Chapter 10 Chest Pain

Question 1

in addition to cardiac diseases, chest pain may be due to

Answer 1

pulmonary
GI
musculoskeletal
psychological.

Question 2

emergent causes of chest pain include

Answer 2

myocardial infarction MI
aortic dissection
pulmonary embolus PE
pneumothorax.

Question 3

cardiac chest pain results from

Answer 3

insufficient oxygen supply to myocardial tissue, usually from coronary artery disease.

Question 4

initial step in development of atherosclerotic heart disease is the fatty streak. over time, fatty streak can enlarge into a calcified plaque, eventually narrowing vessel lumen and impairing blood flow.

Answer 4

true

Question 5

if plaque ruptures, lipids and tissue factors are released from the plaque, triggering a series of events that ultimately result in intravascular thrombosis and MI.

if the plaque does not rupture, gradual narrowing of the lumen can cause anginal chest pain.

Answer 5

true

Question 6

myocardial pain is often described as substernal chest tightness or pressure that radiates to the

Answer 6

LEFT arm, shoulders, or jaw.

pts also complain of diaphoresis, shortness of breath, nausea, and vomiting.

Question 7

anginal pain typically brought on by

Answer 7

exercise, eating, or emotional excitement. pain usually lasts from 5-15 min disappears with rest or nitroglycerin.

Question 8

pain that lasts 30 mins is NOT anginal

Answer 8

true

Question 9

pain of aortic dissection is

Answer 9

anterior and severe; often has a ripping or tearing quality, with radiation to the back or abdomen.

Question 10

tracheobronchitis may cause burning pain in the upper sternal area associated with productive cough

Answer 10

true

Question 11

pain with pneumonia commonly occurs in the overlying chest wall and is aggravated by breathing and coughing

Answer 11

true

Question 12

pain in pneumothorax

Answer 12

sudden, sharp, unilateral, pleuritic, associated with sob.

Question 13

GERD causes burning pain that radiates up to the sternum

Answer 13

true.; worsens by large meals and lying down. antacids may relieve the pain.