycardia that is irregular. Adenosine or Labetalol would be appropriate for supraventricular tachycardia or sinus tachycardia.

Question 5
5. Your patient is a 59 year old female newly diagnosed with primary hypertension. Her blood pressure is 158/96. She has no other medical problems. Which of the following is the best choice for first line management for her?

A. Clonidine
B. Norvasc
C. Cardizem
D. Hydrochlorothiazide

Answer 5
5. Choice D is the correct answer. According to the JNC guidelines diuretics a and beta blockers are considered first line for stage I hypertension. Medications such as clonidine that are centrally acting alpha blockers have some rebound effect if stopped abruptly. Calcium channel blockers such as norvasc and cardizem are considered second line.

Question 6
6. Your patient is a 84 year old female that presents with a new onset of systolic murmur best heard at the sternal border. She has been having near syncope getting progressively worse. She has no carotid bruits. Which of the following is the most likely diagnosis?

A. Aortic Stenosis
B. Aortic Regurgitation
C. Carotid Artery Stenosis
D. Mitral Stenosis

Answer 6
6. Choice A is the correct answer. Aortic Stenosis presents with systolic murmur. Presenting symptoms are usually dizziness and sometimes chest pain. They also can present with CHF. Mitral Stenosis and Aortic Regurgitation are both diastolic murmurs so are incorrect. Carotid artery stenosis is not likely because the patient does not have any carotid bruits.

Question 7
7. Your patient is a 75 year old male that presents with sharp chest pain radiating through to his back. His vitals signs are BP 85/53, HR 110, RR 12, Temp 96.5. His Chem 7 is as follows Na 130, K 4.1, Cl-112, HCO3 22, BUN-36, Creatinine-2.5, Glucose 96. Which of the following is the best management option?

A. Order a Stat CTA of Chest with IV contrast to look for a dissection
B. Order a Stat Bedside ECHO
C. Order a Transesophageal ECHO (TEE)
D. Call the cardiothoracic surgeon and take the patient to the operating room immediately.

Answer 7
7. Choice C is the correct answer. This patient with his presenting symptoms and impaired renal function needs a TEE. CT with IV contrast is contraindicated when the creatinine is greater than 2.0. The above two are the only two options for screening for a dissection. A normal ECHO is not going to be able give you any information rather the patient is dissecting or not. Taking the patient to surgery without a definitive diagnosis is dangerous and should not be done.

Question 8
8. Which of the following is the medication of choice for treating Prinzmetal’s Angina?

A.  Metoprolol
B.  Lisinopril
C.  Verapamil
D.  Nitroglycerin

Answer 8
8. Choice C is the correct answer. Prinzmetal’s angina or Variant angina is caused by spasm of the coronary arteries. It tends to occur at rest. Verapamil best targets it because it helps dilate arteries. Nitroglycerin has little activity on arteries. Metoprolol is useful in regular angina because it helps decrease myocardial demand by blocking the effect of catecholamines. Lisinopril helps with after load reduction.

Question 9
9. Which of the following is not recognized as a modifiable risk factor in the prevention of coronary disease?

A.  Diabetes
B.  Alcohol intake
C.  Smoking
D.  Hypertension

Answer 9
9. Choice B is the correct answer. Alcohol ingestion is not identified as a modifiable risk factor. In fact mild alcohol intake may be beneficial in helping heart disease. Diabetes, smoking, hypertension are modifiable risk factors.

Question 10
10. Your patient is a 53 year old male that presents with a dry cough and has been recently started on lisinopril for hypertension. Which of the following is the best explanation for the patient’s symptoms?

A.  Elevated Prostaglandin levels
B.  Elevated Bradykinin levels
C.  Elevated cyclooxygenase levels
D.  Elevated catecholamines

Answer 10
10. Choice B is the correct answer. Elevated bradykinin levels are responsible for the dry cough in patients that take ACE inhibitors. It should be thought of as a class effect. Switching the patient to an Angiotensin Receptor Blocker would help this. There is no elevated bradykinin levels with that class. Prostaglandin levels are increased with ACE inhibitors and ARB’s but do not cause the dry cough. Elevated cyclooxygenase levels and catecholamine levels have nothing to do with the dry cough or ACE inhibitors.