Chest Pain

Question 1

Most episodes of non-cardiac related chest pain are related to

Answer 1

Musculoskeletal

Question 2

What are initial diagnostic tests to be performed for chest pain?

Answer 2

EKG, pulse oximetry

Question 3

Which diagnostic test may be sufficient for patients <40 years old without significant risk factors?

Answer 3

EKG

Question 4

What lab studies are needed for chest pain?

Answer 4

CBC w/ diff, ABGs, cardiac enzymes, BNP, inflammatory markers

Question 5

What diagonstic imaging tests should be done?

Answer 5

Chest x-ray, echo, stress test (exercise or pharmacologic), coronary angiography

Question 6

What are 5 signs that warrant emergent care in a patient with chest pain?

Answer 6

Pulses paradoxus >10, widened mediastinum on chest x-ray, pleuritic chest pain, sharp chest pain radiating to the back, subcutaneous crepitus

Question 7

What is the most common cause of pleuritic chest pain in young adults?

Answer 7

Viral pleurisy

Question 8

Primary hyperventilation syndrome is characterized by

Answer 8

Dyspnea, chest pain, tingling/numbness of limbs, and/or dizziness

Question 9

Secondary hyperventilation syndrome can be caused by

Answer 9

Acidosis, pulmonary embolism, pneumothorax, asthma, infarct

Question 10

What results may be found in a patient with hyperventilation syndrome?

Answer 10

Decrease PaCO2, normal or increased PaO2
Normal chest x-ray