CMN 574 - Exam 1 QG -1 questions with answers

CMN 574 - Exam 1 QG #1 questions with
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answers

MSK chest pain - CORRECT ANSWERS ✔✔- Most common
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cause
- Muscle strain / costochondritis
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- Broken rib
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- Herpes zoster
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- Fibromyalgia, SSC
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- Chest wall contusion
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- Protracted vomiting
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-Young active pt - sports w/lifting
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MSK chest pain RF - CORRECT ANSWERS ✔✔- Trauma
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- Overuse
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- Hx chicken pox
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MSK chest pain S/S - CORRECT ANSWERS ✔✔- Gradual
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onset of sharp-dull
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- More localized [can point with finger]
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- Arm movement / deep inspiration [reproducible]
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,MSK chest pain DX - CORRECT ANSWERS ✔✔No tests
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unless trauma = XR |\ |\ |\




MSK chest pain TX - CORRECT ANSWERS ✔✔- Rest
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- NSAIDs
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- Ice/Heat
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GI chest pain - CORRECT ANSWERS ✔✔- 2nd common
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cause |\




- GERD
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- Esophagitis / spasm
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- PUD
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- Hiatal hernia
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- Gallbladder
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GI chest pain RF - CORRECT ANSWERS ✔✔Hx of ulcers,
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smoking, ETOH, NSAIDS/ASA (ask about OTC meds)
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GI chest pain S/S - CORRECT ANSWERS ✔✔- Recurrent
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[min-hr] of substernal burning pain
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- Esophageal spasm = squeezing/pressure
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- PUD = epigastric to back (worse with meals / supine)
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- Pain with palpation [epigastrium]
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, GI chest pain DX - CORRECT ANSWERS ✔✔- Test for
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h.pylori
- EGD
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GI chest pain TX - CORRECT ANSWERS ✔✔- PPIs
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- ABX [h. pylori]
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- Diet
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- Elevate HOB
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Pysch chest pain - CORRECT ANSWERS ✔✔- 3rd common
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cause |\




- Stress-related
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- Panic attack
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- Somatization
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- Aggravates GERD ,asthma, angina
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Pysch chest pain RF - CORRECT ANSWERS ✔✔- Stress
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- Hx of panic disorder or depression
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Pysch chest pain S/S - CORRECT ANSWERS ✔✔- Panic
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disorder = precordial CP |\ |\ |\