CMN 574 EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES || 100% GUARANTEED PASS LATEST VERSION

CMN 574 EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES || 100% GUARANTEED PASS LATEST VERSION Comprehensive Review: Rheumatology & Chest Pain Differential Question 1. Which of the following is the most common cause of chest pain? A. Gastrointestinal B. Musculoskeletal C. Psychiatric D. Respiratory Correct Answer: B Rationale: According to the study guide, musculoskeletal (MSK) chest pain is the most common cause of chest pain, including muscle strain, costochondritis, and broken ribs. Question 2. A young, active patient presents with chest pain after playing sports. This clinical scenario is most consistent with which etiology? A. Gastrointestinal B. Psychiatric C. Musculoskeletal D. Cardiac Correct Answer: C Rationale: The study guide specifically mentions that MSK chest pain is seen in young active patients, particularly after sports or vigorous activity. Question 3. Which of the following is a risk factor for musculoskeletal chest pain? A. History of ulcers B. Smoking C. History of chicken pox D. NSAID use Correct Answer: C Rationale: The study guide lists a history of chicken pox (which can lead to herpes zoster) as a risk factor for MSK chest pain, along with trauma and overuse. Question 4. A patient describes their chest pain as gradual in onset, sharp to dull in quality, and localized to a specific area they can point to with one finger. This presentation is most consistent with: A. Gastroesophageal reflux disease B. Musculoskeletal chest pain C. Pulmonary embolism D. Panic disorder Correct Answer: B Rationale: MSK chest pain is characterized by gradual onset, sharp-dull quality, localized pain where the patient can point with one finger, and reproducibility with movement or deep inspiration. Question 5. Which diagnostic test is indicated for musculoskeletal chest pain in a patient with a history of trauma? A. ECG B. Chest X-ray C. EGD D. D-dimer Correct Answer: B Rationale: The study guide states that no tests are typically needed for MSK chest pain unless there is a history of trauma, in which case a chest X-ray is indicated. Question 6. First-line treatment for musculoskeletal chest pain includes all of the following EXCEPT: A. Rest B. NSAIDs C. Ice/Heat D. Prednisone Correct Answer: D Rationale: Treatment for MSK chest pain includes rest, NSAIDs, and ice/heat. Corticosteroids like prednisone are not first-line for MSK chest pain. Question 7. Which gastrointestinal condition is NOT listed as a cause of GI chest pain? A. GERD B. Esophagitis C. Pancreatitis D. Hiatal hernia Correct Answer: C Rationale: The study guide lists GERD, esophagitis/esophaeal spasm, PUD, and hiatal hernia as GI causes of chest pain. Pancreatitis is not mentioned. Question 8. Which of the following is the second most common cause of chest pain? A. Musculoskeletal B. Gastrointestinal C. Psychiatric D. Respiratory Correct Answer: B Rationale: According to the study guide, gastrointestinal chest pain is the second most common cause of chest pain. Question 9. A patient presents with chest pain described as “squeezing or pressure” sensation. This is characteristic of: A. Peptic ulcer disease B. Esophageal spasm C. GERD D. Costochondritis Correct Answer: B Rationale: The study guide specifies that esophageal spasm presents with chest pain described as squeezing or pressure sensation. Question 10. A patient reports epigastric pain that radiates to the back and worsens with meals or when lying supine. This is most consistent with: A. Esophageal spasm B. Peptic ulcer disease C. GERD D. Hiatal hernia Correct Answer: B Rationale: PUD is characterized by epigastric pain radiating to the back, worse with meals and in the supine position, as noted in the study guide. Question 11. Which diagnostic test is recommended for evaluating gastrointestinal chest pain? A. Chest X-ray B. ECG C. EGD D. VQ scan Correct Answer: C Rationale: The study guide recommends testing for H. Pylori and performing an EGD (esophagogastroduodenoscopy) for GI chest pain evaluation.