Internal Medicine 02 Aquifer Exam
Questions and Answers Verified
Solutions Latest Update (2026/2027)
Question:
Describe angina pectoris / CAD
Answer:
Chest pressure that may radiate to
neck/arm/shoulder. May have associated dyspnea. Risk factors include
obesity, diabetes,
hypertension and hyperlipidemia.
- May have abnormal blood pressure, lower extremity edema, cardiac
murmurs or normal exam.
- May have ST segment abnormalities on EKG.
Question:
Describe variant angina
Answer:
Vasospastic cause of angina, often younger pt with few
risk factors. Risk factors include tobacco use.
- Between episodes of chest pain physical exam may be completely normal.
- Accompanied by transient ST elevation on EKG.
Question:
Describe cocaine induced chest pain
, Answer:
Chest pain after cocaine use from
infarction or intense coronary spasm.
- Urine tox screen positive for cocaine and drug metabolites. Elevated CPK
levels may be seen
with associated rhabdomyolysis.
Question:
Describe aortic dissection
Answer:
Longitudinal intimal tear forming a false lumen.
Associated with hypertension, bicuspid aortic valve, inherited connective
tissue disorders (eg,
Marfan syndrome). Can present with tearing, sudden-onset chest pain
radiating to the back +/−
markedly unequal BP in arms. CXR can show mediastinal widening. Can
result in organ ischemia,
aortic rupture, death. - Two types: Stanford type A (proximal): involves
Ascending aorta. May extend to aortic arch or descending aorta. May result
in acute aortic
regurgitation or cardiac tamponade. - Treatment: surgery.
Stanford type B (distal): involves only descending aorta (Below left
subclavian artery). Treatment:
β-blockers, then vasodilators.
Question:
Describe pericarditis
Answer:
Questions and Answers Verified
Solutions Latest Update (2026/2027)
Question:
Describe angina pectoris / CAD
Answer:
Chest pressure that may radiate to
neck/arm/shoulder. May have associated dyspnea. Risk factors include
obesity, diabetes,
hypertension and hyperlipidemia.
- May have abnormal blood pressure, lower extremity edema, cardiac
murmurs or normal exam.
- May have ST segment abnormalities on EKG.
Question:
Describe variant angina
Answer:
Vasospastic cause of angina, often younger pt with few
risk factors. Risk factors include tobacco use.
- Between episodes of chest pain physical exam may be completely normal.
- Accompanied by transient ST elevation on EKG.
Question:
Describe cocaine induced chest pain
, Answer:
Chest pain after cocaine use from
infarction or intense coronary spasm.
- Urine tox screen positive for cocaine and drug metabolites. Elevated CPK
levels may be seen
with associated rhabdomyolysis.
Question:
Describe aortic dissection
Answer:
Longitudinal intimal tear forming a false lumen.
Associated with hypertension, bicuspid aortic valve, inherited connective
tissue disorders (eg,
Marfan syndrome). Can present with tearing, sudden-onset chest pain
radiating to the back +/−
markedly unequal BP in arms. CXR can show mediastinal widening. Can
result in organ ischemia,
aortic rupture, death. - Two types: Stanford type A (proximal): involves
Ascending aorta. May extend to aortic arch or descending aorta. May result
in acute aortic
regurgitation or cardiac tamponade. - Treatment: surgery.
Stanford type B (distal): involves only descending aorta (Below left
subclavian artery). Treatment:
β-blockers, then vasodilators.
Question:
Describe pericarditis
Answer:
