CMN 574 - Exam 1 QG #1 UPDATED ACTUAL Exam Questions and CORRECT Answers

CMN 574 - Exam 1 QG #1 UPDATED
ACTUAL Exam Questions and CORRECT
Answers
MSK chest pain - CORRECT ANSWER - - Most common cause
- Muscle strain / costochondritis
- Broken rib
- Herpes zoster
- Fibromyalgia, SSC
- Chest wall contusion
- Protracted vomiting
-Young active pt - sports w/lifting


MSK chest pain RF - CORRECT ANSWER - - Trauma
- Overuse
- Hx chicken pox


MSK chest pain S/S - CORRECT ANSWER - - Gradual onset of sharp-dull
- More localized [can point with finger]
- Arm movement / deep inspiration [reproducible]


MSK chest pain DX - CORRECT ANSWER - No tests unless trauma = XR



MSK chest pain TX - CORRECT ANSWER - - Rest
- NSAIDs
- Ice/Heat

, GI chest pain - CORRECT ANSWER - - 2nd common cause
- GERD
- Esophagitis / spasm
- PUD
- Hiatal hernia
- Gallbladder


GI chest pain RF - CORRECT ANSWER - Hx of ulcers, smoking, ETOH, NSAIDS/ASA
(ask about OTC meds)


GI chest pain S/S - CORRECT ANSWER - - Recurrent [min-hr] of substernal burning
pain
- Esophageal spasm = squeezing/pressure
- PUD = epigastric to back (worse with meals / supine)
- Pain with palpation [epigastrium]


GI chest pain DX - CORRECT ANSWER - - Test for h.pylori
- EGD


GI chest pain TX - CORRECT ANSWER - - PPIs
- ABX [h. pylori]
- Diet
- Elevate HOB


Pysch chest pain - CORRECT ANSWER - - 3rd common cause
- Stress-related
- Panic attack
- Somatization