Cardiac

Question 1

Costochondritis

Answer 1

Located at the anterior rib and sternal junction. Reproduce with deep inspiration or palpation.

Question 2

Slipping rib syndrome

Answer 2

Sprain by trauma to costal cartilage of 8th, 9th, 10th ribs. Clicking or popping with bending or flexing

Question 3

Visceral pain

Answer 3

Diffuse, deep, poorly localized from organs and body cavities.

Question 4

Somatic

Answer 4

Localized from chest wall, pleura, MSK

Question 5

Anxiety, Nausea, Diaphoresis, Dyspnea

Answer 5

Consider M.I. and angina

Question 6

Lightheadedness, syncope, tachyarrhythmias

Answer 6

Consider MVP

Question 7

Perioral tingling, distal tingling fingers, deep sighing, dizziness/syncope

Answer 7

Consider hyperventilation

Question 8

Leg swelling or pain

Answer 8

Consider PE

Question 9

Fever, cough, sputum production, dyspnea, hemoptysis

Answer 9

Consider pneumonia

Question 10

Dysphagia, belching, vomiting, diaphoresis

Answer 10

Consider GI

Question 11

pluses alternans

Answer 11

pulse amplitude alternates every other beat. found in left sided heart failure

Question 12

pluses paradoxus

Answer 12

Decrease in systolic pressure during inspiration of >10 mmHg. Found in cardiac tamponade, asthma, or COPD.

Question 13

Q wave

Answer 13

necrosis

Question 14

ST (segment) elevation

Answer 14

Injury

Question 15

T wave inversion

Answer 15

Ischemia

Question 16

Test of choice for HCM and MVP

Answer 16

ECHO