skip to main content

Syncope — RCPSC IM MCQ

Instant feedback + full explanation. One question, done properly.

HardCardiologySyncopeRCPSC IM

A 72-year-old man has exertional syncope while shovelling snow. He has a harsh systolic murmur, bifascicular block on ECG and a family history of sudden death. Orthostatic vitals are normal and hemoglobin is 138 g/L. He is now asymptomatic. What is the most appropriate investigation?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Hospital evaluation with telemetry and urgent echocardiography

Exertional syncope, conduction disease and a significant murmur are high-risk features for cardiac syncope. He requires urgent cardiac evaluation and rhythm monitoring rather than routine neurologic testing.

Reference: Canadian Cardiovascular Society syncope guidance