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Quiz :which of the following is the most important questi on to ask
during cardiovascular health history - Answer :sudden death of a
family member
Quiz :a key symptom of ischemic heart disease is chest pain.
However, angina equivalents may include exerti onal dyspnea. Angina
equivalenstare important because - Answer :A and B (Women with
ischemic heart disease/some pati ents may have no symptoms)
Quiz :A 55 year old post menopausal woman with a history of
hypertension complains of jaw pain on heavy exerti on. There were no
complaints of chest pain. Her ECG indicates normal sinus rhythm
without ST segment abnormaliti es. Your plan may include -
Answer :exercise test
Quiz :Jenny is a 24 year old graduate student that presents to the
clinic today with complaints of fever, mid sternal chest pain and
generalized fati gue for the past two days. She denies any cough or
sputum producti on. She states that when she takes ibuprofen and rest
that the chest pain does seem to ease off . Upon examinati on the
pati ent presents looking very ill. She is leaning forward and states
that this is the most comfortable positi on for her. Temp is 102, BP
100/70, heart rate is 120/min and regular. Upon auscultati on a
fricti on rub is audible. Her lungs sounds clear. With these presenti ng
symptoms your initi al diagnosis would be - Answer :pericarditi s
Quiz :which symptom is more characteristi c of non-cardiac chest pain
- Answer :pain tends to occur with movement stretching or palpati on
, Quiz :what is the most common valvular heart disease in the older
adult - Answer :aorti c stenosis
Quiz :1. Jeff , 48 years old, presents to the clinic complaining of
fl eeting chest pain, fati gue, palpitati ons, lightheadedness, and
shortness of breath. The pain comes and goes and is not associated
with acti vity or exerti on. Food does not exacerbate or relieve the
pain. The pain is usually located under the left nipple. Jeff is
concerned because his father has cardiac disease and underwent a
CABG at age 65. The ANP examines Jeff and hears a mid-systolic click
at the 4th ICS mid-clavicular area. The ANP knows that this is a
hallmark sign of: - Answer :mitral valve prolapse
Quiz :The aging process causes what normal physiological changes in
the heart? - Answer :the heart valve thickens and becomes rigid,
secondary to fibrosis and sclerosis
Quiz :Dan G., a 65-year-old man, presents to your primary care offi ce
for the evaluati on of chest pain and left -sided shoulder pain. Pain
begins aft er strenuous acti vity, including walking. Pain is
characterized as dull, aching; 8/10 during acti vity, otherwise 0/10.
Began a few months ago, intermitt ent, aggravated by exercise, and
relieved by rest. Has occasional nausea. Pain is retrosternal, radiati ng
to left shoulder, defi nitely aff ects quality of life by limiti ng acti vity.
Pain is worse today; did not go away aft er he stopped walking. BP
120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2, no
murmurs. Which of the following diff erenti al diagnoses would be
most likely - Answer :Coronary artery disease with angina pectoris
Quiz :a common auscultatory fi nding in advanced CHF is - Answer :S3
gallop rhythm