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CM2 EXAM 2 PATIENT PRESENTATION/OTHER PRACTICE QUESTIONS WITH CORRECT SOLUTIONS, GRADED A+
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CM2 EXAM 2 PATIENT PRESENTATION/OTHER PRACTICE QUESTIONS WITH CORRECT SOLUTIONS, GRADED A+
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CM2 EXAM 2 PATIENTPRESENTATION/OTHER
PRACTICE QUESTIONS
WITH CORRECT
SOLUTIONS, GRADED
A+
Evatee 10/20/24 CM2
, CM2 EXAM 2 PATIENT PRESENTATION/OTHER
PRACTICE QUESTIONS WITH CORRECT
SOLUTIONS, GRADED A+
A 55-year-old man presents to the emergency department due to substernal
chest pain. His symptoms began a few hours ago. He describes the pain as
"crushing" and it radiates down the left arm. Medical history is significant for
type 2 diabetes and hypertension. On physical exam the patient is diaphoretic.
An electrocardiogram demonstrates ST-segment elevations and cardiac
troponins are significantly elevated. Answer - MI-- think about dx testing,
treatment, ect..
A 64-year-old male with a past medical history of obesity, diabetes,
hypertension, and hyperlipidemia presents with an acute onset of nausea,
vomiting, diaphoresis, and crushing substernal chest pain. Vital signs are
temperature 37° C, HR 110, BP 149/87, and RR of 22 with an oxygen saturation
of 99% on room air. Physical exam reveals a fourth heart sound (S4), and labs
are remarkable for an elevated troponin. EKG pic in answer but shows ST
elevation. The pathogenesis of the condition resulting in this patient's
presentation involves:
A) Genetic inheritance of a mutation in ß-myosin or troponin expressed in
cardiac myocytes
b) A fully obstructive thrombus at the site of a ruptured, ulcerated
atherosclerotic plaque
C) A partially occlusive thrombus at the site of a ruptured, ulcerated
atherosclerotic plaque
D) Destruction of the vasa vasorum caused by vasculitic phenomena
E) A stable atheromatous lesion without overly Answer - b) A fully obstructive
thrombus at the site of a ruptured, ulcerated atherosclerotic plaque
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