CMN 574 - EXAM 1 QG #1 EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
MSK chest pain - CORRECT-ANSWERS- Most common cause
- Muscle strain / costochondritis
- Broken rib
- Herpes zoster
- Fibromyalgia, SSC
- Chest wall contusion
- Protracted vomiting
-Young active pt - sports w/lifting
MSK chest pain RF - CORRECT-ANSWERS- Trauma
- Overuse
- Hx chicken pox
MSK chest pain S/S - CORRECT-ANSWERS- Gradual onset of sharp-dull
- More localized [can point with finger]
- Arm movement / deep inspiration [reproducible]
MSK chest pain DX - CORRECT-ANSWERSNo tests unless trauma = XR
MSK chest pain TX - CORRECT-ANSWERS- Rest
, - NSAIDs
- Ice/Heat
GI chest pain - CORRECT-ANSWERS- 2nd common cause
- GERD
- Esophagitis / spasm
- PUD
- Hiatal hernia
- Gallbladder
GI chest pain RF - CORRECT-ANSWERSHx of ulcers, smoking, ETOH,
NSAIDS/ASA (ask about OTC meds)
GI chest pain S/S - CORRECT-ANSWERS- Recurrent [min-hr] of substernal
burning pain
- Esophageal spasm = squeezing/pressure
- PUD = epigastric to back (worse with meals / supine)
- Pain with palpation [epigastrium]
GI chest pain DX - CORRECT-ANSWERS- Test for h.pylori
- EGD
GI chest pain TX - CORRECT-ANSWERS- PPIs
- ABX [h. pylori]
CORRECT QUESTIONS AND ANSWERS
2025
MSK chest pain - CORRECT-ANSWERS- Most common cause
- Muscle strain / costochondritis
- Broken rib
- Herpes zoster
- Fibromyalgia, SSC
- Chest wall contusion
- Protracted vomiting
-Young active pt - sports w/lifting
MSK chest pain RF - CORRECT-ANSWERS- Trauma
- Overuse
- Hx chicken pox
MSK chest pain S/S - CORRECT-ANSWERS- Gradual onset of sharp-dull
- More localized [can point with finger]
- Arm movement / deep inspiration [reproducible]
MSK chest pain DX - CORRECT-ANSWERSNo tests unless trauma = XR
MSK chest pain TX - CORRECT-ANSWERS- Rest
, - NSAIDs
- Ice/Heat
GI chest pain - CORRECT-ANSWERS- 2nd common cause
- GERD
- Esophagitis / spasm
- PUD
- Hiatal hernia
- Gallbladder
GI chest pain RF - CORRECT-ANSWERSHx of ulcers, smoking, ETOH,
NSAIDS/ASA (ask about OTC meds)
GI chest pain S/S - CORRECT-ANSWERS- Recurrent [min-hr] of substernal
burning pain
- Esophageal spasm = squeezing/pressure
- PUD = epigastric to back (worse with meals / supine)
- Pain with palpation [epigastrium]
GI chest pain DX - CORRECT-ANSWERS- Test for h.pylori
- EGD
GI chest pain TX - CORRECT-ANSWERS- PPIs
- ABX [h. pylori]