FLORENCE BLACKMAN I HUMAN CASE STUDY CHEST PAIN CERTIFICATION ASSESSMENT 2026 ACTUAL QUESTIONS

FLORENCE BLACKMAN I HUMAN CASE
STUDY TWO VERSIONS PRACTICE
SOLUTION SCRIPT 2026 FULL QUESTIONS
WITH PRECISE SOLUTIONS GRADED A+

⩥ What are the cardiovascular causes of chest pain. Answer: - ischaemic
heart disease
- pericarditis
- Aortic dissection
- pericarditis


⩥ What sysmtoms suggest ischaemic heart disease. Answer: - central,
pressure-like pain
- radiates to arm, jaw or back
- triggered by EXERCISE (if angina- it is triggered by exercise after
resting pain goes away)
- relieved by rest or GTN (glyceryl trinitrate)


- Angina is the chest pain due to ischaemic heart disease
- ischaemic heart disease - reduced blood flow through coronary artery

, ⩥ What are the symptoms that suggest cardiovascular pericarditis.
Answer: - sharp central pain
- worse with inspiration
- relieved by sitting forward
- often follows viral illness


⩥ What are the symptoms that suggest aortic dissection. Answer: -
sudden onset, severe pain
- radiate to the back (going between the shoulder blades )
- may have pulse deficits (diff pulse rates at diff point in the body) or
blood pressure difference


In history can look for :
- Marfan syndrome (more collagen more likely to have it , mostly tall
people )


⩥ What are the respiratory causes of chest pain. Answer: - pulmonary
embolism
- pneumothorax
- pneumonia or pleurisy


⩥ What are the symptoms of pulmonary embolism. Answer: -
breathlessness
- airplane long flight , surgery bedbound??