NM703-CARDIAC&RESPIRATORY-MODULE3 EXAM QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Red flag symptoms to rule out serious emergencies related to chest pain:
-non-localized pain
-pain lasting more than 20 minutes
-pain associated with diaphoresis, dyspnea, N/V, dizziness
-radiation to the neck, jaw, shoulder, arm
-sudden onset
-->Important to rule out MI, PE, aortic dissection
What are some important things to consider when a patient arrives with chest
pain?
-any risk factors for CAD/CVD? (smoker, HTN, diet high in saturated fats, etc.)
-anything that places them at higher risk of blood clots? (sedentary lifestyle, CAD,
pregnancy, contraceptive use, cancer)
-family history?
-do they have any chronic diseases?
Who often presents with "atypical" presentations related to emergency-related
chest pain?
-women, older adults, diabetics
, Chest pain due to costochondritis can be differentiated from other chest pains
because:
-pain is reproducible upon palpation or upon movement such as raising arms, deep
breaths, coughing
-pain when palpating over the 3rd or 5th rib
-sharp and localized
What is the cause of costochondritis?
-not completely understood
-most likely from illness/coughing or mechanical damage/trauma
How long does costochondritis typically last?
-approximately 6 weeks
-it can also go away and re-occur
What is the management for costochondritis?
-Self-limiting--so symptom management
-NSAIDs, Heat, Ice, avoiding aggravating activities
-possible physical therapy
-Follow up if worsens or no improvement by expected time
Why would GERD be considered as a differential for chest pain?
-can often cause a feeling of "chest pain" due to the burning sensation in the esophagus
What key things might point you toward chest pain relating to presence of
GERD?
-symptoms related to eating
-usually worse after a large meal or lying down after a meal
AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Red flag symptoms to rule out serious emergencies related to chest pain:
-non-localized pain
-pain lasting more than 20 minutes
-pain associated with diaphoresis, dyspnea, N/V, dizziness
-radiation to the neck, jaw, shoulder, arm
-sudden onset
-->Important to rule out MI, PE, aortic dissection
What are some important things to consider when a patient arrives with chest
pain?
-any risk factors for CAD/CVD? (smoker, HTN, diet high in saturated fats, etc.)
-anything that places them at higher risk of blood clots? (sedentary lifestyle, CAD,
pregnancy, contraceptive use, cancer)
-family history?
-do they have any chronic diseases?
Who often presents with "atypical" presentations related to emergency-related
chest pain?
-women, older adults, diabetics
, Chest pain due to costochondritis can be differentiated from other chest pains
because:
-pain is reproducible upon palpation or upon movement such as raising arms, deep
breaths, coughing
-pain when palpating over the 3rd or 5th rib
-sharp and localized
What is the cause of costochondritis?
-not completely understood
-most likely from illness/coughing or mechanical damage/trauma
How long does costochondritis typically last?
-approximately 6 weeks
-it can also go away and re-occur
What is the management for costochondritis?
-Self-limiting--so symptom management
-NSAIDs, Heat, Ice, avoiding aggravating activities
-possible physical therapy
-Follow up if worsens or no improvement by expected time
Why would GERD be considered as a differential for chest pain?
-can often cause a feeling of "chest pain" due to the burning sensation in the esophagus
What key things might point you toward chest pain relating to presence of
GERD?
-symptoms related to eating
-usually worse after a large meal or lying down after a meal
