NM703-Cardiac&Respiratory-Module3| Exam
Questions with Revised Answers| Verified 100%
Correct
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
-might report some heartburn or acid reflux into the throat
-sore or bitter tase in the mouth
-molar enamel erosion
-usually a more "sub-sternal" chest pain
-potential risk factors such as obesity, pregnancy, etc.
What would the treatment be for GERD related chest pain? - ✔✔-Trial of a PPI for 6-8
weeks and reassess
When would you refer a patient with GERD? - ✔✔-treatment failure
, -difficulty swallowing
-new diagnosis in someone >50-55 years old
Who should we recommend undergo stress testing wanting to begin more rigorous
exercise? Why? - ✔✔-greater than 55 years old
-sedentary lifestyle
-risk factors such as diabetes, CAD, PAD, etc.
--->we want to try to prevent sudden cardiac death!
Why is it important to explore psychiatric causes for chest pain? - ✔✔-depression,
panic, and anxiety can all report physical symptoms that might feel like "chest pain"
-explore this even with someone without a history of mental illness
Asthma: - ✔✔-chronic inflammation of the airways
-triggered by many causes (illness, allergens, exercise, environmental exposures, stress,
etc.)
-airway inflammation, hyper-responsiveness, airflow obstruction*
-eventual fibrosis & hypertrophy of airways from chronic inflammation if left untreated
-can become life-threatening
What is the classic presentation for asthma? - ✔✔-cough*
-wheezing
-difficulty breathing (dyspnea)
-feeling of a tight chest
Questions with Revised Answers| Verified 100%
Correct
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
-might report some heartburn or acid reflux into the throat
-sore or bitter tase in the mouth
-molar enamel erosion
-usually a more "sub-sternal" chest pain
-potential risk factors such as obesity, pregnancy, etc.
What would the treatment be for GERD related chest pain? - ✔✔-Trial of a PPI for 6-8
weeks and reassess
When would you refer a patient with GERD? - ✔✔-treatment failure
, -difficulty swallowing
-new diagnosis in someone >50-55 years old
Who should we recommend undergo stress testing wanting to begin more rigorous
exercise? Why? - ✔✔-greater than 55 years old
-sedentary lifestyle
-risk factors such as diabetes, CAD, PAD, etc.
--->we want to try to prevent sudden cardiac death!
Why is it important to explore psychiatric causes for chest pain? - ✔✔-depression,
panic, and anxiety can all report physical symptoms that might feel like "chest pain"
-explore this even with someone without a history of mental illness
Asthma: - ✔✔-chronic inflammation of the airways
-triggered by many causes (illness, allergens, exercise, environmental exposures, stress,
etc.)
-airway inflammation, hyper-responsiveness, airflow obstruction*
-eventual fibrosis & hypertrophy of airways from chronic inflammation if left untreated
-can become life-threatening
What is the classic presentation for asthma? - ✔✔-cough*
-wheezing
-difficulty breathing (dyspnea)
-feeling of a tight chest
