Chest Pain

Question 1

Common CVS causes pf chest pain

Answer 1

MI pericarditis myocarditis

Question 2

Common respiratory chest pain causes

Answer 2

Pneumonia PE

Question 3

Common gastrointestinal causes of chest pain

Answer 3

Pancreatitis
Acid reflux

Question 4

Common MSK causes of chest pain

Answer 4

Muscle strain
Rib fracture

Question 5

Angina defintion

Answer 5

O2 supply and delivery mismatch

Question 6

Presentation of angina

Answer 6

Central chest pain on exertion, can rádiate to throat arm or back
Relieved by rest

Question 7

Angina examination

Answer 7

Pulse
BP
Heart murmurs
Pallor
BMI
Signs of high cholesterol

Question 8

Angina investigation

Answer 8

FBC anaemia
U+E Renal function
Lipids Cholestrol
Glucose diabetes
12 lead ECG normal in angina

Question 9

Angina treatment

Answer 9

Lifestyle advice- stop smoking, weight loss, exercise
Drug therapy- GTN Spray, Beta Blockers, aspirin

Question 10

Acute coronary syndrome presentation

Answer 10

Chest pain, crushing radiates to neck jaw and arms
Nausea vomiting sweating

Question 11

Acute coronary syndrome investigations

Answer 11

12 lead ECG
Troponin levels

Question 12

Pericarditis presentation

Answer 12

Chest pain, cardiac examination, ECG- ST elevation PR depression