NR 601 MIDTERM EXAM WITH ANSWERS
1. DG, 65yo man, presents for eval of CP and L-sided shoulder pain, beginning after
strenuous activity, including walking. Pain is dull, aching, 8/10 during activity, otherwise
0/10. Began few mo ago, intermittent, aggravated by exercise, relieved by rest. Occasional
nausea. Pain is retrosternal, radiating to L shoulder, affects QOL by limiting activity. Pain
is worse today, did not go away after stopped walking. BP 120/80, HR 72 and regular.
Normal heart sounds, no murmur, S1, S2. Which differential dx would be most likely?
a. Coronary artery dz w/angina pectoris
2. The best way to dx structural heart dz/dysfunction non-invasively is:
1. DG, 65yo man, presents for eval of CP and L-sided shoulder pain, beginning after
strenuous activity, including walking. Pain is dull, aching, 8/10 during activity, otherwise
0/10. Began few mo ago, intermittent, aggravated by exercise, relieved by rest. Occasional
nausea. Pain is retrosternal, radiating to L shoulder, affects QOL by limiting activity. Pain
is worse today, did not go away after stopped walking. BP 120/80, HR 72 and regular.
Normal heart sounds, no murmur, S1, S2. Which differential dx would be most likely?
a. Coronary artery dz w/angina pectoris
2. The best way to dx structural heart dz/dysfunction non-invasively is:
