1. A patient presents for evaluation of a sharp, aching chest pain which incre
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ases with breathing.Which anatomic area would you localize the symp-
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tom to?
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A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine: A) Musculoskeletal e e
Chest pain may be due to a musculoskeletal condition, such as costochondritis orint
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ercostal muscle cramp. This would be worsened by motion of the chest wall.
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Pleuritic chest pain is also a sharp chest pain which increases with a deep breath.
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This type of pain can
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occur with inflammation of the pleura from pneumonia or other conditions andpu
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,lmonary
embolus.
2. A patient comes to the emergency room for evaluation of shortness ofbr
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eath.To which anatomic region would you assign the symptom?
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A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic: C) Cardiac e e
Cardiac disorders such as congestive heart failure are the most likely on this list to r
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esult in shortness of breath. There are cases within the other categories whichmay a
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lso result
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in shortness of breath, such as anemia in the hematologic category, pregnancy inth
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e reproductive
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category, or sepsis with UTI in the urinary category.
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3. A patient presents for evaluation of a cough. Which of the followingan
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,atomic regions can be responsible for a cough?
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A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine: C) Cardiac
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, The cardiac system can cause a cough if the patient has congestive heart failure.Thi
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s results in fluid buildup in the lungs, which in turn can cause a cough that produces
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pink,
frothy sputum. A foreign body in the ear may also cause a cough by stimulating Arn
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old's branch of the vagus nerve, but this is less likely to be seen clinically thanheart f
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ailure.
4. A 22-year-
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old advertising copywriter presents for evaluation of joint pain.The pain is ne
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w,
located in the wrists and fingers bilaterally, with some subjective fever. Thepa
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tient denies a e e
rash; she also denies recent travel or camping activities. She has a familyhist
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ory significant for
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rheumatoid arthritis. Based on this information, which of the following patho-
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logic processes
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would be the most correct?
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A) Infectious
B) Inflammatory
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