which of the following is the most important question to ask durin
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g cardiovascular health history -
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correct answer sudden death of a family member
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a key symptom of ischemic heart disease is chest pain. However,
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angina equivalents may include exertional dyspnea. Angina equi
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valenstare important because - ./ ./ ./
correct answer A and B (Women with ischemic heart disease/so
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me patients may have no symptoms)
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A 55 year old post menopausal woman with a history of hyperten
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sion complains of jaw pain on heavy exertion. There were no com
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plaints of chest pain. Her ECG indicates normal sinus rhythm wit
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hout ST segment abnormalities. Your plan may include -
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correct answer exercise test
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Jenny is a 24 year old graduate student that presents to the clinic t
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oday with complaints of fever, mid sternal chest pain and generali
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zed fatigue for the past two days. She denies any cough or sputum
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production. She states that when she takes ibuprofen and rest that
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the chest pain does seem to ease off. Upon examination the patien
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, t presents looking very ill. She is leaning forward and states that t
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his is the most comfortable position for her. Temp is 102, BP 100/
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70, heart rate is 120/min and regular. Upon auscultation a friction
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rub is audible. Her lungs sounds clear. With these presenting sym
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ptoms your initial diagnosis would be - ./ ./ ./ ./ ./ ./
correct answer pericarditis
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which symptom is more characteristic of non-cardiac chest pain -
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correct answer pain tends to occur with movement stretching or p
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alpation
what is the most common valvular heart disease in the older adult
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- correct answer aortic stenosis
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1. Jeff, 48 years old, presents to the clinic complaining of fleeting
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chest pain, fatigue, palpitations, lightheadedness, and shortness o
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f breath. The pain comes and goes and is not associated with activ
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ity or exertion. Food does not exacerbate or relieve the pain. The
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pain is usually located under the left nipple. Jeff is concerned bec
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ause his father has cardiac disease and underwent a CABG at age
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65. The ANP examines Jeff and hears a mid-
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systolic click at the 4th ICS mid- ./ ./ ./ ./ ./ ./
clavicular area. The ANP knows that this is a hallmark sign of: -
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correct answer mitral valve prolapse
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