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AHN 568 CHEST PAIN EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
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AHN 568 CHEST PAIN EXAM QUESTIONS WITH 100% VERIFIED ANSWERS...
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AHN 568 CHEST PAIN EXAM QUESTIONSWITH 100% VERIFIED ANSWERS
ANSWER: Angina pectoris occurs in adults. achy, dull, tight, harsh, pressing,
and not typically acute or substernal. Women are more likely to experience
unusual symptoms. Exertion, cold exposure, and emotional stress worsen. Nitro,
rest, and Valsalva all help. Sinus tachycardia, bradycardia, or an apical systolic
bulge with discomfort, xanthomas, and symptoms of heart failure. ECG,
coronary arteriography, radionuclide studies, and stress tests are all used to
make the diagnosis.
Variant angina, often known as Prinzmetal's angina, occurs in adults. Substernal
pain might be achy, dull, tight, intense, and pressing, but not acute or sticky.
This generally happens at repose or at night. Nitro and rest can help. ECG
during an attack, as well as coronary arteriography, are used to diagnosis.
GERD (gastroesophageal reflux disease) - Answer Any age. Burning and
tightness may be symptoms of angina. Water brash causes "heartburn".
worsened by overeating, recumbency, and occasional activity. Antacids and
proton pump inhibitors can assist. diagnostic esophagoscopy, ambulatory pH
monitoring, short-term PPI
Esophageal spasm: ANSWER Patients are obese. The pain is identical to
angina. Ingestion of alcohol or cold liquids is a common trigger. Nitro provides
relief on occasion. Diagnose using esophageal manometry.
Mitral valve prolapse - ANSWER Any age. Not commonly substernal. Sticky
quality might remain for several hours. Palpitations, arrhythmias, which occur
often at rest, and syncope. Beta-blockers and recumbency. Click or late systolic
murmur. Diagnose with an echocardiography or a phonocardiogram.
, Hypertrophic cardiomyopathy - Answer Any age. Pain is akin to angina.
Dyspnea, arrhythmias, and lightheadedness. Nitro may worsen pain. Beta-
blockers and squats are helpful. The physical evidence of a murmur were
exacerbated by nitro and the Valsalva technique, but minimized by squatting.
Use echo to diagnose.
Intercostal myositis - Answer Any age is more common among children and
athletes. Sticking with quality suffering. Intensify with inspiration. Palpation
revealed localized discomfort. There's no pleural friction.
Costochondritis is worsened by intense coughing. "Splinting" the region helps.
Cervicodorsal arthritis affects adults. Sharp or sticky ache for a few seconds.
Caused by particular neck and twisting movements that are unrelated to stress.
Diagnose cervicodorsal spine radiography.
pulmonary embolism - answer Typically adult. Sharp, acute, and frequently
pleuritic pain. It is associated with tachypnea and hemoptysis. Precipitated by
extended immobility and oral contraception, particularly in smokers. DVT,
tachypnea, and mild cyanosis were seen. Spiral CT, D-dimer assay, V/Q scan,
and pulmonary angiography are all used to make the diagnosis.
Pneumonia is connected with fever and cough. discoveries of egophony and
dullness on percussion
Chest wall syndrome is more common in adults than in athletes. Pain is
typically intense, sticky, and brief. Recumbency and specific positions
exacerbate the condition. Local soreness on palpation during the "crowing
rooster" maneuver may cause pain.
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