CMN 574 EXAM 1 COMPLETE QUESTIONS AND
CORRECT ANSWERS | LATEST
MSK chest pain
- 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
- Trauma
- Overuse
- Hx chicken pox
MSK chest pain S/S
- Gradual onset of sharp-dull
,- More localized [can point with finger]
- Arm movement / deep inspiration [reproducible]
MSK chest pain DX
No tests unless trauma = XR
MSK chest pain TX
- Rest
- NSAIDs
- Ice/Heat
GI chest pain
- 2nd common cause
- GERD
- Esophagitis / spasm
- PUD
- Hiatal hernia
- Gallbladder
, GI chest pain RF
Hx of ulcers, smoking, ETOH, NSAIDS/ASA (ask about OTC meds)
GI chest pain S/S
- 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
- Test for h.pylori
- EGD
GI chest pain TX
- PPIs
- ABX [h. pylori]
- Diet
- Elevate HOB
CORRECT ANSWERS | LATEST
MSK chest pain
- 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
- Trauma
- Overuse
- Hx chicken pox
MSK chest pain S/S
- Gradual onset of sharp-dull
,- More localized [can point with finger]
- Arm movement / deep inspiration [reproducible]
MSK chest pain DX
No tests unless trauma = XR
MSK chest pain TX
- Rest
- NSAIDs
- Ice/Heat
GI chest pain
- 2nd common cause
- GERD
- Esophagitis / spasm
- PUD
- Hiatal hernia
- Gallbladder
, GI chest pain RF
Hx of ulcers, smoking, ETOH, NSAIDS/ASA (ask about OTC meds)
GI chest pain S/S
- 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
- Test for h.pylori
- EGD
GI chest pain TX
- PPIs
- ABX [h. pylori]
- Diet
- Elevate HOB